Sr. Quality Officer

Job Description

Job Description

The Director of Quality Management is responsible for overseeing the operational, financial, and personnel resources related to quality performance, accreditation / licensing, patient relations, infection prevention, policy and procedure process management, and patient safety within the healthcare enterprise. Utilizing a systems-based approach, the Director ensures compliance with regulatory and accreditation requirements, fosters a culture of continuous quality improvement, and supports hospital-wide risk management activities.

Key Responsibilities :

• Direct and oversee hospital-wide quality management programs to ensure compliance with Joint Commission and other regulatory requirements.
• Facilitate compliance with core measures and patient safety initiatives.
• Lead Hospital Patient Safety / Quality Council meetings and disseminate relevant quality and performance information enterprise-wide.
• Prepare and present quality reports to the Medical Executive Committee and Hospital Governing Board.
• Oversee hospital risk management activities, including root cause analysis and the implementation of lessons learned from defects.
• Coordinate the Medical Staff Peer Review process to support continuous performance improvement.
• Manage various certification, patient safety, and regulatory programs through delegation and oversight.
• Ensure adherence to policy and procedure process management, ensuring all documents align with regulatory and best practice standards.
• Collaborate with hospital leadership, medical staff, and frontline employees to drive a culture of quality and patient-centered care.
• Serve as a liaison between the hospital and external regulatory agencies regarding quality, accreditation, and patient safety initiatives.

Reporting Structure :

Qualifications :

This is a key leadership role within the organization, offering an opportunity to shape and drive quality, safety, and regulatory excellence across the hospital enterprise.