Director Quality
Job Code: 29194
Position Summary
Reporting to the Executive Director of Quality and Risk Management, this position directs the development, implementation, and evaluation of system-wide clinical quality improvement initiatives.
Responsibilities
• Oversees CMS Inpatient and Outpatient Quality Reporting Programs, including promoting interoperability
• Manages the submission of the Leapfrog Survey and Hospital Safety Score processes
• Leads performance improvement activities throughout the organization
• Provides accurate and timely reporting of mandated reporting metrics and quality data registries such as NCDR, VON, etc.
• Reviews and evaluates quality program effectiveness
• Develops and implements clinical quality improvement initiatives
• Monitors compliance with regulatory requirements and industry standards
• Conducts regular audits and assessments of clinical practices
• Analyzes data to identify trends and areas for improvement
• Collaborates with clinical staff to develop and implement action plans
• Provides training and support to staff on quality improvement processes
• Leads quality improvement meetings and committees
• Develops and maintains quality improvement documentation
• Stays current with industry best practices and regulatory changes
• Manages and resolve quality-related issues and incidents
• Promotes a culture of continuous improvement and patient safety
• Prepares and presents reports on quality performance to leadership
• Supports the development of policies and procedures related to quality
• Participates in strategic planning for quality improvement
• Mentors and develops junior staff in quality management practices
• Relies on experience and judgment to plan and accomplish goals
• Regular and predictable attendance is an essential job function
• Performs other related duties as assigned
• Competent to meet age-specific needs of the unit assigned
Requirements and Minimum Qualifications
• BSN required; master’s degree in a related field such as healthcare administration, business administration, or nursing preferred
• State of Idaho Registered Nurse OR licensure pending as documented by temporary licensure OR current RN licensure from a state participating in the “multistate privilege to practice” compact with Idaho prior to start date
• Minimum 7 years’ relevant experience in healthcare and quality improvement required
• Minimum 5 years’ leadership experience required
• CPHQ or other relevant certification required within 1 year of hire
• In-depth knowledge of health care incentive and public-reporting programs including CM’s Promoting Interoperability, Hospital Acquired Conditions, Readmission Reduction and 5-Star Rating and the Leapfrog Survey and Hospital Safety Score
• Strong ability to earn trust and build/develop relationships with others at all levels of the health care system
• Demonstrates a high degree of management competency, including but not limited to leadership, collaboration, coaching, teaching, negotiation, motivational skills and conflict resolution
• Demonstrates computer expertise using Microsoft Office and database software applications
• Excellent communication and presentation skills and be able to make effective oral presentations to a variety of audiences
• Effective analytical ability to develop and analyze options, recommend solutions and solve complex problems and issues
Working Conditions
• Must be able to maintain a sitting position
• Typical equipment used in an office job
• Repetitive movements
• Must be able to lift or move up to 10 lbs
About Kootenai Health:
Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet™ Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.
As your next employer, we are excited to offer you:
Kootenai Health offers comprehensive medical plan options, including options for fully paid employer premiums for our full-time employees. For part-time employees, we offer the same plan options with affordable part-time premiums. In addition to medical insurance, we offer many voluntary benefits ranging from dental and vision to life and pet insurance. Kootenai Health also offers well-being resources and telemedicine service options to all employees, regardless of benefit eligibility. Benefits begin on the 1st of the month following 30 days of employment. Kootenai Health’s tuition assistance program is available after 90 days. If you want to further your education, we'll help you pay for it Kootenai Health sponsors retirement plans for employees that enable you to save money on a pre-tax and Roth after tax basis for your retirement. Kootenai Health will match your contributions based on years of service ranging from 3-6 percent. Competitive salaries with night, weekend, and PRN shift differentials An award-winning and incentive-driven wellness program. Including a MyHealth corporate team, onsite financial seminars, and coaching Employees receive discounts at The Wellness Bar, PEAK Fitness, and more Robust and interactive employee referral program And much moreKootenai Health provides exceptional support for extraordinary careers. If you want to work on a high-quality, person-centered healthcare team, we can't wait to meet you!
Apply today! Please contact the HR Front Desk at 208-625-4620 or email Lindsay Buchanan at lbuchanan@kh.org with any questions.
Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.