Director of Quality Management - Inpatient Rehab

SSM Health Rehabilitation Hospital • Bridgeton, MO

13d • Onsite

About The Position

SSM Health Rehabilitation Hospital, a joint venture with Select Medical, is seeking a Director of Quality Management for its inpatient rehabilitation hospital located in Bridgeton, MO. This facility is dedicated to providing exceptional and compassionate care to individuals facing medical, physical, emotional, and vocational challenges resulting from brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputations, and multiple traumas. The hospital supports career growth and personal well-being through an extensive orientation program, opportunities for advancement, and benefits that foster financial, work/life, and emotional well-being. As part of a larger team of over 44,000, the role contributes to providing exceptional patient care.

Requirements

• Registered Nurse with a valid state license. Legacy employees may exist with other clinical licensure.
• Requires experience in at least one of the core areas of responsibility: Quality, Survey Readiness, Risk Management, Infection Control, Employee Health and Education.
• Demonstrates familiarity with accrediting standards, including TJC and CARF preferred.

Nice To Haves

• Previous experience in Quality Improvement, with Statistical Process Control experience and computer skills preferred.
• Demonstrates familiarity with accrediting standards, including JCAHO and CARF preferred.
• Certified Professional in Healthcare Quality (CPHQ) preferred.

Responsibilities

• Coordinates Medical Quality Management and Performance Improvement activities to enhance quality, process, and cost-effectiveness of patient and customer services.
• Coordinates Performance Improvement and Patient Safety programs in compliance with Federal and State regulations on a hospital-wide basis.
• Oversees operations of the Infection Control and Employee Health Programs.
• Develops and reviews policies and procedures to ensure compliance with all regulatory and accrediting standards.
• Collects data to monitor compliance and/or trends.
• Institutes and monitors the Hospital’s CQI Processes, utilizing data analysis measuring tools.
• Oversight/coordination of operations of the Infection Control & Employee Health Program based upon hospital size and configuration.
• Assists with the design and compliance of quality processes/activities in clinical/medical staff PI for TJC/CARF/DOH standards.
• Assists with all assigned activities to assure the hospital maintains accreditation, certification, and licensure.
• Assumes leadership with the Joint Commission, DOH, and other regulatory agencies regarding CQI activities.
• Serves as a resource for all departments to provide guidance on designing, implementing, analyzing, and reporting on Quality Improvement.
• Assists clinical areas in developing criteria, monitoring and reporting mechanisms, and action documentation for the hospital’s CQI program.
• Performs basic chart review activities with appropriate staff for outcome utilization, infection control, and medical CQI indicators.
• Analyzes results of chart review activities with appropriate staff and confers with department staff on any case requiring special attention.
• Prepares analysis of significant PI findings pertaining to adverse drug reactions, drug usage evaluation, medical management of acute transfers, and other CQI indicators.

Benefits

• Bonus incentives
• Extensive onboarding and training program
• Customizable health insurance packages
• 401k (for part-time/per diem positions based on reaching 1,000 hours within their first anniversary or subsequent calendar year)
• Employee assistance program (EAP) (for part-time employees)
• Generous PTO and Paid Sick Time (for full-time team members)
• Comprehensive medical/RX, health, vision, and dental plan offerings (for full-time team members)
• Company-matching 401(k) retirement plan (for full-time team members)
• Life and disability protection (for full-time team members)

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed