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Director of Quality star_rate New

Company: HCA Healthcare
Location: Tallahassee
Posted on: November 19, 2021

Job Description:

Create healthier tomorrows and start your career as a Nurse Resident at HCA Healthcare There are many reasons HCA Healthcare is an employer of choice. We foster an environment of personal and--professional growth, while supporting our nurses as they transition from student to professional nurse. Our nurse residency program gives you the confidence and skills you need to set you up for success. Search for jobs by title, keyword, MOS or job number search business_center Directors and Managers find_in_page Job ID: 00355-12757 Capital Regional Medical Center is a fully-accredited healthcare facility with more than 1,100 employees and 500 physicians. A 266-bed, acute-care hospital that offers 24/7 Emergency Services in Leon and Gadsden Counties including a Pediatric ER and an Express Care ER. We also offer a Bariatric Center, Behavioral Health Center, Cancer Center, Chest Pain Center w/PCI, Comprehensive Breast Center, Family Center, Heart & Vascular Center, Orthopedic/Spine Center, Physical Therapy Services, Stroke Center, Surgical Services, Wound Healing Center, Network-of-Care Affiliated Physician Practices, and more. Position Summary:

  • The Director of Quality assists in the overall coordination of the hospital-wide Performance Improvement Program.
  • Assists the hospital and medical-staff leadership in meeting The Joint Commission and CMS Standards as well as other state and federal regulatory requirements, complying with corporate policies and procedures. Promoting teamwork with physicians and all health-care providers in achieving Quality benchmarks.
  • Responsible to provide comprehensive assessment, planning, monitoring, and evaluation for compliance with accreditation and regulatory agencies including any state licensing standards.
  • The Director shall investigate regulations, standards, and laws and make initial recommendations to ensure compliance with all regulatory and accrediting entities. The
  • Director will translate standards, requirements, and policies into terms or processes meaningful to the staff and provide consultation and education to relevant taskforces, quality action teams, and committees to ensure ongoing compliance with standards.
  • The Director will ensure an ongoing mechanism for proactive monitoring and auditing is developed, continually updated, and executed on a regular schedule and the results of any monitoring or auditing are made available to the appropriate leadership.
  • The Director is responsible for directing and coordinating regulatory and accreditation functions, ensuring appropriate preparation, and active participation of appropriate staff and managers for agencies such as The Joint Commission (TJC), Florida's Agency for Healthcare Administration (AHCA), and/or the Centers for Medicare and Medicaid Services (CMS) and to formulate responses to accreditation findings and inquiries. Essential Functions:
    • Directs development of specific short and long-range programs and project plans to obtain the facility objectives.
    • Facilitates, develops, and implement special projects as assigned by the VPQ and CMO. Develop audit systems, perform data analysis and prepare reports related to measuring objectives and tracking outcomes.
    • Oversees regulatory readiness, quality measurement, public reporting, and pay-for-performance programs and initiatives, holding staff and departments accountable for achieving performance goals.
    • Facilitate Continuous Quality Improvement teams as requested. Facilitate planning sessions as requested.
    • Supporting evidence based practices, the reduction of medical/health care errors.
    • Serves as an integral part of the multidisciplinary team overseeing the department's activities across the health care setting directing and managing the daily operations of the department.
    • Tracks and updates Work Plan activity progress, identifies barriers and actively problem solves to mitigate risk. Assures application of a tracking method to monitor progress towards goals by collecting accurate, timely data to display the quality, cost, and service outcomes.
    • Develop audit systems, perform data analysis and prepare reports related to measuring objectives and tracking outcomes.
    • Assists with coordination of monthly QI Meetings.
    • Provides direction to the staff and supervisors of the Quality Management Department. Reviews performance of the department staff and approves staff evaluations. Responsible for appropriate disciplinary action of staff members as needed.
    • Responsible for ensuring the facility and department meets and adheres to all applicable federal, state, The Joint Commission, and local regulatory agency requirements and for ensuring the department and facilities success in any regulatory survey.
    • Collaborates with other department directors when necessary to resolve procedural difficulties, clarifying department responsibilities, objectives and resolving identified problems.
    • Responsible for special projects as assigned by the Administrative Management Team. Meets all objectives as set forth in individual evaluation and displays a good work attitude towards job responsibilities.
    • Other duties as assigned. Skills, Knowledge and Abilities:
      • Demonstrated success and abilities in leadership, achieving results, communications, customer service and health care management. Experience Required:
        • 3 - 5 years Quality Leadership experience required
        • 5 -7 years Hospital-based experience required Education:
          • Bachelor's Degree in Nursing; Post Graduate Degree in Nursing or Healthcare related field required or in process
          • Licensure/Certification:
          • RN license in the State of Florida
          • CPHQ (Certified Professional in Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) We are committed to providing our employees with the support they need. At HCA, we offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you and your family needs. Some of our unique benefits we offer include:
            • Student Loan Repayment
            • Tuition Reimbursement/Assistance Programs
            • Paid Personal Leave
            • 401k (100% annual match - 3% to 9% of pay based on years of service)
            • Identity Theft Protection discounts
            • Auto, Home, and Life Insurance options
            • Adoption Assistance
            • Employee Stock Purchase Program (ESPP) Equal Opportunity Employer / EOE Notice Our Company's recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking-- here . For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1. What matters most to our diverse and talented colleagues is giving people the absolute best healthcare in the most compassionate way possible. For questions about your job application or this site, please contact:
              HCAhrAnswers at 1-844-422-5627 option 1. Get job notifications based
              on your interests HCA Healthcare
              One Park Plaza
              Nashville, TN 37203 Copyright 1999-2020 C-HCA, Inc.; All rights reserved.

Keywords: HCA Healthcare, Tallahassee , Director of Quality star_rate New, Executive , Tallahassee, Florida

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