Director of Quality And Safety

    June 15, 2020
    Austin, Texas
    Job Type


    We are seeking candidates for an RN Director of Quality and Safety opportunity for Austin TX.

    Salary: Based on years of experience

    Sign On: Case by Case

    Relocation: Case by Case

    Benefits: Yes, full, comprehensive benefits package including Medical, Dental, Vision, 401-K with Company Match, Employee Stock Program, Loan Forgiveness, Tuition Reimbursement, Adoption Assistance and much more!

    Position Type: Full-time, permanent position

    Facility Type: 58-Bed, Highly specialized cardiovascular hospital, one of the top in the nation! Home to one of the largest non-academic cardiovascular research programs in the world.

    Department: Quality and Safety

    Reports To: Department Manager


    Position Summary

    The Director of Quality Management, Infection Prevention and Medical Staff Services manages the facility quality and performance improvement (PI) programs, including outcomes analysis. Promotes performance improvement staff education and development.

    Ensures appropriate and timely medical staff operations and activities including appropriateness and completeness of Medical Staff Bylaws, Rules, Regulations, Policies, and Procedures.

    Ensures implementation and completeness of the Infection Control Program. Oversees Risk Management Program

    Responsibilities Include:

    You will develop quality and process improvement plans and policies, perform evaluations, analyze reports, and ensure compliance with requirements for quality, performance, and patient safety

    You will be a representative to selected quality committees and initiatives, and will provide support to process improvement and peer review committees

    You will manage and guide physician peer review activities with upper management

    You will manage patient safety initiatives, educate staff on quality and patient safety, and promote overall compliance and improvement

    You will represent the facility as a key member in the coordination of The Joint Commission Core Measures and Content Management Systems Quality initiatives



    Bachelor’s Degree, Required


    Certified Professional in Healthcare Quality (CPHQ) certification Preferred, Certification is Required within 3 years of hire



    Must have “Director of Quality” experience in an acute care facility – NO EXCEPTIONS!

    5 years of experience in strategic planning, core measures, peer review, infection prevention, performance improvement, and implementing quality initiatives

    Understanding of healthcare environment, strong project management skills, knowledge of quality principles, theories, and tools

    Data analysis and statistical background – required

    Must have a strong understanding of IP practices within an acute care setting - data/statistical analysis


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