Healthcare facility looking to bring on Director Quality!

Main Duties:

Coordinating all survey activities to assure that the facility maintains accreditation, certification, and licensure.
Organizing monthly interdisciplinary QAPI Team meetings with activities, per QAPI Calendar
Receiving and reviewing quarterly quality improvement reports.
Assisting the Medical Director and Quality Program Director with development and implementation of medical staff quality improvement activities.
Leading the hospital team in the performance of RCA, at least annually, and for every level 3-4 incident, unless otherwise indicated.
Completing monthly quality related data entry, analysis and reporting.
Focusing on the importance of employee training and education in the work place.
Working with leadership team to ensure reporting requirements are met.

Requirements:

Registered Nurse, BSN preferred.
Experience in Quality, Survey Readiness, Risk Management, Infection Control, Employee Health and Education.
Demonstrates familiarity with accrediting standards, including TJC and CARF preferred.
Certified Professional in Healthcare Quality (CPHQ) preferred.