Director of Quality and Process & Performance

Appalachian Regional Healthcare Inc.; Beckley (WV); On-site; USD 120,000 - 170,000; Full time

Job summary

Appalachian Regional Healthcare Inc. seeks a Director of Process and Performance to lead hospital-wide process improvement initiatives. You will design, measure, and drive performance enhancements in collaboration with administrators, department directors, and managers.

The role requires ensuring compliance with quality care standards and leading teams to achieve measurable outcomes, risk management, and continuous staff education in a clinical setting.

Qualifications

• Bachelor's degree required.
• Minimum of 4–6 years of experience; at least 2 years in a managerial role in a clinical setting.
• Experience with process improvement and risk management.

Responsibilities

• Directs the ongoing operations of the Process Improvement program to align with the organization’s objectives, under guidance.
• Ensures departments monitor, evaluate and improve the quality and appropriateness of care.
• Maintains a written Process Improvement Plan describing objectives, scope, oversight mechanisms.
• Reviews consultant reports and accreditation findings; manages action plans and contingency responses.
• Disseminates risk management information and trends to medical staff, committees, managers and board.
• Leads performance improvement teams and prepares reports for the Steering Committee.
• Promotes daily use of the PI model across departments.
• Directs loss prevention and risk management functions.

Skills

Execution

Business intelligence

Collaboration

Digital literacy

Problem solving

Growth mindset

PI methodologies

Joint Commission

Leadership

Data analysis

Team leadership

Education

Bachelor's degree

Master's degree

Job description

Overview

The Director of Process and Performance provides a planned, systematic, organization-wide approach to designing, measuring, assessing and improving its performance. Coordinates with hospital administration, department directors, and managers to assure compliance.

Responsibilities

• Directs the ongoing operations of the Process Improvement program to integrate the plan into the primary objectives of the organization, under the guidance of the Administrator and the Performance Improvement Steering Committee.
• Assures that the hospital departments have a planned and systematic process for monitoring, evaluating and improving the quality and appropriateness of care provided to the patients.
• Assures that there is a written plan for Process Improvement Program that describes the objectives, organization, scope and mechanisms for overseeing the effectiveness of monitoring, evaluations, and problem solving activities.
• Reviews consultant pre-survey reports and all previous accreditation reports, develops and manages action plan to address findings. Assist in preparation of contingency responses and focus surveys.
• Responsible for the appropriate dissemination of risk management information including trending reports to all levels of the organization as appropriate, i.e. medical staff, hospital committees, department managers and governing board.
• Participates in performance improvement/risk management education for new employees and in continuing education for all employees.
• Facilitates hospital performance improvement teams, ensuring team completeness in a timely manner. Collects all team report cards and prepares monthly and quarterly reports to be sent to Performance Improvement Steering Committee.
• Ensures that all departments understand the P.I. model and utilize it on a daily basis.
• Directs the loss prevention and risk management function.

Education

• Bachelor's Degree required.
• Master's Degree preferred.

Experience

• Four (4) to six (6) years of experience required.
• Minimum of two (2) years of experience in a managerial position in a clinical setting required.

Required Skills, Knowledge & Abilities

• Adept at execution and delivery skills, including planning, delivering, and supporting initiatives.
• Adept at business intelligence.
• Adept at collaboration and teamwork.
• Adept at digital literacy skills.
• Mastery of problem solving and decision making skills.
• Mastery of growth mindset skills, including agility and developing yourself and others.
• Knowledge of Performance Improvement methodologies.
• Knowledge of Joint Commission (JCAHO) standards and regulatory requirements.
• Strong leadership, organizational, and communication skills.
• Ability to analyze operational data and implement process improvements.
• Ability to lead teams and drive performance outcomes in a clinical environment.