Director - Quality and Regulatory

1 week ago


Marinette, United States Aurora Health Care Full time

Director of Quality and Regulatory

Aurora Medical Center Bay Area

3003 University Dr

Marinette, WI 54143

Aurora Health Care – Midwest Region


*Comprehensive Relocation Assistance available*


Job ID # R128436

Schedule: Monday - Friday (with the ability to flex as needed to the hospital business needs)

Hours: 8:00AM-4:30PM


WHO WE ARE: Advocate Health is the nation’s third largest, nonprofit healthcare enterprise. In December of 2022, four mission driven health systems came together to do more, be better, and go faster to provide equitable care for all in North Carolina, South Carolina, Alabama, Georgia, Illinois, and Wisconsin:

  1. Atrium Health
  2. Advocate Health Care
  3. Aurora Health Care
  4. Wake Forest University School of Medicine


Together, we operate 68 hospitals and over 1K ambulatory centers. We support the careers of 155K team members, 42K nurses, 21K physicians who care for 6M patients annually. Our combined $6B in community benefits enables us to foster healthier communities.

Come explore the enterprise whose accolades include: “Top Work Places”,Top 100 Hospitals”, “Best Hospitals for Maternity Care”, “Top Diversity Organization”, Best Places to work for Women and Diverse Managers”, and “System for Change Award”.


HOW YOU’LL MAKE A DIFFERENCE:

Provides leadership, development, and oversight of Aurora Bay Area Medical Center’s Quality Management System and health outcomes. This individual collaborates with operational leaders to ensure that the highest level of quality of patient care is delivered through data analysis, performance improvement activities and initiatives, the Quality Management System, and compliance with regulatory requirements and accreditation agencies. This position serves as a key role in facilitating key quality and regulatory communication to the site executive leadership team and medical staff.


Accountabilities:

  • Directs, organizes, and plans the site clinical and administrative functions of the ISO9001 Quality Management System, including Quality Management Oversight Committee, and its requirements.
  • Responsible for monitoring performance improvement activity in accordance with system and site safety and health outcomes priorities.
  • Provides leadership and oversight to external agency visits, including accreditation and certification surveys, state surveys, and other agency investigations.
  • Serves as the hospital management representative and preparation agent for DNV and ISO surveys
  • Responsible for management and oversight of the hospital physician and APC peer review program including the provision of data and case review for OPPE and FPPE related processes.
  • Oversees the hospital contract management program, including maintenance of a hospital log and overall evaluation.
  • Responsible for the hospital document management program, including policies, procedures, scope of service, and other key site documents.
  • Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
  • Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
  • Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.


WHAT YOU WILL NEED:


Education:

  1. Bachelor’s degree in healthcare, Nursing or related field.


Certification/License:

NA


Experience:

Typically requires 7 years’ experience in quality improvement. Includes 3 years’ experience in leadership role.


Taking care of our team members and leaders is a top priority. We strive to develop and maintain an inclusive culture where everyone feels welcome, valued, and thrives. Supporting careers and professional development is one facet of caring for our leaders through structured leadership onboarding, enhanced tuition reimbursement, progressive developmental programs, succession planning and mentoring performance excellence. Competitive compensation, eligible annual incentive plans and comprehensive health care packages are top of mind to care for your financial health and well-being. If needed, our comprehensive relocation package helps get you here.



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