Director, Performance Improvement
Directs the ongoing development, implementation and measurement of Performance and Quality Improvement programs to ensure that internal and external standards are met. Assumes responsibility for applicable external reporting and certifications, internal risk assessment and identification, leading performance improvement, accreditation and regulatory programs, committee participation and leadership, and conducting quality/safety projects in collaboration with other departments in the organization. Coordinates, oversees, and plans the organization’s adherence to the standards set forth by state and federal regulations. Directs work of assigned Organizational Performance Improvement staff to support quality initiatives and patient safety goals.
The applicant must have a Current certification as a Certified Professional in Healthcare Quality (CPHQ); or Current certification as a Certified Professional in Patient Safety (CPPS); or Current Certification as a Certified Joint Commission Professional (CJCP); or Current certification as a Healthcare Accreditation Certified Professional (HACP). Applicants must have a Master’s degree and the equivalent of six years of full-time experience in performance/quality improvement activities relating to the healthcare environment, with five years of experience managing organizational compliance to healthcare regulatory and accreditation standards; or a Bachelor’s degree and the equivalent of seven years of full-time experience in performance/quality improvement activities relating to the healthcare environment, with five years of experience managing organizational compliance to healthcare regulatory and accreditation standards. The preferred candidate will have held position(s) with direct operational supervisory responsibility for other staff, managed and lead organization's preparation and response to regulatory, accreditation and/or other external audit activities for a healthcare organization, and will have experience in Improvement Science methodologies such as Black Belt Six Sigma, root cause analysis (RCA), failure mode effects analysis (FMEA), proactive risk assessments, project management and measuring/improving quality and safety. They will also have exceptional relationship management, strong strategic, planning, analytical and problem-solving skills, will possess Change Management skills, and will be competent with Microsoft Office Suite. They will have experience with Occurrence Reporting System, will have the ability to function as a highly visible, accessible and proactive leader and will have Minitab or statistical software experience.
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