Quality & Patient Safety Director | RN | Accreditation Leader

Galileo Search, LLC.; Georgia; On-site; USD 90,000 - 130,000; Full time

Job summary

Galileo Search, LLC. is seeking a Quality Improvement Director for a 100-bed, JCAHO-accredited acute care community hospital. The role leads the quality program, drives patient safety initiatives, and ensures regulatory readiness and reporting across CMS/state agencies.

The successful candidate will partner with executive leadership and medical staff to advance performance improvement, data analytics, and educational programs, fostering a culture of clinical excellence.

Responsibilities

• Lead the development, implementation, evaluation, and ongoing advancement of the organization's Quality Improvement program
• Direct all accreditation and regulatory readiness activities, ensuring continuous compliance with state, federal, and accreditation requirements
• Serve as the organizational subject matter expert for quality, patient safety, performance improvement, and regulatory standards
• Coordinate quality reporting activities for executive leadership, medical staff committees, and governing bodies
• Oversee clinical quality databases, performance metrics, and outcome reporting systems
• Lead data collection, analysis, trending, benchmarking, and performance improvement initiatives across the organization
• Partner with clinical and operational leaders to identify improvement opportunities and develop measurable action plans
• Coordinate peer review activities and support Medical Staff quality committees in collaboration with physician leadership
• Ensure accurate and timely submission of mandatory quality and outcome reporting to CMS, state agencies, and accrediting organizations
• Facilitate quality education programs for hospital staff, leadership, and medical staff
• Serve as an internal consultant for departments seeking guidance with quality improvement initiatives and process redesign
• Support organizational readiness for surveys, inspections, and accreditation activities while promoting continuous survey preparedness
• Collaborate with Compliance and Risk leadership regarding regulatory concerns, investigations, education, and readiness activities
• Champion a culture focused on patient safety, accountability, transparency, and clinical excellence

Job description

Galileo Search, LLC. is seeking a Quality Improvement Director for a 100-bed, JCAHO-accredited acute care community hospital. The role leads the quality program, drives patient safety initiatives, and ensures regulatory readiness and reporting across CMS/state agencies.

The successful candidate will partner with executive leadership and medical staff to advance performance improvement, data analytics, and educational programs, fostering a culture of clinical excellence.