Director of Quality Improvement

Francisan Health•Olympia Fields, IL

56d

About The Position

At Franciscan, our Director of Quality improvement oversees the quality improvement activities of the department, including required quality monitoring, reporting, and submission of regulatory required metrics. This role supports the facility with maintaining accreditation/regulatory standards. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Develop and manage one or multiple departmental budgets, including making budget allocations, approving expenditures, and ensuring expenses are within budget Collaborate with policy owners, risk management, and others for an investigation and corrective actions associated with adverse events and violations, related to policies, procedures, and regulations Identify key clinical and non-clinical practices and standards Oversee the collection, analysis, and interpretation of related data, including contracted services Make decisions for direct reports in one or multiple departments, and perform people management activities, such as performance evaluations, disciplinary actions, staff planning, and interviews Ensure organization of Medical Staff performance improvement and peer review committee meetings, including the preparation of agendas, reports, minutes and correspondence, OPPE/FPPE reports. Collaborate with other personnel in the development and design of new systems and procedures, and/or the improvement of existing ones to improve quality and/or lower costs. Serve as a liaison between the facility, Board of Directors, Corporate, and external agencies with respect to quality performance reporting. Serve as the Quality Net Security Administrator, as required by position. Ensure submission requirements to internal and external requestors are met. Identify issues and opportunities to improve, and participates in the development and implementation of action plans, and the measurement and verification of outcomes.

Requirements

Associate's Degree Nursing or Healthcare related field - Required
5 years Nursing/ Acute Care Health Related - Required
Registered Nurse (RN) - State Licensing Board in applicable state - Required

Nice To Haves

Bachelor's Degree Nursing or Healthcare related field - Preferred

Responsibilities

Develop and manage one or multiple departmental budgets, including making budget allocations, approving expenditures, and ensuring expenses are within budget
Collaborate with policy owners, risk management, and others for an investigation and corrective actions associated with adverse events and violations, related to policies, procedures, and regulations
Identify key clinical and non-clinical practices and standards
Oversee the collection, analysis, and interpretation of related data, including contracted services
Make decisions for direct reports in one or multiple departments, and perform people management activities, such as performance evaluations, disciplinary actions, staff planning, and interviews
Ensure organization of Medical Staff performance improvement and peer review committee meetings, including the preparation of agendas, reports, minutes and correspondence, OPPE/FPPE reports.
Collaborate with other personnel in the development and design of new systems and procedures, and/or the improvement of existing ones to improve quality and/or lower costs.
Serve as a liaison between the facility, Board of Directors, Corporate, and external agencies with respect to quality performance reporting.
Serve as the Quality Net Security Administrator, as required by position.
Ensure submission requirements to internal and external requestors are met.
Identify issues and opportunities to improve, and participates in the development and implementation of action plans, and the measurement and verification of outcomes.