System Director of Quality Management and Accreditation - SDQMA 0416 NS#03

NavitasPartners • Juneau, AK

1d

About The Position

This leadership role is responsible for overseeing all aspects of Quality Management, Accreditation, and Risk Management programs. The position provides strategic direction and operational leadership across accreditation compliance, infection control, patient safety, regulatory readiness, and performance improvement initiatives.

Requirements

• RN License or equivalent clinical degree (required)
• 5+ years in healthcare administration or performance improvement
• 3+ years of supervisory experience in a healthcare setting
• CPHQ (Certified Professional in Healthcare Quality) required within 18 months

Nice To Haves

• Master’s degree in healthcare, business, or related field (preferred)

Responsibilities

• Lead and develop the Quality Management & Accreditation function
• Build strong cross-functional relationships across departments
• Align quality initiatives with overall organizational goals
• Oversee accreditation processes and ensure compliance with regulatory standards
• Serve as a subject matter expert in accreditation and credentialing
• Lead quality improvement initiatives using PDSA cycles and performance metrics
• Maintain readiness for accreditation surveys and audits
• Design, implement, and manage quality management programs
• Integrate quality improvement across clinical and non-clinical departments
• Develop and maintain policies, procedures, and quality frameworks
• Collaborate with EHR and data teams to track and report quality metrics
• Train staff on data entry and quality measurement tools
• Prepare reports for leadership and board-level review
• Oversee risk management, infection control, and employee health programs
• Investigate complaints and recommend resolutions
• Report findings to executive leadership and governing bodies
• Directly manage healthcare professionals and quality teams
• Lead team performance, development, and engagement initiatives

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 1-10 employees