Director, Quality & Safety
Job Summary: Partners with hospital and medical staff leadership in the development, measurement, and oversight of a comprehensive quality management, performance improvement, medical peer review, and patient safety programs. Participates in the development, monitoring, and reporting of performance improvement activities related to core measures, clinical pathways, and guidelines. Provides education to medical staff, hospital staff and Governing Body. Facilitates performance improvement activities and CQI activities throughout the hospital. Acts as resource person to administrative team, department managers and medical staff. Performs clinical risk management functions. Assists department managers with preparation for medical staff committees. Ensures compliance with regulatory body surveys, i.e., JCAHO, State Licensing Review, CMS Validation surveys. Maintains oversight responsibility for all performance improvement activities conducted throughout the institution.
- Education: Bachelor’s Degree required; Master’s Degree Preferred
- Experience: 5-10 years of healthcare administration experience in a hospital setting;
- Certification/Licensure: Massachusetts RN Licensure;
- Software/Hardware: Meditech Experience Preferred; Proficient in Microsoft Office applications