Executive Director, Quality, Infection Prevention

2 weeks ago

Barnstable, United States Cape Cod Healthcare Full time

PURPOSE OF POSITION:

The Executive Director Quality, Infection Prevention and Regulatory Preparedness is responsible for providing strategic leadership and direction in all quality, patient safety, regulatory compliance, and infection prevention for the organization ensuring safe patient care.


PRIMARY DUTIES AND RESPONSIBILITIES:

  • Directs collaborative efforts with physicians, revenue cycle, payers, patients, and their families, to incorporate evidence-based practices and appropriate use of resources.
  • Accountable to ensure the hospital maintains adherence to all regulatory requirements. Manages regulatory site surveys, creates plans of correction as needed, and ensures compliance to plans of correction.
  • Coordinates, evaluates, updates, and disseminates all data and educational information as it relates to regulatory bodies such as the Joint Commission and MA DOH.
  • Manages all data and reporting for quality metrics and creates improvement plans to increase publicly reported ratings such as Leap Frog and Star Ratings. Manages submissions as needed (Ex: Leap Frog)
  • Facilitates the Performance Improvement and Patient Safety Committee.
  • Coordinates the medical staff quality programs.
  • Communicates effectively with Hospital leadership in the development of day-to-day and strategic goals.
  • Ensure that appropriate departments are updated regarding new standards, policies, and procedures.
  • Oversees all NPSG's implementation and ongoing compliance.
  • Establish a coordinated tracer methodology ongoing process and will periodically perform tracers.
  • Facilitates FMEA’s for the organization.
  • Promotes an environment of transparency with employees and nursing department.
  • Actively participates in review and identification of opportunities of nurse quality indicators as measured by NDNQI at individual department level collaborating with nurse managers.
  • Benchmarks performance against national best practices.
  • Financial stewardship: monitors, controls, and is accountable for maintaining departmental costs within budgeted allocations.
  • Must be able to manage multiple competing priorities and maintain calm demeanor in stressful environment.
  • Proficiency with computers and clinical applications.
  • Ability to effectively negotiate with patients, families, internal and external providers of patient care services.
  • Consistently provides service excellence to all patients, family members, visitors, volunteers, and co-workers.
  • Challenges current working practices, identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization’s culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.


EDUCATION/EXPERIENCE/TRAINING:

  • BSN degree or equivalent education and years of experience, Master’s degree in nursing (MSN) or related field (MBA/MHA) preferred
  • MA State Registered Nurse License
  • Certified Professional in Healthcare Quality (CPHQ) is preferred.
  • Minimum of five (5) years in Performance Improvement/Quality Management and Infection Prevention.
  • Provided leadership for at least 2 successful joint commission surveys utilizing tracer methodology.
  • Working knowledge of regulatory agency standards and requirements
  • Must possess excellent oral, written and analytical skills. Effective problem solving, conflict management and organizational skills.
  • Clinical competence and the ability to establish respect and rapport with peers, staff, physicians, and administration within Cape Cod Healthcare.


Schedule Details: Full time, Monday-Friday, occ. eves, weekends, and holidays

  • Director/Senior Director Development

    2 weeks ago

    Barnstable, United States Cape and Islands Veterans Outreach Center Full time

    Job Title: Senior Director, Development Reports To: Executive DirectorSUMMARYThe Director, Development is a key senior management leader of the Cape and Islands Veterans Outreach Center (CIVOC). The Director is responsible for overseeing the development strategy and related activities of the organization. Key duties include fundraising strategy and...

  • Sales & Marketing Director

    2 weeks ago

    Barnstable, United States CareerBuilder Full time

    Come join the talented staff at AdviniaCare! Were seeking a Director of Sales and Marketing, responsible for providing marketing and sales leadership for our beautiful assisted living community, The Woodlands. The Director of Sales and Marketing will implement sales processes to support increased occupancy and revenue growth, analyzing marketing and sales...

