Quality Director - Inpatient Rehabilitation Hospital at EXALT HEALTH REHABILITATION HOSPITAL CONROE LLC

Sarasota, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Jan, 26

Salary

0.0

Posted On

23 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Quality Management, Patient Safety, Risk Management, Infection Control, Clinical Education, Data Analysis, Regulatory Compliance, Accreditation, Leadership, Communication, Problem Solving, Continuous Improvement, Collaboration, Emergency Preparedness, Healthcare Regulations, Performance Measurement

Industry

Hospitals and Health Care

Description

Description The Quality Director is a key member of the executive leadership team, responsible for the strategic development, implementation, and oversight of a comprehensive quality and patient safety program across all Exalt Health Rehabilitation Hospitals. Reporting directly to the CEO and President, the Quality Director will champion a culture of continuous improvement, ensuring the delivery of high-quality, safe, and effective care in accordance with regulatory requirements, accreditation standards, and best practices. The Quality Director will collaborate closely with hospital leadership, medical staff, and other stakeholders to drive performance improvement initiatives and foster a patient-centered environment. Essential Duties and Responsibilities Quality Management: Develop, implement, and monitor a system-wide quality management program that encompasses performance measurement, data analysis, and continuous improvement initiatives to enhance patient outcomes and operational efficiency. Employee Health: Oversee the development and implementation of employee health programs, ensuring compliance with relevant regulations and promoting a healthy and safe work environment for all staff. Infection Control: Direct the organization-wide infection prevention and control program, establishing protocols, monitoring compliance, and implementing strategies to minimize the risk of healthcare-associated infections. Risk Management: Lead the development and implementation of a comprehensive risk management program to identify, assess, and mitigate potential risks across the organization, ensuring patient safety and minimizing liability. Clinical Education: Collaborate with the Chief Clinical Officer to identify, develop, and deliver the clinical education programs to enhance staff competency and promote evidence-based practice. Patient Safety: Champion a culture of patient safety throughout the organization, leading initiatives to prevent medical errors, promote a proactive safety mindset, and ensure timely and effective response to safety concerns. Policy and Procedure Development: Oversee the development, review, and implementation of organizational policies and procedures to ensure alignment with best practices, regulatory requirements, and accreditation standards. Accreditation: Lead and manage the organization's accreditation activities, ensuring ongoing compliance with accrediting body standards and facilitating successful surveys. Governing Board: Serve as a key resource to the Governing Board on matters related to quality, patient safety, and risk management, providing regular reports and insights to support informed decision-making. Emergency Preparedness: Collaborate with relevant stakeholders to contribute to the development and implementation of the organization's emergency preparedness plan, ensuring the ability to effectively respond to potential crises. Requirements Licenses or Certifications Current, unencumbered license to practice professional nursing (RN) in the state where currently practicing BLS required via the American Heart Association or American Red Cross required. Current ACLS required via the American Heart Association or American Red Cross preferred, but required in TX. Education, Training, and Experience Master's Degree in a healthcare-related field (e.g., Nursing, Healthcare Administration, Public Health) or Master of Business Administration (MBA). Minimum of five (5) years of progressive leadership experience in quality management, patient safety, and/or risk management within a hospital or healthcare system. Demonstrated knowledge of quality improvement methodologies (e.g., Lean, Six Sigma, PDSA). Strong understanding of state and federal healthcare regulations, accreditation standards (e.g., The Center for Improvement in Healthcare Quality, CARF), and best practices in quality and patient safety. Excellent analytical, problem-solving, and decision-making skills with the ability to interpret and utilize data to drive improvement. Exceptional communication, interpersonal, and presentation skills with the ability to effectively interact with all levels of the organization, including the Governing Board, medical staff, and external stakeholders. Proven ability to lead and influence change, build collaborative relationships, and foster a culture of quality and safety.

Responsibilities

The Quality Director is responsible for the strategic development and oversight of a comprehensive quality and patient safety program across all Exalt Health Rehabilitation Hospitals. This role involves collaborating with hospital leadership and stakeholders to drive performance improvement initiatives and foster a patient-centered environment.