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WVU Medicine

Academic health system

Director of Quality

Full-Time
No salary listed
Mid, Senior
Bachelor's, Master's
Oakland, MD, USA
In Person
Risk & ComplianceRegulatory Compliance & Ethics

About the job

Requirements
  • A bachelor's degree in nursing, business administration, finance, accounting, or another related field is required.
  • Five years of experience working with hospital operations with a focus in quality improvement are required.
  • Three years of leadership experience are required.
  • Knowledge of financial mechanisms of expense and revenue is required.
  • Knowledge of current theoretical approaches to the delivery of nursing care and strategies for their implementation is required.
  • Knowledge of current leadership, management, and performance improvement concepts is required.
  • Knowledge of the scope and complexity of nursing care needs of the hospital's major patient population is required.
  • Ability to investigate complaints, incidents, and accidents involving patients and staff in accordance with hospital policy is required.
  • Ability to make decisions and use good judgment is required.
  • Multitasking, problem-solving, and decision-making abilities are required.
  • Computer literacy and word-processing skills are required.
  • Written and verbal communication skills are required.
  • The role requires full-body range of motion, manual and finger dexterity, hand-eye coordination, prolonged sitting, corrective vision and hearing within normal range, and exposure to communicable diseases and body fluids.
  • The role involves exposure to toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinical environment.
Responsibilities
  • Oversee the day-to-day activities and provide leadership, coordination, and integration of hospital services.
  • Direct the overall operation of departments and clinical areas, including quality, infection control, regulatory affairs, patient and employee safety, risk management, compliance, and privacy.
  • Guide changes needed to achieve departmental goals for each hospital.
  • Provide organizational leadership for performance improvement and foster collaboration across clinical and non-clinical departments.
  • Serve as a liaison between medical staff, nursing administration, hospital leadership, and clinical and non-clinical departments.
  • Develop business and operational strategies to improve overall performance.
  • Analyze and use information to support management decisions, reduce costs, enhance revenues, and achieve utilization and quality objectives.
  • Coordinate fiscal requirements for assigned departments and review budget recommendations.
  • Facilitate compliance with standards of applicable regulatory bodies.
  • Provide leadership and direction for improvement services supporting organizational priorities.
  • Foster continuous improvement and implement practices designed to reduce errors and improve patient outcomes.
  • Direct quality, patient and employee safety, infection control, regulatory, policy management, risk management, compliance, privacy, emergency management, and life-safety activities.
  • Participate in operational planning and develop goals and objectives for areas of accountability.
  • Influence the establishment of nursing practice standards and clinical procedures.
  • Direct regular reviews of safety and quality outcomes and performance against hospital strategic plans.
  • Direct and maintain continuous improvement processes in patient-care management.
  • Prepare, control, and monitor budgets for assigned areas; address budget variances and modifications with executive leadership.
  • Recruit and develop staff needed for effective departmental leadership and management.
  • Establish and maintain standards for employee relations, motivation, and morale.
  • Participate in decision-making structures with the governing body, management, medical staff, and clinical leaders.
  • Collaborate on annual operating and capital budget recommendations.
  • Lead risk-management administrative activities, including policy renewals, carrier reporting, and record maintenance.
  • Direct the Policy Committee and interpret, implement, and modify hospital policies and procedures.
  • Ensure accreditation, licensure, and regulatory standards compliance.
  • Present evidence-based indicators and standards to measure and improve patient outcomes.
  • Oversee operational and business activities of the entity in collaboration with administration.
  • Identify improvement priorities and goals and deliver improvements to clinical and operational processes.
  • Implement and manage clinical procedures and regulatory processes related to patient flow, budgets, regulatory affairs, professional fees, billing, insurance, and records.
  • Develop collaboration between clinical departments and divisions for integrated quality, safety, and performance improvement.
  • Oversee reports, data, and education supporting quality improvement and reporting requirements.
  • Support committees investigating sentinel events and safety concerns, and oversee evidence-based practice guidelines.
  • Maintain knowledge of regulatory changes and ensure compliance with licensing, regulatory, and accreditation requirements.
  • Assist with developing, coordinating, and managing Emergency Operations Plans and related policies.
  • Coordinate hospital-wide and site-specific emergency preparedness training.
  • Assist with directing execution of required hospital emergency preparedness.
  • Represent the hospital at local, regional, and state external meetings.
  • Report program status and periodic compliance risk assessments to the Board of Directors and administration.
  • Coordinate and provide assistance with WVU Medicine.
  • Oversee performance improvement activity, utilization review, clinical documentation improvement, decision support, and non-construction project management.
  • Lead the hospital quality councils and participate in the Maryland Hospital Association Performance Measurement Workgroup and the local Health Planning Council.
Desired Qualifications
  • A master's degree in business administration, finance, accounting, or another related field is preferred.
  • Current licensure or temporary licensure as a Registered Professional Nurse is preferred.
  • Ten years of experience working with hospital operations, including at least three years of administrative management experience, is preferred.
  • Experience applying Lean Management approaches to process improvement is preferred.

About the company

W

WVU Medicine

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WVUMedicine is an academic health system serving West Virginia and the surrounding region. The system operates hospitals, clinics, specialty programs, emergency care, research, and medical education through an integrated network. It serves patients, families, referring clinicians, students, researchers, and regional communities. Its operating model centers on clinical care, hospital operations, ambulatory services, education, research, and shared system support. Teams work across nursing, physicians, allied health, research, technology, facilities, administration, and patient services. Work depends on coordination among clinical, operational, technical, and support teams across its care settings and communities.

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