Mission Health · 21 hours ago
Quality Administrative Director
Franklin, NC
Full-time
Onsite
Lead/Staff, Director/Executive
3+ years expMission Health is committed to improving lives through healthcare, and they are seeking a Quality Administrative Director to oversee quality management and patient safety programs. This role involves promoting high-quality, patient-centered care, leading performance improvement initiatives, and ensuring compliance with regulatory standards across the organization.
AssociationCommunitiesHealth CareHospital
Responsibilities
Drives facility-wide standardization in targeted process improvement initiatives and evaluates success through preestablished criteria and measurement tools
Manages project flow and alignment to ensure milestones and key performance indicators are met within defined parameters
Collaborates with all stakeholders to drive care excellence across a complex organization
Leads in strategy development for performance improvement through system thinking and safety science application
Develops and implements policies, procedures, and objectives
Reviews and updates the Quality Improvement Plan regularly
Develops, implements, and reviews goals, objectives, and priorities to ensure alignment with hospital strategic plans and compliance with federal, state, and local regulations and standards
Collaborates with facility leadership in the establishment of operational performance measurements and targets, as well as the monitoring of trends in key performance indicators to evaluate effectiveness, reliability, and efficiency
Leads and oversees the quality department with responsibility for care excellence, disease specific care, risk management, patient safety, and other aspects of performance improvement across the facility
Performs regular analysis of facility quality and risk performance data and makes applicable recommendations for process, system, procedure, and operational changes to improve healthcare value and quality
Ensures effective execution of all activities concerning the achievement of continuous regulatory and survey readiness. Strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations
Administration and oversight of all activities concerning the achievement of continuous regulatory and survey readiness
Strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations
Maintains oversight of Quality and PI software and reporting systems to meet internal and external reporting requirements and surveys
Assists with selection and installation of software applications
Coordinates with the medical staff office, when applicable, for processing and completeness of medical staff and advance practice professionals for appointment, reappointment, or privileges in accordance with Medical Staff Bylaws, Rules, and Regulations, and policies and procedures
Assist with focused and ongoing professional practice evaluation completeness, when applicable
Monitors completeness, accuracy, and validity of quality files on medical staff and advance practice professionals
Participates as an active member of peer review committees; analyzes cases and outcome data and collaborates with physicians to promote and improve practice and optimal patient outcomes
Develops and maintains strong, collaborative working relationships/partnerships with other key stakeholders, including infection prevention, nursing, patient safety, facilities, Medical Staff, etc
Collaborates with division and corporate entities and external parties to ensure strategic quality and patient safety initiatives are fully executed at the facility level
Serves as a technical advisor, educator and internal consultant to all hospital management, staff, and physicians on the use of performance improvement tools and techniques, analytical techniques, and statistical applications
Provides orientation and ongoing education to staff regarding quality and patient safety initiatives; promotes competency, compliance, and performance improvement
Serves as the Patient Safety Director for event analysis, FMEA development, proactive safety activities to support development of a culture of transparency and safety science
Inclusive of hospital team members, medical staff, GME programs, as applicable, and senior leaders
Collaborates and leads activities of the Quality Committee of the Board in collaboration with facility leadership
Performs other duties as assigned
Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.”
Qualification
Required
Bachelor's degree in nursing or health-related field
1+ years clinical experience in a healthcare setting
2+ years experience in healthcare quality/risk management
Certified Professional in Healthcare Quality (CPHQ) or Certification in Healthcare Quality Management (CHCQM) must be obtained within one (1) year from starting in the position
Preferred
Master's degree in nursing or health-related field
Currently licensed as a registered nurse or health professional in the state(s) of practice and/or has an active compact license, in accordance with law and regulation
Benefits
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Company
Mission Health
Mission Health is the state’s sixth-largest health system and the western North Carolina’s only not-for-profit.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
unknown2018-03-22Acquired
Leadership Team
Dr. Tonia Purkey-Hale
Chief Executive Officer/Chief Nursing Officer
Jill Hoggard-Green
COO, Mission Health System and President, Mission Hospital
Recent News
2025-09-06
2022-06-10
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