Quality Director

Lifepoint Health • Edwardsville, IL

2d

About The Position

Anderson Rehabilitation Institute Center is part of Lifepoint Health
[https://lifepointhealth.net/locations], a diversified healthcare delivery
network with facilities coast to coast. We are driven by a profound commitment
to prioritize your well-being so you can provide exceptional care to others. As
a Quality Director joining our team, you’re embracing a vital mission dedicated
to making communities healthier ®. Join us on this meaningful journey where your
skills, compassion and dedication will make a remarkable difference in the lives
of those we serve.

Lead and oversee a comprehensive, efficient, and integrated hospital-wide
Continuous Quality and Performance Improvement (CQPI) program. Use data
collection, analysis, and trending to assess performance; focus on process and
systems improvement; direct risk management and patient safety activities;
investigate adverse outcomes, coordinate regulatory/accreditation readiness, and
educate staff on CQPI and related quality programs.

This position also leads the departments of Case Management, outcomes and
HIM.  Knowledge or experience in case management is preferred. We will be in
our survey window soon so looking for someone that is goal directed,
organized and can take initiative for being proactive in identifying issues
and implementing solutions.

Requirements

• Experience: Minimum two (2) years in an acute hospital or rehabilitation setting required; prior supervisory experience preferred.
• Licensure: Registered Nurse with current state licensure highly preferred; clinical license required
• Education: BSN or BS/BA required.
• Certifications:  Basic Life Support (BLS/CPR) required; certification preferred by APIC (American Practitioners of Infection Control) and NAHCQ (National Association of Health Care Quality).
• 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

• Knowledge or experience in case management is preferred.

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.
• Develop and deliver hospital-wide CQPI education and training.
• Prepare quality/patient safety reports and dashboards for leaders and committees.
• Partner with clinical and non-clinical departments to sustain improvements and ensure compliance with applicable standards.

Benefits

• Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
• Competitive Paid Time Off
• Employee Assistance Program – mental, physical, and financial wellness assistance
• Tuition Reimbursement/Assistance for qualified applicants

What This Job Offers

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