Director, Quality

UF Health; The Villages (FL); On-site; USD 150,000 - 190,000; Full time

Job summary

UF Health Spanish Plaines Hospital in Central Florida seeks a Director for Quality Management and Infection Control to lead performance improvement, monitor outcomes, and drive accreditation readiness across the campus.

You will collaborate with the UF Health Enterprise and executive leadership, oversee the Infection Control team, and advance data-driven strategies to achieve top ratings from TJC, CMS, and Leapfrog.

Qualifications

• Must read, write, speak English.
• Proficiency with computers, Excel, quality metrics and statistics.
• Knowledge of The Joint Commission (TJC) surveys, AHCA surveys and QualityNet; data presentation and facilitation.
• Knowledge of Leapfrog and CMS rating requirements and best practices for top ratings.

Responsibilities

• Directs Quality Management and Infection Control departments; coordinates quality performance improvement across the campus.
• Monitors quality outcomes and reports to Executive Team; engages in committees and meetings to ensure survey readiness.
• Leads Infection Control team and ensures adherence to infection control standards.

Skills

Leadership

Quality assurance

Healthcare quality

Data analysis

Statistics

Lean Six Sigma

Education

Bachelor’s degree

Master’s degree (preferred)

Tools

Excel

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.