ClearSky hospitals provide high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve.
We are looking for an Area Director of Quality to join our team! The ideal candidate will be clinically licensed and have a passion for compliance and patient care. This person must in their assigned hospitals up to 75%, and travel may be required. The Area Director of Quality will provide clinical leadership for the following areas: Medical Staff Services, Regulatory Compliance, Risk Management, and Quality Management/Improvement. This position is remote and will require some travel.
Essential Functions
Facilitates compliance for the Hospital related to CMS, The Joint Commission, and State/Federal regulations. Completes audits to identify ongoing compliance.
Makes Hospital visits at least quarterly, or as needed, to assigned hospitals to perform onsite analysts of ongoing performance of quality program.
Prepares Medical Staff, hospital and hospital staff for survey activities by regulatory and accrediting agencies. Drafts survey responses to regulatory and accreditation agencies.
Collaborates with the medical staff regarding functions related to medical staff privileging and credentialing, performance improvement measurements, professional practice evaluation development and reviews, and aggregation by practitioners.
Facilitates the hospital performance improvement program through the collaboration with other hospital leaders. Provides guidance regarding measurements, data collection, analysis, conclusions, and process improvement.
Implements and manages clinical risk management functions including incident reporting, investigational follow up, grievances, root cause analysis, provides notices of potential claims, and litigation management in conjunction with senior leadership.
Educates Medical Staff and hospital employees during initial orientation, re-orientation, and as education in area of expertise is indicated.
Ensures submission of data to internal and external databases, as required by accreditation and regulatory agencies, is submitted timely and accurately.
Minimum Job Requirements
Minimum Education & Experience
Bachelor's Degree in a biological science required
Minimum four years clinical experience preferred
Two years in clinical compliance role preferred
Relevant education/experience may be substituted for one another in accordance with Hospital requirements
Knowledge of current Federal, State and Joint Commission standards and hospital specific rules and regulations.
Knowledge of current infection prevention and control processes, including CDC and OSHA standards.
Physical Requirements Over The Course Of a Shift
A significant amount of sitting.
Lifting/exerting of up to 25 lbs.
Sufficient manual dexterity to operate equipment and computer keyboard.
Close vision and the ability to adjust focus.
Ability to hear overhead pages.
Join our team today! ClearSky is proud to be an equal opportunity employer, and we offer competitive pay and benefits to include: performance-based bonuses for management, 401k and HSA matching, student loan repayment assistance and tuition reimbursement, and comprehensive wellness benefits with free access to physical fitness and mental health programs.
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Seniority level
Director
Employment type
Full-time
Job function
Quality Assurance
Industries
Hospitals and Health Care
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