Tennova Healthcare- LaFollette Medical Center · 1 week ago
Director of Quality - Healthcare
Tennova Healthcare - LaFollette Medical Center is committed to providing high-quality patient care, and they are seeking a Director of Quality to lead their quality improvement and patient safety initiatives. This role involves overseeing regulatory compliance, monitoring quality metrics, and collaborating with leadership to enhance clinical and operational outcomes.
Emergency MedicineHealth CareHealth DiagnosticsOncologyRehabilitation
Responsibilities
Develop, implement, and oversee quality improvement and patient safety programs aligned with organizational goals and regulatory requirements
Monitor, analyze, and trend quality, safety, and performance metrics to identify risks, gaps, and opportunities for improvement
Lead and support Root Cause Analyses (RCA), Failure Modes and Effects Analysis (FMEA), and other performance improvement methodologies
Partner with clinical and operational leaders to develop corrective action plans, track progress, and achieve measurable improvements
Facilitate staff education and training related to quality improvement, patient safety, and regulatory standards
Ensure continuous compliance with The Joint Commission, CMS, and other applicable federal, state, and accrediting agencies
Lead accreditation readiness activities, including surveys, audits, tracers, and mock surveys
Maintain policies, procedures, and documentation to support regulatory compliance and best practices
Serve as a key organizational resource for interpretation of regulatory standards and requirements
Prepare and present quality, patient safety, and performance reports to hospital leadership, medical staff committees, and the Governing Board
Support leadership decision-making through data-driven insights and recommendations
Provide leadership, mentorship, and professional development for quality department staff
Conduct performance evaluations, set goals, and provide ongoing feedback
Ensure appropriate staffing levels and collaborate with leadership on workforce planning
Collaborate with executive leadership on departmental strategy, budget planning, and resource allocation
Monitor departmental expenditures and ensure cost-effective delivery of services
Evaluate and implement tools, systems, and technologies to improve quality outcomes and operational efficiency
Partner with executive leaders, physicians, nursing leaders, and interdisciplinary teams to support organizational priorities
Maintain awareness of industry trends, regulatory changes, and best practices in quality and patient safety
Communicate effectively with stakeholders at all levels of the organization
Qualification
Required
Bachelor's degree in Nursing, Healthcare Administration, Public Health, or a related field required OR
Seven (7) or more years of directly related experience in lieu of a bachelor's degree
Minimum of 3–5 years of experience in healthcare quality, patient safety, or regulatory compliance
Strong leadership, organizational, and communication skills
Demonstrated ability to lead performance improvement initiatives across multidisciplinary teams
Advanced problem-solving, analytical, and critical-thinking skills
In-depth knowledge of healthcare quality standards, accreditation, and regulatory compliance
Ability to manage multiple priorities and meet deadlines in a fast-paced environment
Proficiency with Microsoft Office, Google platforms, healthcare information systems, and data analytics tools
Preferred
Master's degree
Prior leadership or management experience strongly preferred
CPHQ (Certified Professional in Healthcare Quality) preferred
CPHRM (Certified Professional in Healthcare Risk Management) preferred
Benefits
Medical, Dental, Vision, and Life Insurance
Generous Paid Time Off (PTO) and Extended Illness Bank (EIB)
401(k) with employer match
Opportunities for career advancement
Rewards and recognition programs
Additional employee discounts and perks