Quality Director
About The Position
The Quality and Regulatory Compliance Director is responsible for the program development, implementation, and management of Quality improvement initiatives, risk management, corporate compliance, patient safety and patient experience activities throughout the hospital district. This Director effectively engages everyone in the organization to improve quality performance and communicates all quality activities to the medical staff, Board of Directors, administration and staff. This position is responsible for gathering and reporting quality data to outside quality improvement organizations in an accurate and timely manner. This Director coordinates, investigates, and responds to customer complaints and patient-related issues. This Director is also responsible for maintaining regulatory compliance of the organization and has a working knowledge of State and Federal regulations.
Requirements
- Bachelor's degree required
- Experience required
- Current RN License in California or ability to obtain CA license within 30 days of hiring is required
Nice To Haves
- CPHQ certification preferred
Responsibilities
- Preparation for and coordination of regulatory surveys
- Regulatory survey response and compliance
- Regulatory Self-reporting activities and follow-up
- Quality Review Report review and follow-up
- Failure Mode and Effect Analysis and Root Cause Analysis investigation and reports
- Complaints: investigation and follow-up
- Patient satisfaction surveys
- Beta HEART program
- Service Excellence Initiative oversight
- Continuous Quality Improvement Program
- Peer Review chart prep and committee participation
- Medication Error Reduction Program
- Team Walk Rounds
- Data Collection and Reporting
- Emergency Department Transfer Communication
- Departmental Quality Dashboards
- Patient Experience Surveys
- Ongoing Professional Practice Evaluation
- Department Manager meeting
- New Employee Orientation – Quality, Service Excellence
- Policy review and development
- FLEX and SHIP Grant management
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What This Job Offers
Job Type
Full-time
Career Level
Director
