Nurse Director of Quality and Safety
Med Career Solutions
Austin, TX, USA
18h ago

Registered Nurse (RN) Nurse Director of Quality and Safety


58-Bed, Highly specialized cardiovascular hospital, one of the top in the nation! Home to one of the largest non-academic cardiovascular research programs in the world.

  • The Director of Quality Management, Infection Prevention and Medical Staff Services manages the facility quality and performance improvement (PI) programs, including outcomes analysis.
  • Promotes performance improvement staff education and development.

  • Ensures appropriate and timely medical staff operations and activities including appropriateness and completeness of Medical Staff Bylaws, Rules, Regulations, Policies, and Procedures.
  • Ensures implementation and completeness of the Infection Control Program. Oversees Risk Management Program
  • Responsibilities Include :

  • You will develop quality and process improvement plans and policies, perform evaluations, analyze reports, and ensure compliance with requirements for quality, performance, and patient safety
  • You will be a representative to selected quality committees and initiatives, and will provide support to process improvement and peer review committees
  • You will manage and guide physician peer review activities with upper management
  • You will manage patient safety initiatives, educate staff on quality and patient safety, and promote overall compliance and improvement
  • You will represent the facility as a key member in the coordination of The Joint Commission Core Measures and Content Management Systems Quality initiatives
  • You will be responsible for the processing and completeness of medical staff and allied health professional applications for appointment, reappointment, or privileges and the compliance with professional requirements
  • You will be responsible for staffing and perform human resource activities including training, evaluations, and staffing adjustments
  • You will prepare and monitor the department budgets
  • You will obtain and implement databases and computer software to enhance department performance
  • You will oversee the implementation of the infection prevention, detection, surveillance, and improvement system, and build a system-wide infection prevention culture

  • Bachelor’s Degree, Required

  • Certified Professional in Healthcare Quality (CPHQ) certification Preferred, Certification is Required within 3 years of hire

  • Must have Director of Quality experience in an acute care facility NO EXCEPTIONS!
  • 5 years of experience in strategic planning, core measures, peer review, infection prevention, performance improvement, and implementing quality initiatives
  • Understanding of healthcare environment, strong project management skills, knowledge of quality principles, theories, and tools
  • Data analysis and statistical background required
  • Must have a strong understanding of IP practices within an acute care setting - data / statistical analysis
  • Compensation :

    Competitive salary based on years of experience.

    Sign-on and Relocation : Case by Case

    Benefits : Full Comprehensive benefits package including Medical, Dental, Vision, 401-K with Company Match, Employee Stock Program, Loan Forgiveness, Tuition Reimbursement, Adoption Assistance and much more!

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