Director, Quality

UF Health; Florida; On-site; USD 120,000 - 180,000; Full time

Job summary

UF Health Spanish Plaines Hospital in Central Florida seeks a Director for Quality Management and Infection Control. This role leads quality improvement initiatives, monitors outcomes, and collaborates with enterprise leaders to ensure standards across the UF Health system.

The director will participate in committees, ensure survey readiness, and guide the Infection Control team to maintain compliance with TJC, CMS, and AHCA expectations.

Qualifications

• Graduate or Bachelor’s with plan to pursue a master’s within two years.
• Clinical healthcare experience required.
• Lean Six Sigma Black Belt preferred.
• Certified Professional in Healthcare Quality (CPHQ) preferred.
• Must read/write English; proficient with Excel and statistics.

Responsibilities

• Directs Quality Management and Infection Control for UF Health Spanish Plaines Hospital.
• Coordinates quality improvement activities across the campus to meet performance goals.
• Monitors quality outcomes and reports to the Executive Team as needed.

Skills

English proficiency

Excel proficiency

Quality metrics

Statistics

Education

Graduate degree required

Bachelor’s degree with plan for master's

Tools

QualityNet

NDNQI

Job description

Overview

At UF Health Spanish Plaines Hospital, we are committed to providing the Central Florida community with leading-edge patient care, clinical training and research programs. Our teams of physicians and clinical staff work together to offer specialty services, advanced technology and clinical studies, bringing world-class, quality health care closer to you and your loved ones. UF Health Spanish Plaines Hospital provides many medical services and amenities for our patients and their families and visitors. As part of the UF Health network, patients now get more access, more services, more specialized care, improved experiences, faster treatment and as a result, everyone rises and moves forward together.

Responsibilities

Serves as Director for Quality Management and Infection Control Departments for UF Health Spanish Plaines Hospital. Coordinates quality performance improvement activities across the campus to achieve performance goals. Monitors quality outcomes for the campus, provides necessary reporting to Executive Team as needed. Collaborates with Directors of Quality across the UF Health Enterprise for coordination of standards and processes across the organization. Attends and participates in selected Department/Division Meetings, Quality Committees, Medical Staff meetings, and MCE. Collaborates with Manager of Accreditation and Patient Safety to ensure and maintain survey readiness. Attends Physician Peer Review process as needed. Manages Infection Control team and monitoring, and adherence to IC standards for the campus.

Qualifications

Education

• Graduate degree required; or
• Bachelor’s degree required with willingness to obtain a master’s degree within two years of hire.

Licensure/Certification/Registration

• Clinical healthcare experience required.
• Lean Six Sigma Black Belt preferred.
• Certified Professional in Healthcare Quality (CPHQ) preferred.

Special Skills/Qualifications/Additional Training

• Must be able to read, write, speak, and understand English.
• Proficiency with computers, Excel, quality metrics, and statistics.
• Knowledge of The Joint Commission (TJC) surveys, AHCA complaints and surveys, QualityNet, team facilitation, data presentation and explanation, and NDNQI.
• Knowledge of Leapfrog and CMS rating requirements and best practices for achieving top ratings.

Experience Required

• Five or more years of quality assurance experience in a leadership role within a healthcare setting.
• Acute care experience preferred.