Director of Quality

Lifepoint Health • Langhorne, PA

12d

About The Position

St. Mary Rehabilitation Hospital is a state-of-the-art, 50-bed inpatient acute
rehabilitation hospital dedicated to the treatment and recovery of individuals
who have experienced the debilitating effects of a severe injury or illness. Our
rehabilitation programs provide ongoing care and specialized treatment to
patients throughout their recovery journey. We offer customized, individualized
rehabilitation tailored to the specific needs of those recovering from a stroke,
brain injury, neurological conditions, trauma, spinal cord injury, amputation,
and orthopedic injury.

St. Mary Rehabilitation Hospital strives to maximize the health, function, and
quality of life of those we serve through comprehensive physical medicine and
rehabilitation programs. We are accredited by The Joint Commission and
CARF-accredited for our Comprehensive Integrated Inpatient Rehabilitation and
our Stroke, Brain Injury and Amputation Specialty Programs.

Director of Quality leads and oversees a comprehensive, efficient, and
integrated hospital-wide Continuous Quality and Performance Improvement (CQPI)
program. Using data collection, analysis, and trends to assess performance;
focuses on process and systems improvement; directs risk management and patient
safety activities; investigates adverse outcomes; coordinates
regulatory/accreditation readiness; and educates staff on CQPI and related
quality programs.

Requirements

• Licensure: Registered Nurse with current state licensure highly preferred; clinical license required.
• Education: BSN or BS/BA required.
• Experience: Minimum two (2) years in an acute hospital or rehabilitation setting required; prior supervisory experience preferred.
• Certifications: Basic Life Support (BLS/CPR) required; certification preferred by APIC (American Practitioners of Infection Control) and NAHCQ (National Association of Health Care Quality).
• Skills: Data analysis and reporting; CQPI methodologies (e.g., RCA, FMEA, PDSA); risk management and patient safety facilitation; regulatory/accreditation readiness; effective teaching, communication, and collaboration.

Nice To Haves

• Registered Nurse with current state licensure highly preferred
• prior supervisory experience preferred.
• certification preferred by APIC (American Practitioners of Infection Control) and NAHCQ (National Association of Health Care Quality).

Responsibilities

• Provide leadership and oversight of the organization-wide CQPI program.
• Measure and assess performance by collecting, analyzing, and trending data to identify opportunities for improvement.
• Focus on improving processes and systems to drive clinical quality, safety, and operational performance.
• Direct, facilitate, and report on all aspects of risk management and patient safety.
• Investigate factors contributing to adverse outcomes and drive process/system changes.
• Direct the hospital-wide CQPI operations, including record reviews for quality indicators and reporting findings to leadership, Medical Executive Committee, Board of Managers, and other committees.
• Annually review hospital-wide plans for Infection Control (IC) and CQPI; establish goals and objectives for the coming year.
• Serve as liaison to local health officials; coordinate inspections and accreditation reviews with state and other regulatory agencies.
• Perform other duties as assigned.

Benefits

• Comprehensive medical, dental, and vision plans, plus flexible-spending and health- savings accounts
• Competitive paid time off and extended illness bank package for full-time employees
• Income-protection programs, such as life, accident, critical-injury insurance, short- and long-term disability, and identity theft coverage
• Tuition reimbursement, loan assistance, and 401(k) matching
• Employee assistance program including mental, physical, and financial wellness
• Professional development and growth opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Manager