Director, Quality 1 - IRF

Lifepoint Health • Gainesville, GA

18d

About The Position

Leads and oversees a comprehensive, efficient, and integrated hospital-wide
Continuous Quality and Performance Improvement (CQPI) program. Uses data
collection, analysis, and trending 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

• Registered Nurse with current state licensure highly preferred; clinical license required.
• BSN or BS/BA required.
• Minimum two (2) years in an acute hospital or rehabilitation setting required
• Basic Life Support (BLS/CPR) required
• 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

• 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.

What This Job Offers

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