Performance Improvement Director – Cherry Hospital
About The Position
Leads and coordinates the hospital-wide Performance Improvement Program by organizing data, conducting audits, analyzing trends, and supporting departments in meeting quality and regulatory expectations. Provides regular reports to leadership and ensures corrective actions are effectively implemented. Oversees survey readiness by maintaining current knowledge of accrediting and regulatory standards, preparing required documentation, and providing consultation to ensure compliance with Joint Commission, CMS, and other agencies. Supports ongoing monitoring and hospital-wide preparation for external reviews. Supervises and guides the PI team, ensuring clear expectations, regular communication, and alignment with departmental and organizational goals. Manages personnel activities, problem-solving, and the integration of safety practices in daily operations. Delivers education, technical assistance, and specialized support to departments to strengthen performance improvement processes and staff understanding of regulatory requirements. Completes special projects as assigned by executive leadership.
Requirements
- Master's degree in psychology, social work, education, health, business administration, marriage and family therapy or related human services field from an appropriately accredited institution and three years of experience in professional level treatment programming for the applicable client population; or Bachelor's degree in one of the fields listed above from an appropriately accredited institution and four years of experience as indicated above; or an equivalent combination of education and experience.
Nice To Haves
- Working knowledge of hospital practices and protocols, as well as applicable regulations and guidelines
- Experience in collecting, aggregating, analyzing, and presenting data
- Experience in utilizing quality and process improvement tools, methodologies, and technologies to solve problems and enhance operations
- Ability to develop, deploy, and coordinate projects as needed to improve performance, both internally and with a system-wide scope
Responsibilities
- Leads and coordinates the hospital-wide Performance Improvement Program
- Organizes data, conducts audits, and analyzes trends
- Supports departments in meeting quality and regulatory expectations
- Provides regular reports to leadership and ensures corrective actions are effectively implemented
- Oversees survey readiness by maintaining current knowledge of accrediting and regulatory standards
- Prepares required documentation and provides consultation to ensure compliance with Joint Commission, CMS, and other agencies
- Supports ongoing monitoring and hospital-wide preparation for external reviews
- Supervises and guides the PI team, ensuring clear expectations, regular communication, and alignment with departmental and organizational goals
- Manages personnel activities, problem-solving, and the integration of safety practices in daily operations
- Delivers education, technical assistance, and specialized support to departments to strengthen performance improvement processes and staff understanding of regulatory requirements
- Completes special projects as assigned by executive leadership
Benefits
- Excellent benefits package
- Loan repayment opportunities
- Employment stability
- Rewarding professional opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Manager
