Director, Risk Management and Quality

Memorial Physician Practices; Beachwood (OH); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Medical, dental, vision

Paid time off

Life and disability insurance

401(k) matching

Tuition reimbursement

Job summary

University Hospitals Rehabilitation Hospital is seeking a CQPI leader to oversee the hospital-wide continuous quality and performance improvement program. You will utilize data collection, analysis, and trending to assess performance and drive system improvements across patient safety, quality, and operations.

The role requires RN licensure, a BSN or BS/BA, and at least two years in an acute hospital or rehabilitation setting with supervisory experience preferred.

Qualifications

• RN licensure with current state licensure preferred; clinical license required.

Responsibilities

• 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, MEC, Board of Managers, and other committees.
• Develops and delivers hospital-wide CQPI education and training. Prepare quality/patient safety reports and dashboards for leaders and committees.

Skills

Nursing

Education

BSN or BS/BA

Job description

Your experience matters

At University Hospitals Rehabilitation Hospital,we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.

How you'll contribute

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.

What we offer

Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:

• Comprehensive medical, dental, and vision plans, plus flexible-spending and health- savings accounts
• Competitive paid time off and extended illness bank package for full-time employees
• Income-protection programs, such as life, accident, critical-injury insurance, short- and long-term disability, and identity theft coverage
• Tuition reimbursement, loan assistance, and 401(k) matching
• Employee assistance program including mental, physical, and financial wellness
• Professional development and growth opportunities

Qualifications and requirements

• 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 (American Practitioners of Infection Control) and NAHCQ (National Association of Health Care Quality).

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, faciltiate, 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 & 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.
• 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.

About Us

University Hospitals Rehabilitation Hospital is a 50 bed hospital located in Beachwood OH, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters

EEOC Statement

"University Hospitals Rehabilitation Hospital is an Equal Opportunity Employer and is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.