Sr Dir, Clin Quality & Accred

Amerita•Lyndon, KY

1d•$150,000 - $190,000•Hybrid

About The Position

The Senior Director, Clinical Quality & Accreditation provides enterprise leadership for clinical quality, regulatory compliance, accreditation, clinical standards, and continuous improvement across Amerita. This position establishes and advances programs that promote patient safety, clinical excellence, regulatory compliance, operational consistency, and readiness for accreditation surveys and audits. The Senior Director partners with clinical, pharmacy, operations, nursing, compliance, sales, and other functional leaders to develop and implement evidence-based standards, policies, procedures, education, auditing, quality improvement initiatives, and performance management processes. This leader serves as a subject matter expert and strategic resource for clinical and quality matters and maintains effective relationships with regulatory and accrediting organizations.

Requirements

Bachelor's degree in Nursing, Pharmacy, Healthcare Administration, or a related healthcare field required; advanced degree preferred.
Current RN or RPh license in good standing required.
Minimum of 10 years of progressive healthcare experience, with significant experience in clinical quality, quality management, patient safety, regulatory compliance, accreditation, clinical operations, or a related field.
Minimum of 5 years of leadership experience with responsibility for quality, clinical, regulatory, accreditation, performance improvement, or related programs.
Demonstrated experience leading at least one successful healthcare accreditation cycle.
Significant experience working with healthcare regulatory and/or accrediting organizations.
Home infusion, specialty pharmacy, or other complex healthcare services experience strongly preferred.
Experience developing and implementing enterprise-wide policies, audit programs, quality improvement initiatives, and clinical education programs.
Strong knowledge of home infusion clinical operations, quality management, patient safety, regulatory requirements, and accreditation standards.
Strong understanding of ACHC, URAC, and other applicable healthcare accreditation standards.
Demonstrated ability to interpret regulatory and accreditation requirements and translate them into practical operational standards.
Strong audit, risk assessment, quality improvement, and problem-solving skills.
Excellent leadership, relationship management, coaching, and change management skills.
Ability to analyze quality and operational data and use findings to drive measurable improvement.
Excellent verbal and written communication skills, including the ability to communicate effectively with executive leadership, clinicians, operational leaders, auditors, and external stakeholders.
Ability to manage multiple priorities and complex initiatives in a fast-paced, highly regulated healthcare environment.
Self-directed, highly organized, and able to work independently while effectively collaborating across functions.
Ability to influence without direct authority and drive enterprise-wide standardization and accountability.

Nice To Haves

advanced degree preferred
Home infusion, specialty pharmacy, or other complex healthcare services experience strongly preferred.

Responsibilities

Provides strategic leadership for enterprise-wide clinical quality and performance improvement programs across Amerita
Establishes, maintains, and continuously improves clinical standards, policies, procedures, and practices consistent with federal and state regulations, accrediting standards, and applicable professional standards of care
Partners with Clinical, Nursing, Pharmacy, Operations, and other leaders to standardize clinical practices and promote consistent delivery of high-quality patient care
Identifies clinical and operational risks and develop strategies to mitigate risk and improve patient outcomes
Supports the development and implementation of clinical programs for targeted therapies, disease states, and other strategic areas of care
Evaluates new and existing products, equipment, technology, and clinical practices related to patient care and make recommendations based on clinical, quality, safety, and operational considerations
Leads the development, implementation, and ongoing evaluation of Amerita's Quality Management and Performance Improvement programs
Establishes quality metrics, monitoring processes, and reporting mechanisms to assess clinical performance, patient safety, compliance, and operational effectiveness
Leads or supports Quality Committee activities, performance improvement projects, and enterprise quality initiatives
Oversees the identification, investigation, and resolution of quality incidents and trends, including Quality Incident Reports (QIRs), as appropriate
Monitors quality improvement action plans and outcomes and hold appropriate leaders accountable for timely and sustainable resolution
Identifies opportunities to improve processes, reduce risk, increase standardization, and improve the patient and provider experience
Leverages data and information systems to support measurement, analysis, reporting, and continuous quality improvement
Provides strategic oversight of Amerita's accreditation programs and survey readiness activities
Interprets accreditation and regulatory standards and translate requirements into actionable policies, procedures, education, monitoring, and operational practices
Maintains strong relationships with accreditation organizations, auditors, and other external stakeholders
Leads organizational preparation for accreditation surveys, regulatory reviews, and other external audits
Partners with Compliance and operational leaders to ensure ongoing adherence to applicable federal, state, regulatory, and accreditation requirements
Monitors regulatory and accreditation changes and assess their impact on Amerita operations and clinical practices
Ensures appropriate corrective action plans are developed, implemented, monitored, and sustained following audits, surveys, or identified areas of non-compliance
Provides leadership for the development, review, revision, implementation, and maintenance of clinical, quality, and operational policies and procedures
Develops and maintains enterprise audit tools and monitoring processes to evaluate branch compliance with applicable laws, regulations, accreditation standards, policies, and clinical standards
Oversees routine clinical and operational audits and ensure findings are appropriately communicated, addressed, and tracked to completion
Partners with branch and regional leadership to improve compliance and strengthen quality performance
Identifies trends and systemic issues through audit and quality data and recommend enterprise-level solutions
Establishes and oversees clinical, quality, regulatory, accreditation, and CPR+ education programs for applicable employees
Partners with Learning & Development, Clinical, Nursing, Pharmacy, Operations, and Sales leaders to ensure education programs address identified needs and organizational priorities
Conducts and/or facilitates education for clinical, pharmacy, operations, and sales teams on clinical standards, quality initiatives, accreditation requirements, and relevant clinical topics
Promotes a culture of continuous learning, accountability, patient safety, and quality throughout the organization
Leads, develops, coaches, and retains a high-performing Clinical Quality and Accreditation team
Establishes clear expectations, priorities, performance measures, and accountability for direct reports
Provides regular coaching and feedback and identify opportunities to develop team capabilities and future leaders
Serves as a trusted advisor and subject matter expert to senior leadership and operational teams on clinical quality, accreditation, compliance, and patient safety matters
Builds effective partnerships across departments and regions to drive standardization and enterprise-wide adoption of quality initiatives
Provides consultation and support to leaders during significant quality, compliance, audit, or accreditation matters
Collaborates with Sales and other commercial teams to support the appropriate communication and positioning of Amerita's clinical programs and capabilities
Promotes operating practices that enable teams to work at the top of their license while maintaining quality, compliance, and patient safety
Conducts job responsibilities in accordance with the Company's Code of Business Conduct and Ethics, policies and procedures, Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards
Maintains a high level of professionalism, integrity, confidentiality, attention to detail, and accountability
Performs other duties and special projects as assigned by senior leadership