Director of Quality Management DQM
About The Position
Vibra Healthcare is seeking a Director of Quality / Risk Management to join their team at Vibra Hospital of Boise. This is a 40-bed Critical Care Hospital providing acute care services to patients recovering from serious illnesses or injuries. The role involves directing quality management efforts to ensure continuous improvement, organizational excellence, and adherence to regulatory, compliance, accreditation, and legal requirements. The position also focuses on promoting a safe environment for employees, patients, and visitors, managing risk issues, and overseeing the credentialing function for medical staff. The Director will be accountable for developing, managing, and coordinating the hospital-wide Performance Improvement Program to enhance clinical outcomes and the patient experience, while ensuring compliance with CMS Conditions of Participation, Joint Commission standards, COLA/CLIA standards, and HIPAA Rules and Regulations. This role functions as the organization's Risk Manager and Facility Compliance Officer.
Requirements
- An active clinical license in the state of employment is required in one of the following fields: Nursing, Physical Therapy, Occupational Therapy, Speech Language Pathology or Respiratory Therapy.
- Minimum three (3) years of work experience or equivalent, in quality/risk management activities required.
- Knowledgeable in the principles of performance improvement.
- Experience in Risk Management systems and experience in working with the public on issues related to satisfaction/complaints required.
- Ability to project a professional image.
- Knowledge of regulatory standards and compliance requirements.
- Strong organizational, prioritizing and analytical skills.
- Ability to make independent decisions when circumstances warrant.
- Working knowledge of computer and software applications used in job functions.
- Freedom from illegal use of and effects of use of drugs and alcohol in the workplace.
Nice To Haves
- Bachelor’s or Master’s degree preferred.
- Management experience preferred.
- Certified Professional Healthcare Quality (CPHQ) certification preferred.
- Possess in-depth knowledge of functions of all hospital departments and quality improvement requirements as outlined by the Joint Commission, the state of employment’s Department of Health and Federal regulatory standards as outlined by CMS.
- Experience in interpretation of raw data and comparative analysis, experience in conducting educational in- services, experience in coordinating and supervising accreditation/certification survey activities for the Joint Commission, CMS, State Licensure and demonstrated experience in working effectively with multiple departments on confidential issues in a positive and constructive manner.
Responsibilities
- Directing quality management efforts to ensure continuous improvement and organizational excellence.
- Ensuring adherence with all regulatory, compliance, accreditation, and legal issues.
- Promoting a safe environment for all employees, patients and visitors.
- Managing risk issues and overseeing the credentialing function for medical staff.
- Developing, managing and coordinating the hospital-wide Performance Improvement Program designed to improve clinical outcomes and the patient experience.
- Maintaining compliance with CMS Conditions of Participation, the Joint Commission standards, COLA/CLIA standards and HIPAA Rules and Regulations.
- Functioning as the Risk Manager for organization as well as the Facility Compliance Officer.
Benefits
- Medical PPO high and low deductible plans / HSA options as well as HMO options in some markets
- FREE prescription plans
- Dental and Vision coverage
- Life insurance
- Disability Benefits
- Employee Assistance Plan
- Flex Spending plans
- 401K matching
- Additional Critical Illness, Accident, and Hospital plans
- Company discounts for mobile phone service, electronics, cell phones, clothing, etc
- Pet Insurance
- Group legal – provides legal assistance with personal legal matters
- Tuition and continuing education reimbursement
- Work life balance
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
Associate degree
