Chief Quality Officer (CQO)

Community Health System•Bullhead City, AZ

56d

About The Position

The Chief Quality Officer (CQO) is responsible for leading and coordinating quality improvement and performance initiatives throughout the hospital. This role ensures compliance with regulatory standards, including The Joint Commission (JC), and serves as a liaison between hospital departments, medical staff, and administration on all quality-related matters. The CQO develops, implements, and monitors performance improvement plans to ensure continuous improvement in patient care and operational excellence. Opportunity for Relocation Assistance

Requirements

RN - Registered Nurse (State Licensure and/or Compact State Licensure required).
Bachelor's Degree in Nursing, Healthcare Administration, or a related field required.
5-7 years of direct experience in nursing, quality management, performance improvement, or a related field required.
5-7 years of progressive leadership experience in nursing, quality management, performance improvement, or a related field required.
Working knowledge of general hospital operations, JC standards, CMS requirements, and DOH regulations required.

Nice To Haves

Certified Professional in Healthcare Quality (CPHQ) designation preferred (Arizona-specific requirement).
Master's Degree in Public Health, Healthcare Quality, or a related field preferred.
5-7 years of clinical nursing experience at an acute care facility preferred.

Responsibilities

Oversee the development, coordination, and implementation of the hospital's performance improvement plan, ensuring alignment with quality and regulatory standards.
Serve as a quality liaison between all hospital departments, medical staff, performance improvement committees, and administration to ensure a cohesive approach to quality improvement initiatives.
Chair the performance improvement committee, leading quality improvement efforts and ensuring compliance with Joint Commission (JC) regulations and other accreditation standards.
Act as the primary contact for all JC-related activities, including surveys, applications, and correspondence, ensuring continuous regulatory compliance.
Provide education to hospital staff and medical teams on quality standards, performance improvement methodologies, and regulatory updates.
Develop and conduct in-service education programs to enhance staff knowledge of quality improvement and regulatory standards, including OSHA, CDC, and JC requirements.
Maintain complete records of all performance improvement activities and ensure accurate documentation for regulatory reviews.
Update hospital staff on changes to regulatory standards and ensure timely communication of new quality initiatives.
Act as a resource to all departments on quality and performance improvement matters, providing guidance and support for quality-related challenges.
Lead the JC Task Force to ensure ongoing compliance with regulatory requirements and prepare the hospital for accreditation surveys.
Coordinate medical staff performance improvement activities, working closely with clinical teams to enhance patient outcomes.
Review and disseminate updated information from professional journals, ensuring staff have access to the latest developments in quality and performance improvement.
Perform other duties as assigned.
Comply with all policies and standards.