Director, Quality 2

Your experience matters

UW Health Rehabilitation Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a

Director, Quality 2 joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

Why join us

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

• Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
• Competitive Paid Time Off
• Employee Assistance Program - mental, physical, and financial wellness assistance
• Tuition Reimbursement/Assistance for qualified applicants
• And much more...

What we're looking for

The Director, Quality 2 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.

How you'll contribute

• 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.

Additional Information:

• 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.

Qualifications & Requirements:

• Education: BSN or BS/BA required.

• Licensure: Registered Nurse with current state licensure highly preferred; clinical license required.

• Certifications: Basic Life Support (BLS/CPR) required; certification preferred by APIC (American Practitioners of Infection Control) and NAHCQ (National Association of Health Care Quality).

• Minimum two (2) years in an acute hospital or rehabilitation setting required; prior supervisory experience preferred.

Schedule: Full Time - Day - Onsite

EEOC Statement

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