Job Description

Job Description: The Director of Quality and Accreditation provides leadership and expertise to ensure the delivery of safe, high quality patient care services.

Pay: TBD based on experience

Schedule: Full time, direct hire

Job Description: The Director of Quality and Accreditation provides leadership and expertise to ensure the delivery of safe, high quality patient care services.

Key Responsibilities:

• Oversees a corporate wide quality improvement program inclusive of all staff, develops and maintains a written quality improvement plan and annual evaluation of the plan’s effectiveness
• Develops and maintains a performance measurement work plan and reporting calendar to ensure timely data collection, aggregation, analysis, and reporting of established performance measures related to key operational and clinical processes and outcomes
• Leads improvement teams through the Plan Do Study Act cycle and reports on outcomes
• Manages electronic storage of quality improvement reports to promote ongoing access for key stakeholders
• Oversees a corporate compliance program, develops and maintains a written corporate compliance plan and annual evaluation of the plan’s effectiveness; ensures that all required elements of a compliance program are addresse
• Develops and maintains policies and procedures related to the corporate compliance program
• Develops and maintains the written PCHC Code of Conduct and ensures staff and Board members receive the appropriate training/education
• Serves as a resource for the Chief Operations Officer for all external and internal compliance audits; ensures that corrective action plans are documented in a timely manner and effectively implemented in consultation with the CEO, submits mandatory notification of known or suspected corporate compliance violations to the appropriate regulatory agencies
• Develops and maintains up-to-date knowledge of corporate compliance requirements and related laws and regulations as mandated or recommended by OIG, CMS, and other agencies; attends outside corporate compliance trainings provided by NACHC and/or other agencies as directed by the CEO
• Oversees a corporate wide risk management program, develops and maintains a written corporate risk management plan and annual evaluation of the plans’ effectiveness
• Develops and oversees processes for internal incident reporting
• Reviews incident reports and conducts follow up investigations as warranted
• Oversees a corporate wide patient safety program, develops and maintains a written patient safety plan and annual evaluation of the plan’s effectiveness and develops and maintains policies and procedures related to the patient safety program and other duties as assigned

What We Offer:

• A supportive and welcoming team environment with a focus on long-term career growth.
• Competitive salary and benefits package, based on experience, plus additional income opportunity through productivity bonus and patient quality and satisfaction
• Opportunity to make a meaningful impact in a rural community.
• Work-life balance with a family-oriented workplace culture

Qualifications:

• Demonstrated leadership skills including excellent oral and written communication skills
• Strong knowledge of healthcare clinical fundamentals, patient safety standards, and performance improvement standards
• Strong knowledge of CQI tools and techniques, ability to perform data analytics, and leadperformance improvement teams

• Computer skills and knowledge of applicable software programs
• Flexibility with schedule
• Ability to work with diverse populations
• Master's Level Degree 
• 3-4 years relevant experience