Director of Quality Management

St. Anthony Regional Hospital and Nursing Home
Carroll, IA Full Time
POSTED ON 5/18/2024

Apply on the St. Anthony website at: https://www.stanthonyhospital.org/careers/

“Inspired by faith and committed to excellence.”

St. Anthony employees follow a We are One culture while supporting the Organization’s mission, vision, and values.

Job Summary

Manages the functions of Quality, Utilization, Social Services, Safety, and Infection Prevention. Coordinates functions to achieve compliance with regulatory and accrediting agencies. A collaborative member of the management team.

Essential Duties and Responsibilities

  • Plans, implements, evaluates and coordinates quality management, utilization management and safety programs to meet the needs of the organization, and comply with regulatory requirements.
  • Assists the Lead Social Worker in the planning, implementation, evaluation, and coordination of Social Services for the organization.
  • Provides risk identification, analysis of incident patterns, investigations of problem areas, and follow up on corrective actions.
  • Coordinates committee agendas for the medical staff and quality committee of the board. Compiles and distributes medical committee minutes.
  • Coordinates performance improvement activities in all departments of the organization.
  • Maintains regulatory reporting and quality reporting requirements.
  • Coordinates data collection from patient satisfaction surveys and performance improvement studies. Acts as a consultant and provides analysis of performance improvement plans. Prepares reports for staff, departments and board.
  • Plans, organizes, and directs the assigned department’s operations by maintaining staffing, training and supervision.
  • Oversees the organization’s safety programming in conjunction with the organization’s Safety Officer and Infection Preventionist.
  • Complies with the Corporate Integrity Program and all laws, regulations, and Standards of Conduct relating to the position and agrees to report any suspected violations of law or Standards of Conduct.
  • Coordinates survey readiness programming in all departments of the organization.
  • Works willingly and accepts assignments as given.
  • Attends all mandatory meetings and programs.
  • Participates in opportunities that enhance personal and professional growth.
  • Performs other duties as necessary or assigned.
  • Complies with the Corporate Compliance Policy and all laws, regulations, and Standards of Conduct relating to the position and agrees to report any suspected violations of law or Standards of Conduct.
  • Complies with all applicable state and federal regulations.
  • Maintains a safe work environment using safe work practices, utilizing standard precautions and complying with hazardous waste procedures at all times as described in St. Anthony's Safety Manual.
  • Maintains the confidentiality of patient, resident, employee and organizational information.

Supervisory Responsibilities

Directly supervises employees in the Quality Management and Social Services Departments. Carries out supervisory responsibilities in accordance with the organization’s policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performances; rewarding and disciplining employees; addressing complaints and resolving problems.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

  • Bachelor’s Degree in Nursing or other related healthcare field; Current license to practice nursing in the state. Master’s Degree in Business or Healthcare preferred.
  • Four years or related healthcare experience and/or training.

Position Requirements, Licenses, Certifications, Registrations

  • Certified as Professional in Healthcare Quality preferred.
  • Excellent verbal and written communication skills. Ability to communicate (both verbal and written) effectively and professionally with managers, employees, patients, customers, and the public.
  • Requires effective management and leadership skills and the ability to work with confidential employee and employer information.
  • Must possess effective time management skills.

Language Skills

Ability to read, analyze and interpret technical journals, financial reports and legal documents. Ability to respond to common inquiries or complaints from customers, patients, families, regulatory agencies, or members of the community. Ability to effectively present information to management, the public and/or board of directors.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to stand; talk and hear; and use hands to finger, handle or feel. The employee is frequently required to stoop, kneel, crouch, and reach with hands and arms. The employee is frequently required to walk and sit. The employee must frequently lift and/or move up to 20 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, color vision, depth perception and ability to adjust focus. May be exposed to infectious diseases and occupational dangers like accidental needle pricks. Must be able to withstand physical and emotional stress.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee may be exposed to moving mechanical parts, fumes or airborne particles, risk of electrical shock, and blood borne pathogens. The employee may be exposed to unpleasant sights, odors, and materials. The employee may be exposed to toxic or caustic chemicals and risk of radiation. The employee may occasionally be exposed to high, precarious places and vibration.

The noise level in the work environment is usually moderate.

Job Type: Full-time

Pay: $76,612.94 - $92,265.04 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Parental leave
  • Referral program
  • Retirement plan
  • Tuition reimbursement
  • Vision insurance

Experience level:

  • 4 years

Healthcare setting:

  • Hospital

Schedule:

  • Day shift
  • Monday to Friday

Education:

  • Bachelor's (Required)

Experience:

  • nursing management: 4 years (Required)

License/Certification:

  • State of Iowa Nursing License (Required)

Work Location: In person

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