Director of Quality
1 month ago
Title: Director of Quality and Regulatory (Inpatient)
Site: Advocate Condell Medical Center
Address: 801 S Milwaukee Ave, Libertyville, IL 60048
Schedule: Monday-Friday Days
Relocation: Relocation Assistance Provided as Needed
ABOUT CONDELL MEDICAL CENTER:
ABOUT ADVOCATE AURORA HEALTH CARE:
Advocate Health System and Aurora Health System are now Advocate Aurora Health Care. One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward.
With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities.
- 70,000 Team Members
- 22,000 Nurses
- 3,300 Employed Physicians
- 4,800 Aligned Physician Partners
Transforming Care:
We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence.
HOW YOU’LL MAKE A DIFFERENCE:
As the Director of Quality & Regulatory, you will provide leadership, development, and oversight of the Advocate Hospital 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.
Major Responsibilities:
- 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.
Licensure, Registration and/or Certification Required:
- None Required.
Education Required:
- Bachelor’s degree in healthcare or related field.
Years of Experience:
- Requires 7 years’ experience in quality improvement within a hospital setting.
- Includes 3 years’ experience in leadership role within quality.
Knowledge, Skills & Abilities Required:
- Advanced knowledge of quality improvement methodologies (i.e. Lean, Six Sigma)
- Analytical and statistical skills
- Clinical knowledge of care processes
- Proficiency with MS Office
- Facilitation skills; excellent verbal and written communication skills
- Proficiency with change management
- Proficiency with project management
WHAT WE BELIEVE:
Advocate Aurora Health is committed to diversity and inclusion every single day and in everything we do. Diversity lives in the differences, great and small, that matter to us and make each of us unique – from our age and the color of our skin to our abilities and the things we believe in. We know that empowering our differences inspires creativity that leads to innovative solutions – for our team members, consumers and communities. And because health care is built upon relationships, it’s important for the people we serve to be able to trust us to meet their unique needs.
By cultivating an atmosphere of acceptance and compassion, we create a welcoming environment where our patients can heal, our team members can thrive, and our business can grow. As a team member, working in a diverse setting allows you the chance to grow in ways that will broaden your perspective to deliver the best possible patient care.
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