QUALITY DIRECTOR

Job Description

Job Description

Salary : $30.00 AND $34.00

Job Description - Quality Director

The Quality Director is responsible for planning, implementing, and overseeing the Quality Program to ensure it aligns with the hospital's needs and meets the standards approved by the Hospital Governance Committee, under the guidance of the Corporate Quality Director. This role provides education and training to leadership, medical staff, hospital staff, and the Governing Body. The Quality Director facilitates performance improvement and Continuous Quality Improvement (CQI) activities across the hospital, as outlined in the QAPI plan. The position also serves as a resource to the administrative team, department managers, and medical staff, assisting in preparation for committee meetings as needed. The Quality Director plays a key role in preparing for regulatory body surveys, such as accrediting organization reviews, State Licensing Reviews, and CMS Validation surveys. The role is focused on three core categories : Quality Management, Risk Management, and Staff Education.

Key Responsibilities :

Quality Management :

• Implement and manage the Quality Assessment Performance Improvement (QAPI) plan to address the hospitals needs.
• Educate medical staff, hospital staff, and the Governing Body on quality standards.
• Facilitate performance improvement and CQI activities across the hospital.
• Act as a resource to the administrative team, department managers, and medical staff.
• Assist department managers in preparing for medical staff committees.
• Ensure compliance with regulatory body surveys, including accrediting organizations, State Licensing Reviews, and CMS Validation surveys.
• Oversee performance improvement activities throughout the hospital.
• Drive the management of the Risk Management and Utilization Plan as part of the QAPI framework.

Risk Management :

Clinical Staff Education Director :

PREFERRED KNOWLEDGE, SKILLS, AND EXPERIENCE :

Education :

Experience :

Additional Skills :

CERTIFICATES, LICENSES, AND REGISTRATIONS REQUIRED :

Freedom Behavioral Hospital of Bastrop provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.