Assistant Quality Director (Administrative Service Officer II); REC NO: KCH 25-108

DATE POSTED: 1/23/2025

JOB TITLE: Assistant Quality Director (Administrative Service Officer II)

RECRUITMENT NO: KCH 25-108

JOB LOCATION: KONA COMMUNITY HOSPITAL – Quality

SALARY RANGE: Negotiable (EM03; BU35)

JOB DUTIES: The Assistant Quality Director supports the hospital-wide quality assurance (QA) and performance improvement (PI) programs. The incumbent participates in the planning, developing, and implementation of the programs to improve patient care services; including patient safety, clinical outcomes, organization effectiveness and process efficiency. Assisting to ensure that QA and PI programs meet accreditation, licensing and other regulatory requirements. Utilizes his/her knowledge and expertise to direct and oversee Risk Management operations in collaboration with other staff involved with Risk Management activities. This position supports initiatives to ensure compliance with all regulatory bodies and payer programs, including but not limited to; The Joint Commission, CMS, FDA, CDC, and DOH standards. Responsible for short- and long-range planning and promotion of interdisciplinary team practices. This position may be required to work shifts, weekends, and holidays.

MUST BE AVAILABLE TO WORK SHIFTS AS NECESSARY BASED ON HOSPITAL OPERATIONS; SERVICES ARE PROVIDED 24/7.

THE MINIMUM QUALIFICATION REQUIREMENTS ARE: Applicants must meet all of the following requirements. Please note that unless specifically indicated; the required education and experiences may not be gained concurrently. In addition, qualifying work experiences are based on a 40-hour work week.

EDUCATION:

• Bachelor’s degree in healthcare, hospital administration, public health administration, or nursing. Master’s degree in healthcare related field preferred.

EXPERIENCE:

• Four (4) years of progressively responsible professional experience in program planning in quality management, nursing management, and/or other related healthcare field. Prior experience with regulatory accreditation, i.e.; The Joint Commission, CMS Conditions of Participation preferred.
• Administrative Experience: One (1) year of responsible experience, which involved active participation in and major responsibility for the development, management, execution and coordination of policies, programs, and/or activities. Knowledge of and ability to use process improvement tools.

CERTIFICATION:

• None required, CPHQ (Certified Professional in Healthcare Quality) preferred.

LICENSURE:

• None required; licensure in a clinical discipline preferred.

DESIRED SKILLS:

• The position requires substantial knowledge of clinical health care activity in an acute-care hospital, supervisory experience, knowledge and ability to support process improvement initiatives. Ability to develop policies and procedures. Has the ability to prepare oral and written reports, provide effective presentations and education sessions to hospital staff, medical staff, and in dealing with the public; has knowledge of The Joint Commission standards and CMS Conditions of Participation and the ability to interpret and apply regulations, suggest,
  coordinate, and oversee implementation of corrective actions. The employee should be able to initiate and maintain working relationships with members of the medical staff, nursing, and other departments and agencies affiliated with the hospital; facilitate in dealing with and developing policies and procedures experience or documented evidence of competence in the area of
  practice, and administration.
  Demonstrates interest in and knowledge of current trends and new developments in healthcare administration, The Joint Commission standards, rules, and regulations. Ability to communicate well with individuals at all levels; work as a team member; shows management, leadership, decision-making, interpersonal, and communication skills. Interpret policies with analytical and practical application. Generate enthusiasm and cooperation from others as part of the leadership of KCH.

WORKING CONDITIONS/PHYSICAL REQUIREMENTS: Must be physically able to perform, efficiently and effectively, the essential duties of the position which typically require the ability to read, without strain, printed material the size of typewritten characters, glasses permitted, and the ability to hear the conversational voice, with or without a hearing aid, or the ability to
compensate satisfactorily. May be exposed to infections and contagious diseases. Able to work in stressful environment.

Required Forms & Documentation: Evidence of the appropriate training (e.g., official transcript or degree) to be given credit for education and/or experience. A legible photocopy will be accepted; however, Kona Community Hospital reserves the right to request an official copy.

For an application packet, click on the links below. For additional information, call (808) 322-4458 or e-mail Recruiting/Employment.

• Application Form (PDF) 
• Drug Screen Authorization Form (PDF)
• Licensure information
• Request for Administrative Review (PDF)

Applications are also available at:

Kona Community Hospital is a 94-bed full-service acute care hospital with 24-hour emergency services, proudly serving the West Hawaii community. For nearly 100 years we have been caring for the people of West Hawaii. Adding more and more services, we have constantly improved our abilities to serve our residents and visitors whenever they are in need. We are your friends and neighbors, here to help through trying times and happy moments, through crisis and celebrations. As your community hospital, you can count on us. We take pride that every patient that comes through our door is treated like “ohana.”

PERSONS WITH DISABILITIES MAY CONTACT THE RECRUITMENT OFFICER AT (808) 733-4162, (TTD/TTY), or E-mail: konajobs@hhsc.org TO DISCUSS SPECIAL NEEDS IN APPLYING.

