Director of Quality Management - Inpatient Rehab

Select Medical • St. Louis, MO

11d • 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 role is crucial in coordinating medical quality management and performance improvement activities to enhance the quality, process, and cost-effectiveness of patient services. The position also oversees infection control, employee health programs, and ensures compliance with regulatory and accrediting standards. The hospital specializes in providing care for individuals with brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputations, and multiple traumas.

Requirements

• Registered Nurse with valid state license.
• 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 the Medical Quality Management and Performance Improvement activities to measurably enhance the quality, process and cost effectiveness of patient and customer services rendered.
• Coordinates the Performance Improvement and Patient Safety programs in accordance with the guidelines and regulatory requirements of 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 the areas of clinical/medical staff PI for all applicable clinical/medical TJC /CARF/DOH standards.
• Assists with all assigned activities to assure that the hospital maintains accreditation, certification and licensure.
• Assumes leadership with the Joint Commission and DOH as well as other regulatory agencies with regard to CQI activities.
• Serves as a resource for all departments within the facility 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 related to 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
• Opportunity for Advancement
• 401k (for part-time/per diem based on hours)
• Employee assistance program (EAP)
• Generous PTO and Paid Sick Time (for full-time)
• Comprehensive medical/RX, health, vision, employee assistance program (EAP) and dental plan offerings (for full-time)
• Company-matching 401(k) retirement plan (for full-time)
• Life and disability protection (for full-time)

What This Job Offers

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