Director of Quality
ScionHealth•Mcallen, TX
•Onsite
About The Position
Solara Specialty Hospitals McAllen is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-intensive care and medically complex conditions. Our hospital provides both intensive care and telemetry-level services, offering advanced monitoring and support for patients requiring extended medical care. With a multidisciplinary team dedicated to personalized treatment plans, we focus on helping patients achieve significant recovery and transition to the next level of care.
Requirements
- Bachelor’s Degree in a healthcare-related field (required)
- 3+ years of experience in Quality and/or Risk Management in a hospital setting (required)
Nice To Haves
- Bachelor’s Degree in Nursing (preferred)
- RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of practice, Upon Hire (preferred)
- CPHQ - Certified Professional in Healthcare Quality Upon Hire (preferred)
Responsibilities
- Plans, implements, and oversees the hospital-wide performance improvement program to meet organizational goals.
- Facilitates performance improvement and CQI activities through collaboration with clinical leadership, department managers, ancillary services, the administrative team, and the Governing Body.
- Maintains awareness of regulatory changes and ensures alignment with current accreditation standards and best practices.
- Oversees preparation for regulatory surveys and audits; educates departments to ensure compliance with applicable requirements.
- Uses database systems to document occurrences, medical staff review activities, and committee actions, and prepares reports for leadership and committees.
- Communicates effectively with physicians, staff, CCO, and administrative leadership regarding quality and compliance initiatives.
- Collaborates across departments to support patient care improvement and organizational performance initiatives.
- Participates in risk management and patient safety activities.
- Provides support to medical staff officers, committee chairs, and the Governing Body as needed.
- Serves as primary liaison to the Regional Compliance Director and acts as the main point of contact for compliance-related questions or concerns.
- Escalates compliance issues appropriately and participates in regular compliance reviews and discussions.
- Prepares and submits quarterly compliance reports to facility leadership and the Regional Compliance Director.
- Ensures CMS, NHSN, and other quality reporting requirements are accurate, complete, and submitted timely.
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What This Job Offers
Job Type
Full-time
Career Level
Director
