JOB DESCRIPTION

Director of Quality

Monday – Friday; 8A-5P

Your experience matters:

St. Mary Rehabilitation Hospital is a state-of-the-art, 50-bed inpatient acute rehabilitation hospital dedicated to the treatment and recovery of individuals who have experienced the debilitating effects of a severe injury or illness. Our rehabilitation programs provide ongoing care and specialized treatment to patients throughout their recovery journey. We offer customized, individualized rehabilitation tailored to the specific needs of those recovering from a stroke, brain injury, neurological conditions, trauma, spinal cord injury, amputation, and orthopedic injury.

St. Mary Rehabilitation Hospital strives to maximize the health, function, and quality of life of those we serve through comprehensive physical medicine and rehabilitation programs. We are accredited by The Joint Commission and CARF-accredited for our Comprehensive Integrated Inpatient Rehabilitation and our Stroke, Brain Injury and Amputation Specialty Programs.

How you’ll contribute:

Leads and oversees a comprehensive, efficient, and integrated hospital-wide Continuous Quality and Performance Improvement (CQPI) program. Uses data collection, analysis, and trending to assess performance; focuses on process and systems improvement; directs risk management and patient safety activities; investigates adverse outcomes; coordinates regulatory/accreditation readiness; and educates staff on CQPI and related quality programs.

Additional responsibilities include:

Provide leadership and oversight of the organization-wide CQPI program.
Measure and assess performance by collecting, analyzing, and trending data to identify opportunities for improvement.
Focus on improving processes and systems to drive clinical quality, safety, and operational performance.
Direct, facilitate, and report on all aspects of risk management and patient safety.
Investigate factors contributing to adverse outcomes and drive process/system changes.
Direct the hospital-wide CQPI operations, including record reviews for quality indicators and reporting findings to leadership, Medical Executive Committee, Board of Managers, and other committees.
Annually review hospital-wide plans for Infection Control (IC) and CQPI; establish goals and objectives for the coming year.
Serve as liaison to local health officials; coordinate inspections and accreditation reviews with state and other regulatory agencies.
Perform other duties as assigned.
Develops and delivers hospital-wide CQPI education and training. Prepares quality/patient safety reports and dashboards for leaders and committees. Partners with clinical and non-clinical departments to sustain improvements and ensure compliance with applicable standards.

What we offer:

Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:

Comprehensive medical, dental, and vision plans, plus flexible-spending and health- savings accounts
Competitive paid time off and extended illness bank package for full-time employees
Income-protection programs, such as life, accident, critical-injury insurance, short- and long-term disability, and identity theft coverage
Tuition reimbursement, loan assistance, and 401(k) matching
Employee assistance program including mental, physical, and financial wellness
Professional development and growth opportunities

Qualifications and requirements:

Current state RN license preferred; clinical license required
BSN or BS/BA required
Minimum 2 years of acute hospital or rehab required
Basic Life Support required

EEOC Statement

St. Mary Rehab Hospital is an Equal Opportunity Employer. St. Mary Rehab Hospital is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

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Director, Quality