Dir-Quality & Reliability

Prisma Health•Greenville, SC

22h

About The Position

Responsible for effective facility-level quality and regulatory operations in partnership with safety, infection prevention, data analytics, patient advocacy, and patient experience teams. The Director coordinates Clinical Care Experience activities at the campus level, works with clinical and operational leaders to improve patient-centered outcomes, and applies Prisma Health’s Clinical Operating System to support clinical excellence. The role is part of the local administrative team, with a dotted-line relationship to the CEO, and collaborates with counterparts across the enterprise to standardize effective practices. The Director guides and coaches local partners and teams across quality, safety, infection prevention, patient advocacy, patient experience, accreditation, and survey readiness. This includes coordinating regulatory and licensing work needed to retain CMS deeming status and, as applicable, supporting the facility’s scope of services, including NICU and Trauma. The role assesses risks and gaps, monitors quality performance, establishes and supports improvement plans, and leads or coaches others in performance-improvement work. The position has direct and/or indirect supervisory responsibilities and is considered a member of management staff with direct reports.

Requirements

Master’s degree in Healthcare Administration, Nursing, Business Administration, or a related field; a clinical degree is preferred.
Five years of experience managing quality, safety, infection prevention, or patient-experience performance.
In lieu of a master’s degree, a bachelor’s degree in healthcare administration, nursing, business administration, or a related field plus five additional years of experience may be considered.
Certification related to quality, safety, infection prevention, or process improvement is required, or must be obtained within 12 months of hire; examples include CPHQ, CPPS, SSGB, or CIC.
Expertise in building internal and external relationships and a demonstrated ability to work successfully across diverse disciplines and teams.
Ability to think strategically and collaboratively develop short- and long-term improvement visions for patient-care opportunities.
Skill in helping individuals, teams, and facilities implement changes successfully.
Industry knowledge and ability to stay current with healthcare trends, regulatory guidelines, improvement methodologies, payer programs, and changes in the healthcare landscape.
Ability to lead through influence, implement just culture, and create psychological safety.
Ability to oversee and monitor quality metrics and develop improvement action plans.
Ability to execute performance-improvement methodologies and tools, manage multiple projects, and coach others.
Basic computer skills and proficiency with word processing, spreadsheets, Visio, PowerPoint, Excel, and databases.

Nice To Haves

Clinical degree.
Experience with continuous improvement and project management in complex hospital or patient-care delivery systems.
Experience leading large-scale project design and implementation.
Six Sigma Green Belt or Black Belt certification.
Project Management Professional (PMP) certification.

Responsibilities

Direct, support, coach, and provide consultative guidance to local teams on accreditation and survey readiness, quality, safety, infection prevention, patient experience, patient advocacy, and process improvement.
Partner with clinical and operational leaders and medical staff to support positive patient outcomes and clinical excellence.
Coordinate and serve as a central point of contact for campus-level Clinical Care Experience activities.
Lead, facilitate, and support local meetings and forums as a subject-matter expert.
Mentor and guide local Clinical Care Experience team members, supporting teamwork and collaboration.
Collaborate with other facility Site Directors of Quality to develop standardized, evidence-based practices that are efficient, patient-centered, and compliant with regulatory requirements.
Keep senior leaders informed about current performance and coordinated local Clinical Care Experience team efforts.
Assess facility quality outcomes and ensure improvement plans are established and executed where needed.
Oversee quality metrics, ongoing performance monitoring, and improvement action planning.
Promote use of the Clinical Operating System and connect its use to metrics requiring improvement, where applicable.
Coordinate clinical excellence work, including regulatory and licensing activities needed to retain CMS deeming status.
As applicable, support the facility’s scope of services, including NICU and Trauma.
Perform risk assessments, gap analyses, and current-state assessments to identify improvement opportunities and suitable methods.
Execute performance-improvement methodologies and tools, manage multiple improvement projects, and coach others.
Support system work as assigned and collaborate across the enterprise to standardize work.
Perform other duties as assigned.