Description:
Are you a transformational healthcare leader with a passion for quality, safety, and operational excellence? We’re seeking a forward-thinking Director of Quality & Safety to champion our commitment to exceptional care, regulatory compliance, and continuous improvement. In this vital leadership role, you’ll steer organization-wide quality and safety strategies while building a culture rooted in accountability, innovation, and patient-centered outcomes.

QUALIFICATIONS:

• Licensure: Registered Nurse (RN), licensed in New York State.
• Education: Associate degree in Nursing or related field required. Bachelor’s or Master’s degree preferred.
• Experience:
• Minimum 5 years in a healthcare environment, preferably outpatient or medical practice settings.
• Proven expertise in quality management, performance improvement, and infection control (APIC training completion within one year required).
• Skills:
• Strong leadership and project management abilities.
• Proficient in Microsoft Office Suite and Electronic Medical Records.
• Excellent analytical, communication, and interpersonal skills.
• Ability to work independently and collaboratively in a fast-paced environment.
• Discretion and commitment to confidentiality.

Requirements:

• Licensed Registered Nurse or experience in Healthcare administration
• Bachelors of Science in Nursing or related discipline required, Masters preferred
• Minimum five years’ healthcare experience, preferably in medical practice or outpatient setting.
• Experience with aspects of quality management and performance improvement tools
• Must be keenly aware of importance of confidentiality in all aspects of this position
• Strong computer skills required, experience with Electronic Medical Record software and Microsoft Suite
• Must be able to work independently and exercise sound judgment in decision making
• Must be able to work well with a team, facilitate team activities, and professionally represent the organization with internal and external parties

• Lead Quality Strategy: Oversee all current quality initiatives and evaluate new opportunities to improve health outcomes across the organization.
• Drive Program Implementation: Lead execution of the Quality Management Program and present progress reports to the Quality Management Committee.
• Establish Best Practices: Design and implement QI/QA and Infection Control protocols, ensuring up-to-date procedures, outcomes tracking, and regulatory compliance.
• Chair the Safety Committee: Guide all safety-related initiatives and oversee deliverables, including emergency preparedness and environmental safety plans.
• Champion Process Improvement: Facilitate Plan-Do-Study-Act (PDSA) cycles, driving performance in alignment with PCMH and VBP goals.
• Advance Data-Driven Change: Develop and apply robust data methodologies to evaluate outcomes and inform strategic decision-making.
• Ensure Incident Oversight: Monitor and investigate safety events, non-employee incident reports, and quality concerns; ensure timely resolution and documentation.
• Empower Through Education: Deliver training across the organization on CQI processes and tools, tailoring content to various team levels.
• Audit for Excellence: Lead internal audits, interpret findings, and implement changes to strengthen performance.
• Stay Ahead of the Curve: Maintain deep knowledge of industry trends, regulations, and best practices in quality and infection prevention.
• Policy Leadership: Author and maintain policies related to CQI, risk management, infection control, and regulatory compliance.
• Regulatory & Survey Readiness: Lead survey prep and ensure adherence to all applicable HRSA, UDS, and infection control requirements.
• Software Optimization: Partner with IT to support updates that enhance data accuracy and workflow efficiency in quality reporting.
• Guide PCMH Transformation: Lead initiatives including Behavioral Health Integration, ensuring recertification standards are met across all sites.
• Mitigate Risk: Identify high-risk activities, manage complaints and near misses, and track progress against risk management goals.
• Liaison to Public Health: Coordinate disease surveillance, reporting, and education in collaboration with local and state DOH authorities.
• Coleman Initiative Support: Collaborate with colleagues to meet goals tied to the Coleman model of care coordination and population health.