Director of Quality, Jackson Health System, Jackson North Medical Center, Full Time, Days

Director of Quality, Jackson Health System, Jackson North Medical Center, Full Time, Days

Jackson Health System

Department: JN Quality Assurance- Jackson North Location

Address: 160 NW 170th St, Miami, Florida, 33169

Shift details: Full-Time, Days

Why Jackson:

Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine.

Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do.

Job Summary:

The Director of Quality facilitates implementation and monitors quality improvement and patient safety activities throughout the organization; acts as a role model and resource to all levels of staff in defining, educating, implementing and evaluating standards of care and practice using clinical expertise, clinical processes, and current concepts, principles of education, quality improvement, clinical practice and health care trends. The incumbent will promote continuous readiness by assisting healthcare and medical staff on improvement performance on national, state, and locally reported measures, as well as compliance with quality national programs.

Duties and Responsibilities:

• Track, trend, interpret, and share outcomes data with clinical leadership.
• Collects data concurrently and retrospectively.
• Facilitates, supports, and organizes process improvement teams, provide support services to such teams and maintains and regularly updates clinical performance improvement/quality management opportunities, plan and strategies.
• Assist facility in preparations for surveys (Center for Medicare and Medicaid Services, AHCA), conducts quality surveys, and ensures continuous readiness for State and Federal surveys.
• Collaborates on the formulating a response to quality of care/clinical inquiries from regulatory agencies and/or third party payors.
• Maintains and regularly updates clinical performance improvement/quality management plan and strategies and collaborates with other disciplines to ensure that all the outcome measures are concurrently met.
• Ensures that process improvement teams are effectively structured and managed to meet healthcare system objectives and ensures results of all quality and performance improvement activities are integrated facility wide.
• Serves as a consultant to staff and leadership team as they prepare business plans to ensure standards based quality of care is maintain or enhanced and actively participates in clinical staff or committee meetings as assigned.
• Develops, reviews, or revises departmental and system policies and procedures and works on projects timely, effectively and meets due dates.
• Facilitates and manages the Medical Peer Review process effectively and timely (applies to Jackson North, Jackson South and Jackson West ONLY).
• Role models behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
• The leader understands and adheres to JHS compliance standards as they appear in the Code of Conduct, Compliance Policies, and all other JHS Policies and Procedures and supports the commitment of JHS in adhering to federal, state and local laws, rules and regulations governing ethical business practices for health care providers by demonstrating knowledge of procedures for protecting and maintaining security, confidentiality and integrity of employee, patient, family and organization information.
• The leader further understands that JHS is committed to its role in preventing health care fraud and abuse and complying with applicable state and federal laws related to health care fraud and abuse.
• This commitment is supported and enabled through an anonymous hotline which serves as one of several mechanisms for reporting suspected fraud, waste and/or abuse, as well as other compliance related issues.
• The leader to report through any of the reporting mechanisms (e.g., anonymous hotline, supervisor, Compliance Officer) any suspected health care fraud, waste and/or abuse as well as other compliance-related issues.
• Performs all other related job duties as assigned.

Required Qualifications:

Experience

• Generally requires 5 to 7 years of related experience. Management experience is strongly preferred.

Education

• Bachelor's degree in related healthcare field is required. Master's degree is preferred.

Skills:

General Competencies:

• Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines.
• Ability to communicate effectively in both oral and written form.
• Ability to handle difficult and stressful situations with critical thinking and professional composure.
• Ability to understand and follow instructions.
• Ability to exercise sound and independent judgment.
• Knowledge and skill in use of job appropriate technology and software applications.

Management Competencies:

• Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
• Skill in monitoring/assessing the performance to make improvements or take corrective action.
• Skill in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
• Ability to plan, implement, and evaluate programs.
• Ability to establish goals and objectives.
• Ability to recognize, analyze, and solve a variety of problems.

Credentials

• Valid license or certification is required as needed, based on the job or specialty.

Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.