Hardin Medical Center currently staffs 25 beds with an ADC = 15-16 and is located in southern Tennessee on the Tennessee River. Jackson is within an hour’s drive, while Memphis and Nashville are reachable within two hours. Additional information on HMC and the community is available at the following websites: www.hardinmedicalcenter.org, www.cityofsavannah.org, and www.tourhardincounty.org.
SCOPE AND RESPONSIBILITY:
Under the direction of the CEO, the Quality Director is responsible for the facility-wide Quality Management and Performance Improvement Program. This includes monitoring all activities that impact the Hospital quality of care.
Responsible for the facility-wide Risk Management program.
Leads and directs process improvement activities that provide more efficient and streamlined workflow at HMC.
Presents results of improvement efforts and ongoing performance measures of clinical processes within the hospital to senior management.
Directs safety risk management, case management, and employee health functions.
Controls entry, evaluates performance, counsels, issues corrective action, recommends promotion and discharge of departmental personnel.
Provides for training of staff either internally or externally to maintain high standards of quality patient care and to meet service goals and objectives.
Attends appropriate educational offerings, both mandatory and elective, within budgetary constraints to maintain current knowledge and skills.
Maintains current licensing and certifications as required for the specific job position.
Performs a variety of tasks.
Leads and directs the work of others.
A wide degree of creativity and latitude is expected.
EDUCATION AND EXPERIENCE:
Bachelors of Nursing (BSN) degree required.
Must have five (5) years RN experience in an acute care hospital with two (2) years of quality supervisory/management experience.
Current RN Tennessee License without restrictions.
Basic Life Support (BLS) Certification.
Depending upon the skills and experiences of the individual we pursue, we anticipate a base salary that will be reasonable and customary, a performance-based bonus potential of up to 25% and a competitive benefits package.
If you are qualified and interested in being considered as a candidate for this opportunity, please submit your resume (in WORD format), along with your most recent compensation information to firstname.lastname@example.org. Please indicate Director of Quality in the subject line.
Comprehension of CMS Conditions of Participation.
Familiar with quality and performance improvement concepts, measures, practices, and procedures.
Working knowledge and understanding of analytical statistics including mean, standard deviation, correlation coefficients, statistical significance, percentile ranking, etc.
Critical thinker for problem-solving with the ability to correlate findings into overall action plans.
Intermediate user of Microsoft Excel, Word, and PowerPoint.
Knowledge of Microsoft Access or other similar database software.
Ensures department goals and objectives align with the HMC Mission and Values, policies and procedures, government, and regulatory agency standards.
Develops and implements written policies and procedures that reflect the department’s philosophy and objectives.
Proven leadership skills necessary to ensure a collaborative team-based approach.
Supervises and mentors employees and managers including training, work assignments, performance evaluations, development of career goals, and disciplinary action.
Insures all required employee records are prepared and maintained in an orderly manner and provided on a timely basis.
Reviews, completes, and signs necessary paperwork to process payroll in a timely fashion.
Determines staffing needs within budgetary and service goals
Participates in the employment hiring process. Ensures department employees are accountable and adheres to all HMC policies and procedures, government laws, and regulatory agency standards.
Responsible for the overall direction and performance of the quality management program.
Ensures continuous performance improvement on measures reported to governmental agencies, associations, insurance carriers, and any other such external reporting of quality management program metrics.
Functions as Lead Auditor for facility.
Provides a summary report to the governing body as set forth on the timetable established by the governing body.
Assists in the development of and is responsible for conducting a comprehensive Performance Improvement Program.
Performs as a data specialist in the collection, organization, and analyzing of data and prepares for the display for the hospital QAPI committee.
Assists in the collection of data from various sources. Organizes and tracks PI related data within the patient care services department, between the units, and inter-departmental.
Helps analyze and organize study data and prepares data displays for the QAPI committee.
Keeps Physician Profiles current.
Develops, implements, and maintains a departmental Performance Improvement program with monitoring activities.
Evaluates departmental Performance Improvement program annually.
Participates in other PI activities and/or committees as requested in support of facility-wide QAPI program.
Assures department meets requirements for State Health Department licensure.
Assures compliance with DNV-NIAHO standards.
Adheres to and assures department meets facility and departmental safety regulations; disaster plans; fire, safety, and hazardous materials programs.
Adheres to and assure department meets infection control/employee health practices, including utilization of Standard Precautions.
Works with the Executive Team to develop and implement operational and capital budget plans; determines department budgeting needs based on zero based budget; adheres to organization budget controls and meets department budget goals.
Recommends capital equipment purchases to meet departmental budgetary and service goals.
Prepares annual department operating and capital equipment budgets and participates in the budget development process as needed.
Monitors budget and income/expense data, adjusting departmental plans as necessary to meet budgetary constraints and service goals.
Manages supplies and other resources to meet departmental budgetary and service goals.
KNOWLEDGE, SKILLS, ABILITIES, and PERSONAL ATTRIBUTES:
Healthcare Laws and Regulatory Agency Standards, Studer Leader Principles.
Conflict Resolution, Human Resources/Employment Laws.
Data Management/Synthesizing, Information Technology.
Leadership, Customer Services, Communication, Organizational Expectations, Business Acumen, Diversity and Inclusion, Crisis Reduction/Critical Thinking.
Ability to effectively lead others in achieving essential duties.
Ability to effectively converse and actively listen to others concerning HMC matters.
Core Values/Standards of Conduct.
AIDET/ Organizational Expectations.
Abuse and Neglect of Adult Patient.
Abuse and Neglect of Pediatric Patient.
Acute Coronary Syndrome/Chest Pain Protocols.
Internal Number: hmc qc 1
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