Quality Director

1 week ago

Houston, TX, United States Altus Community Healthcare Full time

Job Type

Full-time

Description

Job Title: Quality Director

Department: Quality Management

Reports To: Chief Operating Officer / Chief Medical Officer / CEO

Summary:

The Director of Quality and Patient Safety is responsible for planning, directing, and overseeing all quality improvement, patient safety, and regulatory compliance initiatives within the healthcare facility. This role ensures that clinical and operational processes align with best practices, accreditation standards, and federal/state regulations to promote the highest levels of care, safety, and satisfaction.

Essential Duties & responsibilities:

? Leadership & Strategy

  • Develop and implement a strategic quality and patient safety program across the organization.
  • Lead performance improvement initiatives to enhance patient outcomes, safety, and satisfaction.
  • Provide leadership in accreditation and regulatory readiness (e.g., Joint Commission, CMS, state inspections).
Quality Assurance & Performance Improvement (QAPI)
  • Design, implement, and monitor performance improvement plans.
  • Use data-driven approaches to identify gaps in care and operational performance.
  • Analyze quality metrics and lead efforts to improve clinical outcomes and patient experience (e.g., HCAHPS, readmission rates).
Clinical & Operational Collaboration
  • Partner with physicians, nurses, and other departments to improve workflows, reduce variation, and ensure evidence-based practices.
  • Facilitate root cause analyses (RCA) and failure mode and effects analyses (FMEA).
  • Monitor infection control, medication safety, and other risk areas.
Compliance & Accreditation
  • Maintain compliance with all local, state, and federal regulatory requirements.
  • Serve as the point of contact for accrediting bodies (e.g., The Joint Commission, CMS).
  • Oversee internal audits and survey readiness.
Education & Training
  • Provide ongoing education and training on quality and patient safety standards.
  • Promote a culture of safety and continuous improvement throughout the organization.


Requirements

Education:
  • Bachelor's degree in Nursing, Healthcare Administration, Public Health, or a related field (required).
  • Master's degree in Healthcare Administration, Nursing, or Quality (preferred).
Licensure/Certification:
  • RN license (if applicable) preferred.
  • Certification in Healthcare Quality (e.g., CPHQ) or Patient Safety (e.g., CPPS) strongly preferred.
Experience:
  • 5+ years of progressive experience in healthcare quality and patient safety.
  • 2+ years in a leadership or director-level role.
  • Experience with regulatory surveys, quality improvement methodologies (Lean, Six Sigma), and data analytics.
Skills:
  • Strong knowledge of regulatory standards (CMS, TJC, OSHA).
  • Excellent leadership, communication, and problem-solving abilities.
  • Proficiency in quality management tools and software (e.g., QAPI, dashboards, RCA tools).

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