Sr. Quality Officer

Right Hire Consulting LLC; Wilson (NC); On-site; USD 120,000 - 190,000; Full time

Job summary

Right Hire Consulting LLC seeks a Director of Quality Management to lead hospital-wide quality, safety, accreditation, and risk management efforts. You will oversee regulatory compliance, performance improvement, and patient safety initiatives, partnering with executive leadership and medical staff.

The role requires strategic thinking, strong communication, and deep knowledge of Joint Commission standards, CMS surveys, and peer review processes.

Qualifications

• Bachelor's degree in healthcare administration, nursing, public health, or related field.
• 5-7 years of experience in healthcare quality management, accreditation, or patient safety.
• Strong knowledge of regulatory and accreditation standards (Joint Commission, CMS, state licensing).
• Experience in risk management, peer review processes, and root cause analysis.
• Demonstrated leadership with ability to influence and drive quality initiatives at enterprise level.
• Excellent communication, analytical, and problem-solving skills.
• Certification in healthcare quality (e.g., CPHQ) or patient safety (e.g., CPPS) preferred.

Responsibilities

• Direct and oversee hospital-wide quality management programs to ensure compliance with Joint Commission and other regulatory requirements.
• Facilitate compliance with core measures and patient safety initiatives.
• Lead Hospital Patient Safety/Quality Council meetings and disseminate relevant quality and performance information enterprise-wide.
• Prepare and present quality reports to the Medical Executive Committee and Hospital Governing Board.
• Oversee hospital risk management activities, including root cause analysis and lessons learned from defects.
• Coordinate the Medical Staff Peer Review process to support continuous performance improvement.
• Manage various certification, patient safety, and regulatory programs through delegation and oversight.
• Ensure adherence to policy and procedure process management, ensuring all documents align with regulatory and best practice standards.
• Collaborate with hospital leadership, medical staff, and frontline employees to drive a culture of quality and patient-centered care.
• Serve as a liaison between the hospital and external regulatory agencies regarding quality, accreditation, and patient safety initiatives.

Skills

Leadership

Communication

Analytical thinking

Problem solving

Regulatory knowledge

Education

Bachelor's degree in healthcare administration, nursing, public health, or related field

Master's degree preferred

Job description

The Director of Quality Management is responsible for overseeing the operational, financial, and personnel resources related to quality performance, accreditation/licensing, patient relations, infection prevention, policy and procedure process management, and patient safety within the healthcare enterprise. Utilizing a systems-based approach, the Director ensures compliance with regulatory and accreditation requirements, fosters a culture of continuous quality improvement, and supports hospital-wide risk management activities.

Key Responsibilities

• Direct and oversee hospital-wide quality management programs to ensure compliance with Joint Commission and other regulatory requirements.
• Facilitate compliance with core measures and patient safety initiatives.
• Lead Hospital Patient Safety/Quality Council meetings and disseminate relevant quality and performance information enterprise-wide.
• Prepare and present quality reports to the Medical Executive Committee and Hospital Governing Board.
• Oversee hospital risk management activities, including root cause analysis and the implementation of lessons learned from defects.
• Coordinate the Medical Staff Peer Review process to support continuous performance improvement.
• Manage various certification, patient safety, and regulatory programs through delegation and oversight.
• Ensure adherence to policy and procedure process management, ensuring all documents align with regulatory and best practice standards.
• Collaborate with hospital leadership, medical staff, and frontline employees to drive a culture of quality and patient-centered care.
• Serve as a liaison between the hospital and external regulatory agencies regarding quality, accreditation, and patient safety initiatives.

Reporting Structure

• Reports directly to the Chief Executive Officer (CEO) and the Board of Directors.

Qualifications

• Bachelor's degree in healthcare administration, nursing, public health, or a related field (Masters degree preferred).
• Minimum of 5-7 years of experience in healthcare quality management, accreditation, or patient safety.
• Strong knowledge of regulatory and accreditation standards (e.g., Joint Commission, CMS, state licensing bodies).
• Experience in risk management, peer review processes, and root cause analysis.
• Demonstrated leadership skills with the ability to influence and drive quality initiatives at an enterprise level.
• Excellent communication, analytical, and problem-solving skills.
• Certification in healthcare quality (e.g., CPHQ) or patient safety (e.g., CPPS) preferred.

This is a key leadership role within the organization, offering an opportunity to shape and drive quality, safety, and regulatory excellence across the hospital enterprise.