Loretto Hospital · 5 hours ago
Director of Quality
Chicago, IL
Full-time
Onsite
Lead/Staff, Director/Executive
3+ years expLoretto Hospital is a safety-net hospital that serves over 33,000 patients annually, focusing on patient-centered healthcare. The Director of Quality is responsible for the Hospital’s Performance Improvement and Regulatory Readiness programs, ensuring compliance and enhancing patient care through collaboration with medical staff and leadership.
Health CareHospitalMedicalNon Profit
Hiring Manager
Lawrence Manetti
Responsibilities
Provides the leadership and strategic direction in developing the performance improvement program for the Medical Staff and Hospital Departments and/or Services
Responsible for developing and implementing appropriate programs to assure the Hospital is compliant with regulatory regulations
Works collaboratively with the Board of Directors, Medical Staff and Hospital Leadership to further advance performance improvement and regulatory readiness in the most effective and efficient manner
Collaborates with Medical Staff and Hospital Leadership, Hospital departments and/or services to implement the Hospital Performance Improvement Plan
Provides assistance to the Medical Staff, Hospital Departments and/or Services in the development of indicators, data collection and data analysis to assess and/or improve outcomes and compliance
Serves as primary contact for accrediting organizations such as the HFAP, IDPH and CMS
Stays current on regulatory requirements and communicates new and revised requirements to appropriate departments, services and staff. Provides guidance to staff in meeting compliance
Oversees the Hospital Tracer Program and performs tracer activities to assess hospital compliance to regulatory requirements
Performs other related duties as assigned
Understands and adheres to Loretto Hospital’s compliance standards as they appear in the Compliance Policy, Code of Conduct and Conflict of Interest Policies
Keeps abreast of all pertinent federal, state and Hospital regulations, laws, and policies as they presently exist and as they change or are modified
Ensures that the staff are trained and evaluated on their knowledge of and adherence to compliance policies and procedures specific to their jobs
Qualification
Required
RN or other clinical degree; current Illinois licensure as verified by the Illinois Division of Professional Regulation License Look-Up
Knowledge in medical record and chart review and interpretation of care standards
Strong quantitative, analytical, organizational, problem solving and project management skills
Ability to develop relationships with physicians, healthcare team members and other departments and/or external agencies
Basic computer skills
Preferred
3 years of experience in a clinical setting
Benefits
Health, dental, vision, retirement savings plans, and paid time off
Company
Loretto Hospital
Loretto Hospital is a 187-bed, not for profit, acute care hospital that values quality driven healthcare.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Lois Clarke, MD FACEP
Chief Medical Officer
Marie Smith
Executive Assistant to CEO
Recent News
2022-04-13
Modern Healthcare
2022-04-13
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