  • Director, Medical Coding

    2 weeks ago

    Barnstable, United States Cape Cod Healthcare Full time

    PURPOSE OF POSITION:Implements and supports the strategic vision for CCHC Medical Coding Operations across all entities. The Director of Medical Coding will plan, organize, and manage the coding units across the system. The Director will ensure that accurate, coded data exists for optimal reimbursement by the organization, and coordinate all quality and...

  • Director of Sales and Marketing

    2 weeks ago

    Barnstable, United States CareerBuilder Full time

    Come join the talented staff at AdviniaCare! Were seeking a Director of Sales and Marketing, responsible for providing marketing and sales leadership for assigned communities, which includes implementing sales processes to support increased occupancy and revenue growth, analyzing marketing and sales strategies. Great work life balance, comprehensive benefits...

  • Outpatient Clinic Director- Cape

    2 weeks ago

    Barnstable, United States Bay Cove Human Services Full time

    Outpatient Clinic Director- Cape Hyannis, Barnstable, MA 02601, USA Req #2441 Wednesday, April 3, 2024 Bay Cove Human Services’ mission is to partner with people to overcome challenges and realize personal potential. Bay Cove pursues this mission by providing individualized and compassionate services to people facing the challenges associated with...

  • Outpatient Clinic Director- Cape

    2 weeks ago

    Barnstable, United States CareerBuilder Full time

    Bay Cove Human Services mission is to partner with people to overcome challenges and realize personal potential. Bay Cove pursues this mission by providing individualized and compassionate services to people facing the challenges associated with developmental disabilities, mental illness, substance use disorders, and homelessness at more than 175 program...

  • Outpatient Clinic Director- Cape

    4 days ago

    Barnstable, United States Bay Cove Human Services Full time

    Outpatient Clinic Director- Cape Hyannis, Barnstable, MA 02601, USA Req #2441 Tuesday, February 20, 2024 Bonus: $5,000 - $2,500 paid after 3 months and $2,500 paid after 6 months Department: Behavioral Health Integration Reports To: Director of Behavioral Health - Cape Cod Job Summary: The Outpatient Clinic Director provides administrative oversight of the...

  • Hospital Patient Access Manager

    1 day ago

    Barnstable, United States Cape Cod Healthcare Full time

    PURPOSE OF POSITION: Provides leadership and oversight of Registration and Financial Counseling operations within Cape Cod Hospital or outpatient hospital licensed sites. Supports Director of Patient Access (“PAS”) to execute the strategic vision for system-wide PAS and Financial Clearance functions. Oversees performance of PAS functions performed by...

  • Hospital Patient Access Manager

    2 weeks ago

    Barnstable, United States Cape Cod Healthcare Full time

    PURPOSE OF POSITION: Provides leadership and oversight of Registration and Financial Counseling operations within Cape Cod Hospital or outpatient hospital licensed sites. Supports Director of Patient Access (“PAS”) to execute the strategic vision for system-wide PAS and Financial Clearance functions. Oversees performance of PAS functions performed by...

  • Salesman

    6 days ago

    Barnstable, United States Aqua Blue Window Cleaning Corp Full time

    Job DescriptionJob DescriptionWe are currently seeking to hire a Salesman to join our team! You will be responsible for overseeing and developing a sales effort to effectively grow our company. You will be selling window cleaning and power washing jobs in the Cape Cod area. Responsibilities:Oversee and coordinate the sales team activitiesEstablish sales...

  • Memory Care Activities Assistant

    3 weeks ago

    West Barnstable, United States Maplewood Brewster LLC Full time

    Memory Care Assistant Maplewood at Brewster, 820 Harwich Rd, Brewster, MA Want to know what makes our employees eager about going to work every day? The people we serve. Being a part of Maplewood requires passion and a desire to help others. Each employee has the ability to touch the hearts of all our seniors and be a part of something bigger than...