Director of Quality Management

Inova Specialty HospitalAlexandria, VA
401d

About The Position

The Director of Quality Management at Select Specialty/Regency Hospitals is responsible for overseeing quality improvement initiatives, ensuring compliance with accreditation standards, and enhancing both patient and employee experiences. This role involves coordinating survey activities, leading quality improvement teams, and collaborating with hospital leadership to uphold high-quality care standards.

Requirements

  • Registered Nurse with valid state license.
  • 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

  • Bachelors or masters in nursing preferred.
  • Certified Professional in Healthcare Quality (CPHQ) preferred.

Responsibilities

  • Coordinate all survey activities to assure that the facility maintains accreditation, certification, and licensure.
  • Organize monthly interdisciplinary QAPI Team meetings with activities, per QAPI Calendar.
  • Receive and review quarterly quality improvement reports.
  • Assist the Medical Director and Quality Program Director with development and implementation of medical staff quality improvement activities.
  • Lead the hospital team in the performance of RCA, at least annually, and for every level 3-4 incident, unless otherwise indicated.
  • Complete monthly quality related data entry, analysis and reporting.
  • Focus on the importance of employee training and education in the workplace.
  • Work with the leadership team to ensure reporting requirements are met.

Benefits

  • Paid Time Off (PTO) and Extended Illness Days (EID).
  • Health, Dental, and Vision insurance; Life insurance; Prescription coverage.
  • A 401(k) retirement plan with company match.
  • Short and Long Term Disability.
  • Personal and Family Medical Leave.
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