Quality & Compliance Leader

North Knoxville Medical Center; Powell (TN); On-site; USD 140,000 - 210,000; Full time

Benefits offered by this job

Competitive compensation

Health coverage

401(k) retirement plan

Paid time off

Job summary

North Knoxville Medical Center seeks a Chief Quality Officer to lead hospital-wide quality improvement efforts and ensure regulatory compliance with The Joint Commission standards. This role coordinates with departments, medical staff, and administration on performance initiatives to enhance patient care and operational excellence.

Key responsibilities include chairing the performance improvement committee, overseeing education on quality standards, and maintaining documentation for regulatory

Qualifications

• Bachelor’s Degree in Nursing, Healthcare Administration, or related field required.
• 5-7 years of direct experience in nursing, quality management, or performance improvement.
• 5-7 years of progressive leadership experience in nursing or quality management.
• Working knowledge of JC standards, CMS requirements, and DOH regulations.

Responsibilities

• Oversees the development, coordination, and implementation of the hospital’s performance improvement plan, ensuring alignment with quality and regulatory standards.
• Chairs the performance improvement committee, leading quality improvement efforts and ensuring compliance with Joint Commission regulations and other accreditation standards.
• Serves as the primary contact for JC-related activities, including surveys, applications, and correspondence.
• Provides education to hospital staff and medical teams on quality standards, performance improvement methodologies, and regulatory updates.
• Maintains complete records of all performance improvement activities and ensures accurate documentation for regulatory reviews.
• Updates hospital staff on changes to regulatory standards and ensures timely communication of new quality initiatives.
• Acts as a resource to all departments on quality and performance improvement matters, providing guidance and support for quality-related challenges.
• Leads the JC Task Force to ensure ongoing compliance with regulatory requirements and prepares the hospital for accreditation surveys.
• Coordinates medical staff performance improvement activities, working closely with clinical teams to enhance patient outcomes.
• Reviews and disseminates updated information from professional journals, ensuring staff have access to the latest developments in quality and performance improvement.

Skills

Quality improvement

Leadership

Regulatory compliance

Data analysis

Communication

Education

Bachelor's Degree in Nursing

Master's Degree in Public Health or Healthcare Quality

Tools

Joint Commission standards

CMS requirements

DOH regulations

Job description

North Knoxville Medical Center seeks a Chief Quality Officer to lead hospital-wide quality improvement efforts and ensure regulatory compliance with The Joint Commission standards. This role coordinates with departments, medical staff, and administration on performance initiatives to enhance patient care and operational excellence.

Key responsibilities include chairing the performance improvement committee, overseeing education on quality standards, and maintaining documentation for regulatory