Hospital Quality Improvement Director, RN

1 month ago


Sunnyvale TX United States Baylor Scott & White Medical Center - Sunnyvale Full time

Baylor Scott & White Medical Center - Sunnyvale is an acute care hospital serving the communities in and around Sunnyvale, Texas. We strive to make the lives of our patients and their families better at every interaction. Our Team Members live out this passion in their daily roles as we support their career and personal goals.

We are located just minutes east of Dallas and south of Garland / Rowlett on Hwy 80 at Collins Road in Sunnyvale. Many team members live in Forney, Mesquite, Garland, Balch Springs, and Rockwall areas with a short commute.

Our work environment includes:

  • Modern Office Setting
  • On-Site Cafe' and Coffee Bar (Payroll Deduction available)
  • Collaborative Teams
  • Team Member engagement opportunities
  • Competitive pay
  • Benefits provided based on your work assignment (Full-time, Part-time, or PRN)

Baylor Scott & White Medical Center - Sunnyvale is seeking a Director of Risk Management & Quality that will be responsible for overall hospital quality/performance improvement and monitoring of the organization. The Director of Risk Management & Quality, RN ensures the provision of differentiated quality and safety, patient-focused, outcomes based, and cost-effective medicine in the hospital setting. Provides oversight of the hospital's grievance and compliant process.

What your day will look like:

  • Responsible for implementing and overseeing all aspects of the quality improvement and coordinating patient safety data reporting, analysis and clinical outcomes at the facility levels that align with the regional direction for quality.
  • Responsible for an integrated approach to quality and patient safety and occurrence reporting, analysis and clinical outcomes with the facility that includes all facets of quality such as Regulatory, Performance Improvement, and Core Measures.
  • Has the authority and responsibility to develop, implement and manage the Accreditation/Regulatory Compliance Program for the hospital.
  • Contributes to the hospital management team by promoting regulatory compliance and safety in conjunction with providing leadership, and assuring safe patient care.
  • Responsible for coordinating activities in: 1) Clinical excellence and patient safety; 2) process improvement and outcomes management; and 3) regulatory readiness.
  • Serves as a resource related to clinical quality, patient safety, regulatory and quality improvement issues, and activities related to accreditation.
  • Completes established competencies for the position within designated introductory period.
  • Initiates, coordinates, and manages all investigational and evaluation activities associated with professional and general liability occurrences and claim pre-litigation files.
  • Negotiates resolution with authority from BSW-Sunnyvale and Corporate Risk Management team.
  • Provides basic and complex preventative risk management assessment of processes, procedures, and programs, including in-service education, consultation, liaison activities, and on-call emergency assistance to providers.
  • Completes established competencies for the position within designated introductory period.
  • Other related duties as assigned.

Success Factors:

  • Experience: Must have a minimum of 10 years clinical experience as an RN.
  • 2-5 years experience in Quality/Risk Management Required
  • Education: Must have BSN and be currently licensed as a Registered Nurse in the State of Texas.
  • Preferred Education: Masters degree in a healthcare related field.
  • Able to communicate effectively in English, both verbally and in writing.
  • Additional languages preferred.
  • Basic computer knowledge.

Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.



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