Quality Director
2 weeks ago
The Quality Director is responsible for planning and implementing the Quality Program to meet the needs of the hospital approved by the Hospital Governance Committee under the Direction of the Corporate Quality Director. The Quality Director provides education to leadership, medical staff, hospital staff and Governing Body. The Quality Director facilitates performance improvement activities and CQI activities throughout the hospital through the QAPI plan. The Quality Director acts as a resource person to administrative team, department managers and medical staff. The Quality Director assists department managers with preparation for all committee meetings as needed. Quality Director assists with preparation for all regulatory body surveys, i.e., the accrediting organization, State Licensing Review, CMS Validation surveys. The Quality Director focuses the plan on the basis of 3 categories: Quality Management, Risk Management, and Staff Educator.
Quality Management: Responsible for implementing the quality assessment performance improvement plan to meet the needs of the hospital. Provides education to medical staff, hospital staff and Governing Body. Facilitates performance improvement activities and CQI activities throughout the hospital. Acts as a resource person to administrative team, department managers and medical staff. Assists department managers with preparation for medical staff committees. Oversight responsibility for all regulatory body surveys, i.e., the accrediting organization, State Licensing Review, CMS Validation surveys. Maintains oversight responsibility for all performance improvement activities conducted throughout the institution. Drives and manages the Risk Management and Utilization Plan located within the QAPI Plan.
Risk Manager: Responsible for clinical identification, risk evaluation and coordination of corrective action implementation related to risk issues. Provides intervention and education related to risk management issues to promote safe work practices and quality care and services in an environment that is beneficial to the safety, health and wellbeing of all patients, visitors and hospital staff. Coordinates risk programs with all hospital departments, administration and the legal counsel. Reports real and potential risk situations to the Governing Body, medical staff, administration, hospital departments and committees, as appropriate. Responsible for establishing and monitoring methods to avoid, eliminate and/or reduce risk situations associated with the provision of patient care and services.
Clinical Staff Education Director: Responsible for the direction of clinical staff education for the organization. Manages education needs for the hospital staff; provides management of operational and educational activities. Consults with department directors, staff, physicians and nursing personnel on the organization’s educational requirements to ensure patient and staff needs are met. Recommends and assist in the development of educational policies and procedures. Serves as a resource person to staff and management.
WORKING CONDITIONS:
Work environment characteristics are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions. While performing the duties of this job, the employee may occasionally be exposed to fumes or airborne particles. The noise level in the work environment may be moderate to high. The work environment may include chemicals used for cleaning, and have dust, mist, and stream generated in housekeeping tasks. This is a smoke-free workplace. Work requires spending approximately 75% or more of the time inside a building that offers protection from weather conditions but not necessarily from temperature changes.
The employee must provide documentation of a tuberculosis test during new-hire orientation and annually thereafter.
PHYSICAL REQUIREMENTS: Must be able to stand on feet for moderate periods of time, standing couls be as high as 60-80% per working shift per day. Must be able to sit for extended periods of time, at least 4 hours. A certain amount of walking and standing are often necessary to carry out job duties. Lifting/carrying may exceed 10 pounds.
Additional work environment characteristics may include: performing repetitive tasks/motion, and hearing alarms, telephone, and normal speaking voice. Stress is identified as a job hazard resulting from a hectic environment with frequent interruptions. The environment alone presents a certain amount of risk servicing psychiatric patients in acute and crisis needs
The position also requires:
Reaching
Extending the hands and arms in any direction.
Handling
Seizing, holding, grasping, turning, or otherwise working with the hand or hands.
Fingering
Picking, pinching, and otherwise working with the fingers primarily.
Feeling
Perceiving such attributes of objects and materials as size, shape, temperature or texture by means of receptors in the skin, particularly those of the fingertips.
Talking
Expressing or exchanging ideas by means of the spoken word.
Hearing
Perceiving the nature of sounds by the ear.
Seeing
Obtaining impressions through the eyes of the shape, size, distance, motion, or other characteristics of objects. The major visual functions are: (a) acuity – far and near; (b) depth perception; (c) field of vision; (d) accommodation; (e) color vision.
Exposure Category: Category II (tasks involve potential for exposure to blood, bodily fluids, or tissues.)
PREFERRED KNOWLEDGE, SKILLS, AND/OR EXPERIENCE REQUIRED:
Education: Current Clinical licensure in State of Practice.
License: State of Practice.
Experience: A minimum of two (2) years’ experience in a Clinical Setting in healthcare and/or medical industry is required. Previous experience in quality or performance improvement activities preferred. If below experience standards must be enrolled in ongoing course work in performance improvement and CQI methodology.
Accustom to using mobile tools and applications
Acquired ability to observe goals as minimum standards and always strives to exceed minimum standards
Proficient knowledge of tablets and smart phones
Additional Requirement
Effective verbal communication skills
Effective organizational skills
Effective interpersonal skills
Analytical problem solving skills
Ability to read and comprehend written instructions; ability to follow verbal instructions
Proficient knowledge of PC computers
CERTIFICATES, LICENSES, AND/OR REGISTRATIONS REQUIRED:
Photo ID
Social Security Card/Driver’s License
Primary Source Verification of education
Copy of clinical license if applicable
CPR
Behavioral Management Training
Link to this job Location
Lubbock, Texas
Department
Nursing
Employment Type
Full-Time
Minimum Experience
Entry-level
Compensation
DOE
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