Director of Quality Management - Inpatient Rehab

About This Role

This role is responsible for coordinating Medical Quality Management and Performance Improvement activities within the inpatient rehabilitation hospital. The Director will enhance the quality, process, and cost-effectiveness of patient services, ensuring compliance with federal and state regulations.

Responsibilities

• Coordinate Medical Quality Management and Performance Improvement activities to enhance quality, process, and cost-effectiveness of patient services
• Coordinate Performance Improvement and Patient Safety programs in accordance with Federal and State regulations
• Oversee operations of the Infection Control and Employee Health Programs
• Develop and review policies and procedures to ensure compliance with all regulatory and accrediting standards
• Collect data to monitor compliance and/or trends
• Institute and monitor the Hospital’s CQI Processes, utilizing data analysis measuring tools
• Assist with the design and compliance of quality processes/activities in clinical/medical staff PI for TJC/CARF/DOH standards
• Serve as a resource for all departments to provide guidance on designing, implementing, analyzing, and reporting on Quality Improvement
• Perform basic chart review activities for outcome utilization, infection control, and medical CQI indicators
• Prepare analysis of significant PI findings pertaining to adverse drug reactions, drug usage evaluation, and other CQI indicators

Requirements

• Registered Nurse with valid state license
• Experience in at least one of: Quality, Survey Readiness, Risk Management, Infection Control, Employee Health and Education

Qualifications

• Experience in at least one of Quality, Survey Readiness, Risk Management, Infection Control, Employee Health and Education

Nice to Have

• Familiarity with accrediting standards (TJC and CARF)
• Previous experience in Quality Improvement with Statistical Process Control experience and computer skills
• Certified Professional in Healthcare Quality (CPHQ)

Benefits