VP of Quality/ Risk Management 3 days ago
Location: Tallahassee , FL , USA
Job Code: 1061200
Mandatory / Primary Skills:
VP of Quality/ Risk Management
Provide leadership for planning, management, implementation,
integration and coordination of the Quality Department and Medical
Staff Services in support of facility goals dedicated to
excellence, effective leadership, and financial stability. The
Quality Department includes Infection Control, Joint Commission,
CMS compliance, Core Measure Abstraction, and Medical Staff peer
review and quality oversight, as well as facility wide performance
improvement and quality oversight. The VP of Quality & Compliance
supports the delivery of the high quality, cost effective patient
care through activities based on facility strategic goals and
Directs development of specific short and long-range programs
and project plans to obtain the facility objectives.
Responsible for the planning and coordination of the Quality
Department and Medical Staff Office functions, the operational
efficiency and effectiveness as well as major impact on all other
hospital areas. Participates and facilitates Performance
Improvement activities using CRMS's process improvement methodology
Effectively interviews and selects a qualified number of
personnel as required to meet department objectives. Ensures hiring
practices conform to appropriate Affirmative Action/EEO practices
Provides direction to the staff of the Quality department and
Medical Staff Office. Reviews performance of the department's staff
and approves staff evaluations. Responsible for appropriate
disciplinary action of staff members as needed.
Oversees the prioritization of projects and directs resources to
ensure the attainment of facility goals.
Responsible for ensuring the department meets and adheres to all
applicable federal, state, Joint Commission and local regulatory
agency requirements and for ensuring the department and facilities
success in any regulatory survey. Coordinates training and process
for Survey readiness including tracers, identification of
deficiencies and oversight of action plans for improvement.
Participates on various committees and other task forces as may
be established by management to plan, organize and drive the
Directs and/or participates in regular discussions and reviews
on a variety of diverse/complex issues including financial and
administrative matters, which have hospital-wide impact.
Responsible for making decisions required to maintain acceptable
operations based on strategic goals and policies. Displays
ingenuity and foresight in determining the most appropriate
solution in the absence of established guidelines.
Confers 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
Adheres to hospital/departmental attendance policy, work hours
and maintenance of personal appearance as stated in facility
Ensures sound hand hygiene is fostered by education, measurement
and intervention, to ensure improved outcomes related to the spread
of infections by poor hand hygiene.
Ensures risk reductions occur for hospital acquired adverse
ventilator events by working with the organization's Risk
Management Staff, Infection Control Practitioner, Critical Care
leadership and Respiratory Care leadership to foster improvement in
ventilator care by education, measurement and intervention as
3-5 years of Quality Management experience is required
Health Care regulatory survey preparation and standards
compliance is required
3-5 years Healthcare clinical experience required
Current FL RN license required or appropriate compact licensure.
If compact license held, active FL RN license required within 90
days of hire
Certified Professional in Healthcare Quality (CPHQ)
certification is required
Skills, Knowledge and Abilities:
Proven administrative ability for the direction, control and
planning activities of a hospital based department.
Capable of analyzing and preparing complex records and
Ability to remain calm, to think and act quickly and logically
in a crisis situation.
Excellent verbal and written communication skills.
Good mathematical skills.
Requires team player, positive, can-do winning attitude.
Excellent spreadsheet and database computer skills
You are worth more than a paycheck. Our Benefits Raise the
401(k) with an employer match up to 9%
Employee Stock Purchase Plan
Paid Family Leave
Medical Plan Options, Dental & Vision
And much more!
MUST BE a RN
CPHQ cert/ willing to get it if do not have
MUST HAVE 5-10 years of quality/patient safety leadership exp in
a SHORT TERM acute care setting and 3-5 years as a Director of
quality/ patient safety
Will work with Dir of Patient Safety/Quality team at facility
level and report to CMO at facility level, Will report to Division
VP Quality as well
Over Medical Staff Services/Risk/ Infection Control/ Quality