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Director, Quality ManagementGreenwood, Indiana

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Job # 439082 Date posted 07/15/2022

Description

Community Rehabilitation Hospital South is a 44-bed inpatient rehabilitation hospital on the south side of Indianapolis, a  patient-focused, specialized rehabilitation hospital dedicated to the treatment and recovery of individuals who have experienced a loss of function due to an injury or illness such as brain and spinal cord injury, stroke, burns, amputation and multiple trauma.

JOB SUMMARY:

The DQM assumes responsibility and accountability for the hospital-wide Continuous Quality and Performance Improvement program. The DQM will assist the CEO/leadership and Medical Staff to establish priorities for Performance Improvement.  He/she ensures that disciplines in the hospital work collaboratively to plan and implement Performance Improvement activities. The DQM will focus on measuring, analyzing and trending information in order to improve outcomes.  He/she will assure ongoing monitoring of performance to ensure that improvements are sustained.  The DQM will direct and assist in compliance with federal and state regulations and accreditation standards.

ESSENTIAL FUNCTIONS:

Job Specific

  • Provides leadership and oversight of a comprehensive, efficient and integrated organization wide Continuous Quality Performance Improvement program.
  • Measures and assesses performance through collection, analyses, and trending of data.
  • Focuses on processes and systems to improve performance.
  • Directs, facilitates, and reports on all aspects of services relating to risk management and patient safety.
  • Investigates factors contributing to adverse outcomes in order to improve processes and systems.
  • Encourages reporting on risk reduction strategies in an atmosphere which minimizes blame or retaliation. Fosters environment to reduce unanticipated adverse events and/or outcomes.
  • Responsible for education of Continuous Quality and Performance Improvement and additional hospital-wide education and training.
  • Directs the functions and operation of the hospital-wide continuous quality improvement program including review of records for indicators of quality; reports findings to leadership, Medical Executive Committee, the Board of Managers and other committees as appropriate.
  • Responsible for education of Continuous Quality and Performance Improvement to hospital and medical staff.
  • Annually reviews hospital wide plans for the functions of IC and CQPI and establishes goals and objectives for the next year.
  • Acts as a liaison to local health officials, coordinates inspections and accreditation reviews with state and other regulatory agencies.
  • Demonstrates knowledge of growth, development, and the aging process for the planning and delivery of age-appropriate care.
  • Other duties as assigned.

Qualifications

  • Registered Nurse with current state licensure highly preferred.
  • Clinical license required.
  • Certification preferred by APIC (American Practitioners of Infection Control), and NAHCQ (National Association of Health Care Quality).
  • BSN or BS/BA required. Two years of experience in an acute hospital or rehabilitation setting required.  Previous supervisory experience preferred. 
  • Current Basic Life Support/CPR Card.
  • Demonstrated ability to plan, coordinate, and evaluate PI activities, effective oral and written communication skills and proficiency in basic computer skills required.
  • Working knowledge of staff development and the educational process, quality improvement, infection control/employee healthy, and safety/risk management standards.
  • Effective oral and written communication skills, in English with additional languages preferred; proficiency in basic computer skills required.

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  • Benefits and Recognition

    Benefits & Recognition Our goal is to offer valuable compensation and incentive programs that enables us to attract, reward, retain, and motivate highly qualified individuals. Compensation can include bonus plans and recognition for going above & beyond.

  • Healthcare

    Healthcare We offer a variety of Health Savings Account (HSA) and PPO plan options.

  • 401(k) Plan

    401(k) Plan Employees can contribute pre-tax dollars through payroll deduction.

  • Paid Time Off

    Paid Time Off Your work/life balance is important to us. We offer our employees a flexible Paid Time Off program.

  • Wellness Program

    Wellness Program We offer tools, resources and support for weight loss, stress reduction, smoking cessation and making overall healthier choices.

  • Community

    Community Community involvement is consistent with our company's principles and with our mission of customer service and quality care.

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Rehabilitation is the key to everything we do. And our caring, compassionate caregivers and team members are proud to lead the way. If you are interested in joining our team, we have opportunities that allow you to provide exceptional care and outstanding service in an environment committed to career growth and continual learning and support.

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