Director Quality and Regulatory
About The Position
The Director Quality and Regulatory directs, organizes, and plans the site clinical and administrative functions of the ISO9001 Quality Management System, including the Quality Management Oversight Committee and its requirements. This role is responsible for monitoring performance improvement activity in accordance with system and site safety and health outcomes priorities. The Director provides leadership and oversight to external agency visits, including accreditation and certification surveys, state surveys, and other agency investigations. They serve as the hospital management representative and preparation agent for DNV and ISO surveys. Additionally, this position is responsible for the management and oversight of the hospital physician and APC peer review program, including the provision of data and case review for OPPE and FPPE related processes. The Director also oversees the hospital contract management program, including maintenance of a hospital log and overall evaluation, and the hospital document management program, including policies, procedures, scope of service, and other key site documents. Human resources responsibilities include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale. The Director develops and recommends operating and capital budgets and controls expenditures within approved budget objectives. They are responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations, and laws applicable to the organization's business.
Requirements
- Bachelor’s degree in healthcare or related field.
- Typically requires 7 years’ experience in quality improvement.
- Includes 3 years’ experience in leadership role.
- Advanced knowledge of quality improvement methodologies (i.e. Lean, Six Sigma)
- Analytical and statistical skills
- Clinical knowledge of care processes
- Proficiency with MS Office
- Facilitation skills; excellent verbal and written communication skills
- Proficiency with change management
- Proficiency with project management
Responsibilities
- Directs, organizes, and plans the site clinical and administrative functions of the ISO9001 Quality Management System, including Quality Management Oversight Committee, and its requirements.
- Responsible for monitoring performance improvement activity in accordance with system and site safety and health outcomes priorities.
- Provides leadership and oversight to external agency visits, including accreditation and certification surveys, state surveys, and other agency investigations.
- Serves as the hospital management representative and preparation agent for DNV and ISO surveys.
- Responsible for management and oversight of the hospital physician and APC peer review program including the provision of data and case review for OPPE and FPPE related processes.
- Oversees the hospital contract management program, including maintenance of a hospital log and overall evaluation.
- Responsible for the hospital document management program, including policies, procedures, scope of service, and other key site documents.
- Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
- Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
- Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.
Benefits
- Comprehensive suite of Total Rewards: benefits and well-being programs
- Competitive compensation
- Generous retirement offerings
- Programs that invest in your career development
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Director
