Director, Quality & Compliance

UF Health • Gainesville, FL

7d

About The Position

The Director, Quality & Compliance develops and implements the Continuous Quality Improvement program and coordinates licensure and accreditation activities to support compliance with applicable regulatory agencies. The role serves as risk manager designee and directs the risk management program, supports Medical Directors, and establishes and assures hospital standards of performance.

The Director provides ongoing administrative, utilization, and clinical quality consultation and support to educators, managers, administrators, and the medical director of UF Health Psychiatric Hospital and the UF Health system. The position manages assigned cost centers, departments, and projects; conducts special projects; and represents the hospital on related core and system teams, projects, and initiatives.

As a member of the hospital senior management team, the Director represents administration in the Administrator’s absence and participates in institutional decision making. The role chairs Emergency Preparedness to coordinate disaster relief efforts with County and State emergency management officials and participates in the administrative on-call rotation.

Requirements

• Bachelor’s degree required.
• Three to five years of progressively responsible management experience in a hospital setting, or equivalent, required.
• Experience with continuous quality improvement required.
• Experience with The Joint Commission accreditation required.
• Demonstrated ability to organize and design services.
• Strong analytical skills.
• Demonstrated competency in problem definition, solution development, issue resolution, and implementation.
• Strong verbal and written communication skills.
• Strong conflict-resolution and conflict-management skills.
• Demonstrated ability to manage multiple projects and initiatives.
• Knowledge of procedural terminology and healthcare systems.

Nice To Haves

• Master’s degree preferred.
• Master’s degree or higher in healthcare administration, risk management, nursing, or a directly applicable discipline preferred.
• Experience with Chapter 394 of the Florida Statutes, Rule 10E of the Florida Administrative Code, the Agency for Health Care Administration (AHCA), and/or other applicable regulatory agencies preferred.

Responsibilities

• Develop and implement the Continuous Quality Improvement program.
• Coordinate licensure and accreditation activities for compliance with applicable regulatory agencies.
• Serve as risk manager designee and direct the risk management program.
• Support the Medical Directors.
• Establish and assure hospital standards of performance.
• Provide ongoing administrative, utilization, and clinical quality consultation and support to educators, managers, administrators, and the medical director of UF Health Psychiatric Hospital and the UF Health system.
• Manage assigned cost centers, departments, and projects.
• Conduct special projects and represent the hospital on related core and system teams, projects, and initiatives.
• Serve as a member of the hospital senior management team, represent administration in the Administrator’s absence, and participate in institutional decision making.
• Chair Emergency Preparedness and coordinate disaster relief efforts with County and State emergency management officials.
• Participate in the administrative on-call rotation.

What This Job Offers

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