Director, Quality

Lifepoint Health®; Liberty Township (OH); On-site; USD 80,000 - 100,000; Full time

Job summary

Lifepoint Health® seeks a Director of Quality to lead its Continuous Quality and Performance Improvement program across the hospital. This role requires collecting and analyzing data to drive clinical quality, safety, and operational performance.

The ideal candidate will be a Registered Nurse with a BSN or BA, possessing a minimum of two years of experience in an acute hospital. Responsibilities include leading CQPI operations and coordinating regulatory compliance. A focus on risk management and patient safety is essential.

Qualifications

• Registered Nurse with current state licensure highly preferred.
• Minimum two years in an acute hospital or rehabilitation setting required.
• Basic Life Support (BLS/CPR) certification required.

Responsibilities

• Lead and oversee the organization-wide CQPI program.
• Assess performance through data collection and analysis.
• Drive clinical quality, safety, and operational performance.
• Coordinate inspections and accreditation reviews.

Skills

Data analysis and reporting

CQPI methodologies (e.g., RCA, FMEA, PDSA)

Risk management and patient safety facilitation

Effective teaching and communication

Education

BSN or BS/BA required

Job description

Director of Quality

Leads and oversees a comprehensive, efficient, and integrated hospital-wide Continuous Quality and Performance Improvement (CQPI) program. Uses data collection, analysis, and trending to assess performance; focuses on process and systems improvement; directs risk management and patient safety activities; investigates adverse outcomes; coordinates regulatory/accreditation readiness; and educates staff on CQPI and related quality programs.

Essential Functions

• Provide leadership and oversight of the organization-wide CQPI program.
• Measure and assess performance by collecting, analyzing, and trending data to identify opportunities for improvement.
• Focus on improving processes and systems to drive clinical quality, safety, and operational performance.
• Direct, facilitate, and report on all aspects of risk management and patient safety.
• Investigate factors contributing to adverse outcomes and drive process/system changes.
• Direct the hospital-wide CQPI operations, including record reviews for quality indicators and reporting findings to leadership, Medical Executive Committee, Board of Managers, and other committees.
• Annually review hospital-wide plans for Infection Control (IC) and CQPI; establish goals and objectives for the coming year.
• Serve as liaison to local health officials; coordinate inspections and accreditation reviews with state and other regulatory agencies.
• Perform other duties as assigned.

Additional Information

Develops and delivers hospital-wide CQPI education and training. Prepares quality/patient safety reports and dashboards for leaders and committees. Partners with clinical and non-clinical departments to sustain improvements and ensure compliance with applicable standards.

Knowledge, Skills & Abilities

Licensure: Registered Nurse with current state licensure highly preferred; clinical license required.

Education: BSN or BS/BA required.

Experience: Minimum two (2) years in an acute hospital or rehabilitation setting required; prior supervisory experience preferred.

Certifications: Basic Life Support (BLS/CPR) required; certification preferred by APIC and NAHCQ.

Skills: Data analysis and reporting; CQPI methodologies (e.g., RCA, FMEA, PDSA); risk management and patient safety facilitation; regulatory/accreditation readiness; effective teaching, communication, and collaboration.