Quality Director

Freedom Behavioral Hospital of Ferriday•Ferriday, LA

99d

About The Position

The Quality Director is responsible for planning and implementing the hospital’s Quality Program to meet organizational needs under the direction of the Corporate Quality Director and approval of the Hospital Governance Committee. The Quality Director provides education to leadership, medical staff, hospital staff, and the Governing Body. This role facilitates performance improvement activities and Continuous Quality Improvement (CQI) activities through the QAPI plan and serves as a resource person to the administrative team, department managers, and medical staff. The Quality Director assists department managers with preparation for committee meetings and regulatory body surveys, including accrediting organization reviews, State Licensing Reviews, and CMS Validation Surveys.

Requirements

Minimum of two (2) years’ experience in a clinical healthcare or medical industry setting required
Effective verbal communication, organizational, and interpersonal skills
Strong analytical problem-solving skills
Ability to read and comprehend written instructions and follow verbal instructions
Proficiency in PC computers, tablets, and smartphones
Ability to acclimate easily to changing schedules
Comfortable using mobile tools and applications
Demonstrates commitment to exceeding minimum standards and achieving excellence

Nice To Haves

Current clinical licensure in the State of Practice
Previous experience in quality or performance improvement activities preferred

Responsibilities

Implement the Quality Assessment Performance Improvement (QAPI) plan to meet hospital needs
Educate medical staff, hospital staff, and Governing Body on quality initiatives
Facilitate performance improvement and CQI activities throughout the hospital
Provide oversight and support to administrative teams and department managers
Maintain oversight responsibility for all performance improvement activities
Drive and manage the Risk Management and Utilization Plan within the QAPI plan
Ensure readiness for all regulatory body surveys and compliance with standards
Identify clinical risks, evaluate situations, and coordinate corrective actions
Provide interventions and education to promote safe work practices and quality care
Coordinate risk programs across hospital departments, administration, and legal counsel
Report real and potential risk situations to the Governing Body, medical staff, administration, and appropriate committees
Establish and monitor methods to avoid, eliminate, or reduce risk situations in patient care and services
Direct the clinical staff education program for the organization
Manage operational and educational activities to meet staff and patient needs
Consult with department directors, staff, physicians, and nursing personnel to assess educational requirements
Recommend and assist in developing educational policies and procedures
Serve as a resource person to staff and management for education and training needs