Application hours are: Monday to Friday (except holidays) 8:00 – 10:00 am and 1:00- 3:00 pm at which time applicants are able to complete an application and have their application reviewed by the facility Human Resources Office.  Only applicants that have been through a Human Resources (HR) applicant screening process will be considered for an interview with a hiring manager.  Applications for announcements with a deadline date must be on file no later than the last day to file applications.  Applications for announcements with “Continuous Recruitment until Needs are Met” will be accepted as long as there are vacancies.  Inactive/filled announcements will be taken off the HHSC website.

QUALITY OF EXPERIENCE: Possession of the required amount of experience will not in itself be accepted as proof of qualification for the position. Overall paid or unpaid experience must have been of such scope and responsibility as to conclusively demonstrate that you have the ability to perform the duties of this position. Provide a detailed description of your duties and responsibilities. If you worked on a part-time basis, indicate the average number of hours worked per week. Please note that experience will be based on a 40-hour workweek.

Note: We will not postpone the recruitment process because of your failure to provide accurate and complete information concerning your qualifications.

MERIT OR CIVIL SERVICE SYSTEM: Applicants must meet the minimum qualification requirements, including education, experience, other public employment requirements for State Civil Service employment, and HHSC Standards of Fitness. Only those applicants that are scheduled for an interview with the hiring manager will be contacted. Applications will be kept active for six (6) months.

CITIZENSHIP AND RESIDENCE REQUIREMENT: Applicants must be eligible to work in the U.S. and at the time of appointment intend to reside in the State of Hawaii during the course of employment with the Hawaii Health Systems Corporation.

VETERAN’S PREFERENCE: If you are claiming Veteran’s Preference, you must submit a copy of your DD214 and/or other substantiating documents specifying the periods of your service.

PHYSICAL/MENTAL REQUIREMENTS: Applicants must be able to physically and mentally perform efficiently the duties of the position. Qualified applicants with disabilities who can perform the essential functions of the advertised position are encouraged to apply. The Hawaii Health Systems Corporation is committed to making reasonable accommodations on a case-by-case basis. Applicants seeking reasonable accommodation should be ready to discuss the accommodation sought so that a determination can be made that such accommodation is reasonable and would not cause the employer undue hardship.

MEDICAL/PHYSICAL EXAMINATION REQUIREMENT: Offers of employment will be contingent on successfully passing a pre-employment physical examination, which includes drug screen and other regulatory medical requirements such as, but not limited to, two-step tuberculosis (TB) screen.  The cost for physical examinations, except the cost for drug screening, shall be borne by the applicant and not the Hawaii Health Systems Corporation.

PHYSICAL EXAMINATION REQUIREMENT: Offers of employment will be conditioned on the results of a complete physical examination, which includes a drug screening. For certain job categories, applicants may be referred to an HHSC-designated physician, rather than the applicant’s personal physician of choice. The cost for all physical examinations, except the cost for the drug screening, shall be borne by the applicant and not the Hawaii Health Systems Corporation. The Hawaii Health Systems Corporation shall bear the cost of the drug screening.

CRIMINAL/BACKGROUND, CREDENTIALING CHECKS: Applicable checks will be conducted periodically and any associated costs may be borne by the applicant. If a job offer is made or employment is begun prior to completion of all applicable checks, any offer of employment or continued employment is contingent upon satisfactory return of all required checks.

HOW TO APPLY: Applications are available at the Kona Community Hospital, Human Resources Office, 79-1019 Haukapila Street, Kealakekua, HI 96750 or Kohala Hospital, P. O. Box 10, Kapaau, HI 96755. You can call (808) 733-4162, (Voice/TT), e-mail: konajobs@hhsc.org or visit our website at www.hhsc.org. Application hours are: Monday to Friday (except holidays) 8:00 – 10:00 am to 1:00 – 3:00 pm at which time applicants are able to complete an application and have their application reviewed by the facility Human Resources Office. Only applicants that have been through a Human Resources (HR) applicant screening process will be considered for an interview with a hiring manager. Applications for announcements with a deadline date must be on file no later than the last day to file applications. Applications for announcements with “Continuous Recruitment Until Needs are Met” will be accepted as long as there are vacancies. Inactive/filled announcements will be taken off the HHSC website.

 STEPS TO AN ADMINISTRATIVE REVIEW, SUBSEQUENT APPEALS: If you do not agree with a decision made by the Employment Office as to your non-qualification or non-selection for a position, you may complete a Request for Administrative Review form (available on the HHSC website) or you may submit a written request within twenty (20) days from the date of your sent notice to the Regional Chief Executive Officer/Designee. Your letter requesting the Administrative Review must include 1. The job title(s) and recruitment number(s), 2. the specific reason(s) you are requesting the review noting if there is a statute or rule violation, and 3. any additional information you want to submit to substantiate your request. If you do not submit your request within the twenty (20) days deadline, no Administrative Review will be conducted. Since the Administrative Review is a prerequisite to subsequent steps, failure to utilize this process will make you ineligible for subsequent appeals. The administrative review, formal complaint and/or appeals hearing will not necessarily postpone the recruitment process and/or rescind a selection.

If you do not agree with the Administrative Review, you may file a Formal Complaint and then, if you are still not satisfied, you can appeal to the HHSC Merit Appeals Board.