Job Description

The Director of Quality facilitates, and manages the ongoing, hospital-wide Quality program to ensure compliance with accrediting and regulatory agencies. Develops, implements and manages Quality Improvement plans, policies, procedures, and programs. Gathers, disseminates, documents and reports information quality metrics to facilitate compliance with requirements of a

Coordinates a collaborative approach to Performance Improvement.

Ensure hospital is survey-ready at all times

Serves as hospital Compliance Officer and Risk Manager

Monitor compliance with the safety plans within the Environment of Care Management Program

Collects data, prepares and provides reports as requested by legal and regulatory bodies, hospital administration, and the CHC Corporate offices. Participates in CHC requested meetings and provides input as requested.

Monitors and records infections on patients within the hospital.

Monitors patient admissions and placement to ensure optimum control of infection

Maintain current Quality Improvement plans, policies, procedure, and progrems.

Advise and assist medical staff and allied healthcare personnel on the quality process.

Maintains current knowledge of state laws, federal laws, and regulatory agency requirements for hospitals regarding utilization and quality management.

Assist /CEO in developing Medical Staff Bylaws, Rules, and Regulations.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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