About The Position

Plans, coordinates and implements the quality management and improvement programs for the hospital. Monitors and provides assistance with quality assurance and compliance functions. Provides direction to ensure programs and services are implemented at the highest standards with emphasis on quality assurance. To be responsible for the day-to-day operation of the Medical Staff Quality Assessment Program. Ensures policies and procedures are monitored and updated to include regulatory changes.

Requirements

  • Bachelor's degree in nursing, Statistics, Healthcare, Business, or a related field.
  • Registered Professional Nurse Required.
  • Minimum of 2 years of experience in accreditation, process improvement, quality management and/or project management in a clinical environment.
  • Knowledge of regulatory standards and survey processes.
  • Knowledge of quality improvement tools and techniques.
  • Excellent oral and written communication skills.
  • Ability to gather, analyze and communicate technical and clinical data.
  • Proven interaction and communication (oral, writing, presentation) skills to effectively communicate (oral and written) with hospital staff, physicians, and regulatory agents and work cooperatively with same.
  • Demonstrated competence, clinical expertise, and sound professional judgement.
  • Ability to use effective time management to set priorities, perform job related responsibilities, and respond to changing workloads and work environment.
  • Demonstrated ability to use effective analytical and critical thinking skills to problem-solve, make critical decisions, and meet departmental and organizational needs.
  • Attention to details and the ability to perform work accurately, often changing from one task to another without loss of efficiency or composure.

Nice To Haves

  • Masters Degree in Nursing Preferred.
  • Lean Six Sigma Green Belt or other health care quality or patient safety certifications preferred.
  • Microcomputer skills preferred.

Responsibilities

  • Plans, coordinates and implements the quality management and improvement programs for the hospital.
  • Monitors and provides assistance with quality assurance and compliance functions.
  • Provides direction to ensure programs and services are implemented at the highest standards with emphasis on quality assurance.
  • Responsible for the day-to-day operation of the Medical Staff Quality Assessment Program.
  • Ensures policies and procedures are monitored and updated to include regulatory changes.

Benefits

  • Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees)
  • Group Term Life Insurance and AD&D(Full Time Employees)
  • Flexible Spending Accounts and Commuter Benefit Plans
  • Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.)
  • 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness
  • Retirement Plan
  • Tuition Assistance
  • Employee Assistance Program (EAP)
  • Valley Health LifeStyles Fitness Center Membership Discount
  • Day Care Discounts for Various Daycare Facilities
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service