Director of Quality RN

    September 12, 2022
    Tucson, Arizona
    Job Type


    Our client, a 75+ bed hospital located just over an hour from Tucson in SE AZ, has a need for a RN Director of Quality and Patient Safety to join their team.

    Position Summary/Description:

    The Patient Safety and Quality works collaboratively with the senior leadership team, department directors, and medical staff to lead, develop and oversee a best-in-class hospital quality and safety program and to ensure regulatory compliance and accreditation.

    Job Duties


    1. Participate in hospital activities as a member of the leadership team.
    2. Role model for compliant behavior consistent with the mission, vision, and values of LifePoint and the hospital.
    3. Oversee the direct operations of the Quality Department, including Risk, Infection Prevention, Patient Satisfaction and Trauma Coordination.
    4. Motivate, mentor, develop and evaluate staff in the Quality Department.
    5. Promotes a culture of safety, high-reliability, patient and staff engagement, and performance excellence.
    6. Regularly communicate quality, performance improvement, regulatory compliance and safety activities to the medical staff, executive team, hospital leaders and Board of Trustees
    7. Lead the development of hospital policies and procedures related to quality improvement and patient safety.
    8. Develop long-range goals, annual objectives and strategies for areas of responsibility.
    9. Aid in the organization and implementation of the hospital and Board safety and quality committees and key strategic patient safety and quality initiatives

     Quality Assurance and Performance Improvement

    1. In collaboration with hospital leadership, medical staff, and the Hospital Service Center (HSC) participate in the development, monitoring, reporting and improvement of activities related to hospital quality and safety in order to achieve organizational targets and goals.
    2. Collaborate with hospital and physician leaders to envision, develop, and implement the organization’s comprehensive safety and quality program.
    3. Oversees reporting and communication of quality improvement initiatives, quality and patient safety awareness, safety culture survey administration, and recognition programs. (Including reports for Medical Staff Committees, Board of Trustees, MOR, etc)
    4. Participates in root cause analyses and failure modes and effects analyses and debriefings.
    5. Takes a lead role in the LeapFrog Survey, Culture of Safety Survey, and implementation/monitoring of the National Quality Program.
    6. Ensures timely submission of Quality data to the HSC, LeapFrog, Quality Net, HIIN, NHSN, National Quality Program and other required agencies.
    7. Advanced Process Improvement Knowledge and Experience

    Regulatory Readiness

    1. Directs and coordinates accreditation strategies to ensure compliance with State, Joint Commission and Medicare Conditions of Participation.
    2. In collaboration with Compliance, Risk Management, and Legal, oversee the investigation and reporting of events as required by regulatory agencies and serves as a physician liaison in PI efforts related to medical safety.
    3. Coordinate and oversee data collection and analysis, reporting, improvement activities and follow-up related to serious safety events via the Patient Safety Organization.
    4. Devise, implement and coordinate a plan for JC tracer activities.

    Position Requirements:

    • Complies with legal, hospital and departmental policies, procedures and position requirements.
    • Must have an active RN License (AZ within 60 days of hire).
    • Must have an associate degree in Nursing, bachelor degree preferred.
    • Must have at least 3 years of Leadership (Quality Management) experience.

    $10,000.00 Sign On Bonus and relocation assistance with a minimum two years experience in Leadership in Quality. Two year commitment is required.

    Discover soaring mountain peaks under extraordinary skies, rich history, and room to roam. With 275 days of sunshine and a temperate climate, the city is a year 'round destination for outdoor adventure, authentic history, and global cuisine. The city is located just over an hour from Tucson, AZ. Tucked into Arizona’s lower right corner, the County invites you to disconnect and recharge. The expanse of mountain and sky, from sunrise to sunset, makes flipping your phone from selfie to scenic simple. Discover a just-right climate, with short-sleeve temperatures, sunny days, and starry nights. Walk, hike, bike, or climb the landscape that bears the names of legends, like Chiricahua, Cochise, Geronimo, Slaughter, and the infamous Tombstone. You’ll find endless exploration and plenty of ways to get in your 10,000 steps. Settle into world-class birding hotspots that offer sightings of more than 400 bird species. The city is often referred to as the best seat in Mother Nature’s house. With a panoramic view of Arizona’s Sky Islands rising up to impossibly blue skies by day and star-splashed skies by night, the city is your ultimate vantage point for infinite exploration.

    Shop galleries and farmers markets. Fill up on authentic international cuisine, fiery Mexican, and hearty cowboy fare served from food trucks, diners, and white tablecloth restaurants. Your inner foodie will thank you. Then sip award-winning wines or a cool microbrew. You’ll be amazed at the variety of attractions, activities, events, accommodations, and restaurants in town and the surrounding area. Looking to discover mountain peaks and cool canyons, military history and ghost towns, wildlife watching and award winning wines? This is the place for you!

    Salary range is $113,574-- $164,555


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