Description
Director of Quality Management & Regulatory Compliance | RN Preferred, CPHQ, Masters | Eastern Texas
Location:
Eastern Texas
Opportunity:
• Reports to the Regional QA Director and partners closely with the CMO and CNO
• 6 FTEs
• Leads Quality and Regulatory Outcome programs and applications for facility
• Develops quality outcome reporting and analytic insights using knowledge and expertise about public reporting, metrics, analytics, and application tools
• Oversees continual compliance readiness with leadership in providing Joint Commission and other accrediting or licensing body reviews and education
• Researches and recommends quality management objectives
• Develops reports to effectively convey regulatory updates from appropriate data sources and systems, including national benchmarks and public ranking data
• Supports production of reports in collaboration with subject matter experts
• Educates the hospital and medical staff on matters related to quality
• Oversees and coordinates the process of regulatory accreditation, including preparing and monitoring the hospital staff for a constant state of readiness, compliance with standards, and promoting a culture of safety
• Collaborates with the hospital leaders to achieve quality goals and eliminate preventable harm
• Provides expertise in quality management for inpatient and hospital outpatient department delivery settings
• Performs impact analysis of emerging or changing quality program criteria and regulations to drive towards the mission of ‘Zero Harm’ continually
• Brings high-reliability processes and information governance strategies to the performance of job responsibilities to the organization
• 6 FTEs
• Leads Quality and Regulatory Outcome programs and applications for facility
• Develops quality outcome reporting and analytic insights using knowledge and expertise about public reporting, metrics, analytics, and application tools
• Oversees continual compliance readiness with leadership in providing Joint Commission and other accrediting or licensing body reviews and education
• Researches and recommends quality management objectives
• Develops reports to effectively convey regulatory updates from appropriate data sources and systems, including national benchmarks and public ranking data
• Supports production of reports in collaboration with subject matter experts
• Educates the hospital and medical staff on matters related to quality
• Oversees and coordinates the process of regulatory accreditation, including preparing and monitoring the hospital staff for a constant state of readiness, compliance with standards, and promoting a culture of safety
• Collaborates with the hospital leaders to achieve quality goals and eliminate preventable harm
• Provides expertise in quality management for inpatient and hospital outpatient department delivery settings
• Performs impact analysis of emerging or changing quality program criteria and regulations to drive towards the mission of ‘Zero Harm’ continually
• Brings high-reliability processes and information governance strategies to the performance of job responsibilities to the organization
Qualifications:
• Master’s degree preferred
• Current RN License preferred
• CPHQ - Certified Professional in Healthcare Quality
• CPHRM, or CPPS a plus
• 5-7+ years of experience managing quality outcomes, sizeable disparate data sets
• Experience in quality, regulatory, patient safety, HRO principles, infection prevention oversight, and change management
• Knowledge of Federal, State, and Local regulations related to health care and accrediting/certifying agencies such as The Joint Commission and CMS
• Experience that includes Midas+ Care Management, Vizient, Premier, Epic, Meditech, MicroStrategy, or VigiLanz is a plus
• Ability to establish and maintain effective working relationships with all levels of hospital staff
• Strong written and verbal communication and proficient computer skills required
• Current RN License preferred
• CPHQ - Certified Professional in Healthcare Quality
• CPHRM, or CPPS a plus
• 5-7+ years of experience managing quality outcomes, sizeable disparate data sets
• Experience in quality, regulatory, patient safety, HRO principles, infection prevention oversight, and change management
• Knowledge of Federal, State, and Local regulations related to health care and accrediting/certifying agencies such as The Joint Commission and CMS
• Experience that includes Midas+ Care Management, Vizient, Premier, Epic, Meditech, MicroStrategy, or VigiLanz is a plus
• Ability to establish and maintain effective working relationships with all levels of hospital staff
• Strong written and verbal communication and proficient computer skills required
About Galileo Search:
Galileo Search, LLC partners with hospitals and healthcare organizations across the United States to identify, recruit and retain the most accomplished professionals and executives in the industry. Our clients include community and critical access hospitals, health systems, academic medical centers, and Fortune 500 corporations. To learn more about Galileo Search, LLC, visit our website at www.galileosearch.com
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Job ID:
Job-029005
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