Director, Quality 2, Inpatient Rehabilitation Facility

Facility Name:North Florida Rehabilitation Hospital

Schedule: Day Shift Full Time

Your experience matters

North Florida Rehabilitation Hospital is part ofLifepoint 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 of Quality joining our team youre embracing a vital mission dedicated tomaking 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.

How youll contribute

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.

Essential Functions

• 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.

Knowledge Skills & Abilities

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

Education: BSN or BS/BA required.

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

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

Skills: Data analysis and reporting; CQPI methodologies (e.g. RCA FMEA PDSA); risk management and patient safety facilitation; regulatory/accreditation readiness; effective teaching communication and collaboration.

Why join us...

We believe that investing in our employees is the first step to providing excellent patient addition to your base compensation this position also offers:

• Comprehensive Benefits:Multiple levels of medical dental and vision coverage with medical plans starting at just $10 per pay period tailored benefit options for part-time and PRN employees and more.
• Financial & Career Growth:Higher education and certification tuition assistance loan assistance and 401(k) retirement package and company match.
• Employee Well-being:Mental physical and financial wellness programs (free gym memberships virtual care appointments mental health services and discount programs).
• Professional Development:Ongoing learning and career advancement opportunities.

EEOC Statement

North Florida Rehabilitation Hospital is an Equal Opportunity Employer. North Florida 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.