Director of Quality and Regulatory Compliance, Clinical Administration, Full Time, Day Shift

Director of Quality and Regulatory Compliance

Responsible for the management, professional development, budgetary control and leadership in directing departmental operations for outcomes management, case management, risk management, infection control, safety management and survey preparedness.

KEY RESPONSIBILITIES:

• Ensures processes are implemented to evaluate and identify opportunities for improvement in the provision of high quality, safe and resource effective patient care.
• Recommends strategies to improve clinical performance and enhance patient safety.
• Ensures processes are in place to comply with Quality and Performance Improvement and as applicable with Case Management / Utilization Management, Infection Control, Risk Management, Patient Safety, Peer Review, Medical Staff and Accreditation functions.
• Monitors, in partnership with the medical staff, outcomes of hospital clinical care activities, identifies opportunities for improvement, and leads clinical improvement activities.
• Ensures documentation of outcomes hospital wide is presented to the required committees.
• Ensures hospital compliance with accreditation, licensing, and regulatory agencies.
• Performs all activities for monitoring quality of care to meet internal facility objectives and external accreditation and regulatory requirements.
• Participates in and/or leads designated performance improvement teams as indicated and according to the organization's strategic priorities, e.g., population-specific core measures teams, readmission reduction, reduction of preventable harm, etc.
• Oversees performance of quality and safety monitoring activities necessary to support clinical and administrative staff with ongoing evaluation of care processes and outcomes.

REQUIRED KNOWLEDGE & SKILLS:

• Demonstrated knowledge of performance improvement, outcomes and quality management, case management
• Current understanding of TJC, ACHA and Federal regulations.
• Must have computer literacy and understanding of statistics, database, and spreadsheet analysis.
• Must maintain high level of confidentiality.
• Excellent communication skills
• Ability to lead and coordinate activities of a diverse group of people.

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

• Education: BSN required; MBA, MHA or MS Preferred
• Experience (Type & Length): Minimum 3 years’ experience in quality management, case management, risk management or the evaluation of clinical services in a hospital setting preferred.
• License/Certification: RN in the State of Florida
• Other: CPHQ, CCM Certification Preferred

About Steward Health Care
Nearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.
As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.
Steward is among the nation’s largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.
Based in Dallas, Steward currently operates 33 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.

Steward Health Care is proud to be a minority, physician owned organization. Diversity, equity, inclusion and belonging are at the foundation of the care we provide, the community services we support and all our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.