Director of Quality

Baptist Health; Richmond (KY); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Health insurance

Vision insurance

Dental insurance

Life insurance

Disability insurance

Tuition reimbursement

Paid time off

Parental leave

Retirement with company match

Employee assistance program

Job summary

Baptist Health in Kentucky seeks a Director of Quality to lead the organization’s quality program and performance improvement efforts. You will oversee the department, manage budgets, and drive initiatives across patient experience, infection control, and outcomes reporting.

The role requires nursing leadership, data expertise, and CP HQ certification upon hire or within two years, with collaboration across physicians, staff, and administration to enhance patient outcomes.

Qualifications

• Master's degree in nursing required (or enrolled within 1 year of hire with degree completion within 3 years).
• 3-5 years of healthcare management experience.
• 3-5 years of clinical healthcare experience.
• Data management and data reporting experience required.
• Certified Professional in Healthcare Quality (CPHQ) or obtain within two years.
• Proficient with computers, databases, and software programs.

Responsibilities

• Oversee the operations of the department to ensure quality services and excellence in patient care.
• Lead, educate, and mentor physicians and staff in data management and quality improvement.
• Oversee hospital quality improvement programs with timely reporting to stakeholders.
• Ensure regulatory compliance and stay updated on quality standards.
• Collaborate with directors and staff to analyze data and develop action plans for performance improvement.
• Maintain staffing levels within budget and manage department finances and HR.
• Communicate with administration and committees; liaise with vendors and other departments.
• Develop systems for timely data collection and interpretation to improve patient outcomes.

Skills

Data management

Data reporting

Leadership

Quality improvement

Budget management

Education

Master's degree in nursing

CPHQ certification

Job description

Summary

Job Description

Job Title: Director of Quality

FULL TIME

The Director of Quality has operational and budgetary oversight for all areas of responsibility. Primary responsibilities include the development and maintenance of quality improvement program; coordination of performance improvement efforts to include patient experience, wound and ostomy care, infection prevention/control, pastoral care, peer review, and process excellence.

• Responsible for overseeing the operations of the department to ensure the provision of quality services and excellence in patient care.
• Serves as a leader, educator and mentor to physicians, directors and staff in promoting excellence in management of data, support quality of care, evaluation, outcomes management and in evidence-based outcomes across the organization.
• Responsible for overseeing the hospital quality improvement program. Ensures key processes and outcomes are tracked and reported in a timely and effective manner to physicians, staff, the hospital board and required external groups.
• Ensures compliance with all requirements of regulatory agencies associated with the quality department and keeps abreast of new and updated quality standards.
• Collaborates with other directors, physicians and staff to analyze interdepartmental data and support the development of action plans related to performance improvement initiatives.
• Participates in teams within the organization and system to achieve the goals of Baptist Healthcare System.
• Ensures that the staffing levels are maintained at an adequate level to meet the departmental needs. Monitors productivity levels and adjusts staff accordingly within budget
• Responsible for financial management of the quality department including budgetary analysis of clinical outcomes data, developing and monitoring the departmental operating budgets and management of human resources and capital.
• Maintains a system of communication with administration, staff, and serves on various committees as requested or delegated. Serves as a liaison between outcomes and administration/other departments/vendors, etc.
• Analyzes benchmarked data and develops reports for internal and external customers identifying practice patterns, and other areas of concern with recommendations for improvement as appropriate.
• Develop systems and processes for timely and accurate data collection.
• Analyzes and interprets data that facilitates clinical practice patterns, communicates findings, and actively participates in areas for process improvement, solutions and implementation of solutions that positively impact patient outcomes.
• Attends all required safety training programs and can describe his/her responsibilities related to general safety, department/service safety, specific job related hazards, and national patient safety goals.

Requirements

• Master's degree in nursing required (or will be enrolled in an accredited Master of Nursing program within one year of hire with degree completion within 3 years).
• 3-5 years of healthcare management experience
• 3-5 years of clinical healthcare experience
• Data management and data reporting experience required
• Holds a certification as Certified Professional Healthcare Quality (CPHQ) or obtains within two years of hire
• Proficient with computers, databases, and software programs.

Benefits: Full-Time 32 weekly hours (0.8 FTE) - 40 weekly hours (1.0 FTE)

• Health, Vision, Dental and Pet Insurance

• Life Insurance

• Short Term and Long-Term Disability and Life Insurance

• Identity Theft Protection

• Tuition Reimbursement up to $6,000 annually

• Company paid Maternity and Paternity Leave

• 5 days of Paid Time Off available upon hire

• Bereavement Leave (includes pets)

• PTO Sell Back Program

• Compassionate Leave Sharing Program (PTO Donation)

• Employee Support Fund, for employees in need of emergency financial support

• Retirement with Company Match

Baptist Health is an Equal Employment Opportunity employer.