Address
Form of workThe Director of Quality Improvement is responsible for the oversight and direction of the Quality Improvement for Veterans Recovery Resources. This position involves the support of the organization with a focus on quality/performance improvement and compliance with regulatory requirements.
Duties and responsibilities
Duties and responsibilities
- Coordinates the activities of the Quality Improvement Program including the design of program goals, timelines, objectives, and measurable/actionable performance metrics.
- Supports the coordination and direction all activities to ensure the effective implementation of the Quality Improvement Plan.
- Assists in the development of goals and objectives to support alignment with the strategic initiatives of the system as well as compliance with Federal, State, City, ADMH, SAMHSA and Joint Commission requirements.
- Designs, develops, implements, and evaluates Quality Improvement policies and procedures.
- Develops and facilitates the use of data collection tools to support data analysis.
- Coordinates and directs the quality committee structure.
- Directs the planning, preparation, scheduling and management of regulatory survey.
- Directs and coordinates the survey response corrective action plans and monitoring activities.
- Coordinates all documentation requirements for the Performance Improvement and National Patient Safety Goal chapters of The Joint Commission manual.
- Assist in the coordination of a Failure Mode Effect Analysis at least every 18 months.
- Responsible for supporting the management of an operating budget for the department.
- Recommends capital expenditures as necessary.
- Interviews, hires, orients, and trains QI staff.
- Assigns duties and monitors performance and productivity of staff.
- Completes annual performance appraisals.
- Serves as an internal consultant for Quality Improvement.
- Implements and supports high reliability principles in the design of Quality Improvement activities.
- All other duties assigned
Required Qualifications
- Must have a Bachelor’s degree in health care administration, business administration, nursing or a related field. Masters degree in Public Health, Quality Management or Healthcare Quality & Safety preferred.
- 5 years minimum in a leadership position in health care Quality Improvement including at least 2 years of experience in managing staff. Certified Professional in Healthcare Quality (CPHQ) issued by National Association for Healthcare Quality (NAHQ) is preferred.
Required Knowledge, Skills & Abilities
- Knowledge of regulatory requirements. Strong communication and organizational skills..
- Knowledge of LEAN, High Reliability principles, Six-Sigma, and Change Management.
- Knowledge of Joint Commission Accreditation standards, and CMS' Conditions of Participation.
- Ability to develop and maintain rapport with personally and culturally diverse clients.
- Ability to build trust among coworkers, clients and the community.
- Willingness to gain understanding about cultural humility and other principles of trauma-informed care, person-centered care, evidence-based practice, and military cultural competence.
- Willingness to commit to VRR’s organizational values (Integrity, Compassion and Respect) and operational principles (e.g., holistic, person-centered, evidence-based care)
Supervisory relationships
- Reports directly to Chief Administrative Officer
- Provides supervision to Grant Writer & Administrator
Amount of travel and any other special conditions or requirements
- Travel within Mobile and Baldwin Counties
Salary & FLSA status
- Salary Exempt
Hours per day or week
- Full-time position at 1.0 FTE (40 hrs)
