Director of Quality

Pioneers Memorial Healthcare District; California; On-site; USD 110,000 - 170,000; Full time

Job summary

Pioneers Memorial Healthcare District is seeking a senior leader to develop, implement, and monitor a comprehensive quality review program that includes outcomes management. The role oversees Infection Control and Risk Management while aligning hospital-wide activities with accreditation and regulatory standards.

Ideal candidates bring extensive acute care hospital experience, at least five years in management and supervisory roles, and a strong track record in Continuous Quality Improvement and

Qualifications

• A relevant Bachelor’s degree or equivalent is necessary.
• Minimum 5 years acute care hospital background, with 5 years management experience and at least three years in supervisory position in two of the following areas.
• Continuous Quality Improvement, Quality Management, or Risk Management.

Responsibilities

• Develops, implements and monitors a quality review program including quality improvement and outcome management.
• Participates in Performance Improvement planning and data reporting to meet regulatory requirements.
• Manages department personnel, including hiring, evaluation and scheduling per hospital policies.
• Develops departmental budget and ensures expenses stay within limits.
• Supervises Quality Management and Infection Control staff.

Skills

Quality Improvement

Risk Management

Staff Supervision

Budgeting

Performance Improvement

Education

Bachelor's degree or equivalent

Tools

MS Office

Job description

Responsible for developing, implementing and monitoring a quality review program including quality improvement and outcome management. Infection Control, Risk Management, and Patient Safety service departments report to this position.

ESSENTIAL FUNCTIONS

• Maintains knowledge of all current requirements for approved accreditation agency standards/CMA, Title 22, state and federal licensing, and other legal hospital mandates or standards required of hospital operations.
• Develops and/or supports programs and activities to assure standards are applied to hospital-wide activities in an on-going manner, appropriate to the preparation for successful survey outcome with accreditation agencies and other organizations conducting announced or unannounced surveys.
• Participates in organizational Performance Improvement planning, collection and reporting of data as required by Performance Improvement Plan, to meet regulatory requirements and as directed.
• Assures programs for hospital-wide Performance Improvement/Quality Assurance programs are administered within accreditation agency standards, hospital administration. Program shall provide monthly, quarterly, or annual comparative data to identify opportunities for improvement or change.
• Manages department personnel including selection, hiring, evaluation, scheduling, discipline, reward processes in accordance with hospital personnel policies. Assures evaluations are timely. Establishes personnel goals in order to meet department objectives and mission.
• Develops departmental budget and assures parameters are met for assigned services within established expense per unit of service.
• Demonstrates commitment to continued professional growth and development pursuing formal and informal education.

OTHER RESPONSIBILITIES

• Other duties as assigned from time to time.

SUPERVISORY RESPONSIBILITIES

Supervises Quality Management and Infection Control Staff

EDUCATION, KNOWLEDGE, SKILLS, ABILITIES, AND EXPERIENCE

• A relevant Bachelor’s degree or equivalent is necessary.
• Minimum 5 years acute care hospital background, with 5 years management experience and at least three years in supervisory position in two of the following areas
• Continuous Quality Improvement, Quality Management, or Risk Management.

LICENSES AND CERTIFICATIONS REQUIRED

None.

Equal Opportunity Employer
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