Chief Quality Officer - RN Required

Community Health Systems; Tucson (AZ); On-site; USD 180,000 - 280,000; Full time

Benefits offered by this job

Competitive compensation

Comprehensive health coverage

Future security: 401(k) with employer匹

Job summary

Northwest Medical Center is seeking a Chief Quality Officer to lead hospital‑wide quality improvement and performance initiatives, ensuring regulatory compliance with Joint Commission standards. You will coordinate departments, teach staff on quality methods, and chair the performance improvement committee to drive patient care excellence.

As CQO, you will oversee performance plans, maintain documentation, and prepare for accreditation surveys, while guiding clinical teams and administrators in

Qualifications

• Bachelor’s degree in nursing, healthcare administration, or related field.
• Master’s degree in public health, healthcare quality, or related field preferred.
• 5–7 years of direct experience in nursing, quality management, or performance improvement.
• 5–7 years of progressive nursing leadership experience.
• Working knowledge of JC standards, CMS requirements, and DOH regulations.
• 5–7 years of clinical nursing experience at an acute care facility preferred.

Responsibilities

• Oversees development, coordination, and implementation of the hospital's performance improvement plan.
• Acts as a quality liaison between departments, staff, and administration to ensure cohesive quality initiatives.
• Chairs the performance improvement committee and ensures compliance with Joint Commission regulations.
• Serves as primary contact for JC activities, surveys, applications, and correspondence.
• Provides education on quality standards, improvement methodologies, and regulatory updates.
• Develops in‑service education programs to enhance knowledge of quality improvement and regulatory standards.
• Maintains complete records of all improvement activities and ensures documentation for regulatory reviews.
• Updates staff on changes to regulatory standards and communicates new quality initiatives.
• Leads JC Task Force to ensure ongoing regulatory compliance and accreditation readiness.
• Coordinates medical staff performance improvement activities with clinical teams to improve outcomes.

Skills

Leadership

Quality Improvement

Regulatory Compliance

Data Analysis

Healthcare Quality

Regulatory Standards

Communication

Education

Bachelor's Degree in Nursing, Healthcare Administration, or related field

Master's Degree in Public Health, Healthcare Quality, or related field

5–7 years of direct nursing/quality/performance improvement experience

5–7 years of progressive nursing leadership experience

Knowledge of JC standards, CMS requirements, DOH regulations

5–7 years of clinical nursing experience in acute care

Job description

Job Summary

The Chief Quality Officer (CQO) is responsible for leading and coordinating quality improvement and performance initiatives throughout the hospital. The CQO ensures compliance with regulatory standards, including The Joint Commission (JC), and serves as a liaison between hospital departments, medical staff, and administration on all quality-related matters. This role oversees the development, implementation, and monitoring of performance improvement plans, ensuring continuous improvement in patient care and operational excellence.

Why You’ll Love Working Here

• Competitive Compensation – Salary and benefits package designed to reward your expertise, leadership, and contributions.
• Comprehensive Health Coverage – Medical, dental, vision, and life insurance options to support you and your family.
• Future Security – 401(k) retirement plan with employer matching to help you build long-term financial stability.
• Generous Paid Time Off – Paid Time Off (PTO) and Extended Illness Bank (EIB) to support work-life balance and personal well‑being.
• Career Growth Opportunities – Professional development, leadership training, and advancement opportunities across our organization.
• Recognition & Reward Programs – We celebrate employee achievements and contributions to our success.
• Exclusive Employee Discounts & Perks – Access to special savings and benefits designed for our team members.

Essential Functions

• Oversees the development, coordination, and implementation of the hospital’s performance improvement plan, ensuring alignment with quality and regulatory standards.
• Acts as a quality liaison between all hospital departments, medical staff, performance improvement committees, and administration to ensure a cohesive approach to quality improvement initiatives.
• Chairs the performance improvement committee, leading quality improvement efforts and ensuring compliance with Joint Commission (JC) regulations and other accreditation standards.
• Serves as the primary contact for all JC‑related activities, including surveys, applications, and correspondence, ensuring continuous regulatory compliance.
• Provides education to hospital staff and medical teams on quality standards, performance improvement methodologies, and regulatory updates.
• Develops and conducts in‑service education programs to enhance staff knowledge of quality improvement and regulatory standards, including OSHA, CDC, and JC requirements.
• Maintains complete records of all performance improvement activities and ensures accurate documentation for regulatory reviews.
• Updates hospital staff on changes to regulatory standards and ensures timely communication of new quality initiatives.
• Acts as a resource to all departments on quality and performance improvement matters, providing guidance and support for quality‑related challenges.
• Leads the JC Task Force to ensure ongoing compliance with regulatory requirements and prepares the hospital for accreditation surveys.
• Co‑ordinates medical staff performance improvement activities, working closely with clinical teams to enhance patient outcomes.
• Reviews and disseminates updated information from professional journals, ensuring staff have access to the latest developments in quality and performance improvement.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• Bachelor’s Degree in Nursing, Healthcare Administration, or a related field required
• Master’s Degree in Public Health, Healthcare Quality, or related field preferred
• 5‑7 years of direct experience in nursing, quality management, performance improvement, or a related field required
• 5‑7 years of progressive leadership experience in nursing, quality management, performance improvement, or a related field required
• Working knowledge of general hospital operations, JC standards, CMS requirements, and DOH regulations required
• 5‑7 years of clinical nursing experience at an acute care facility preferred

Knowledge, Skills and Abilities

• Strong knowledge of quality improvement methodologies, regulatory compliance, and accreditation standards, including Joint Commission (JC).
• Excellent leadership and communication skills, with the ability to collaborate across departments and with medical staff.
• Experience in data analysis, performance metrics, and the development of quality improvement initiatives.
• Proficient in healthcare regulations and compliance, with a focus on patient safety and performance improvement.

Licenses and Certifications

• RN – Registered Nurse – State Licensure and/or Compact State Licensure required

State Specific Requirements

• Arizona: Certified Professional in Healthcare Quality (CPHQ) designation preferred.
• Georgia: Basic Cardiac Life Support (BCLS) certification required.
• Oklahoma: Basic Cardiac Life Support (BCLS) certification required.

Why Work at Northwest Medical Center?

At Northwest Medical Center, we’re more than healthcare providers; we’re a team dedicated to compassionate care and community wellness. Join us for a supportive work environment, opportunities for professional growth, and the chance to make a real difference in the lives of our patients every day. Your skills, your passion, and your commitment matter here.

This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.

Equal Employment Opportunity

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.