Chief Quality Officer - Healthcare Administration

• Competitive Pay
• Medical, Dental, Vision & Life Insurance
• Generous Paid Time Off (PTO)
• Extended Illness Bank (EIB)
• Matching 401(k)
• Career Advancement Opportunities
• Rewards & Recognition Programs
• Additional Discounts & Perks*

• Develop, coordinate, and implement the hospital's performance improvement plan, ensuring alignment with quality and regulatory standards.
• Serve as the quality liaison between hospital departments, medical staff, performance improvement committees, and administration.
• Chair the performance improvement committee, leading quality initiatives and ensuring compliance with JC and other accreditation standards.
• Act as the primary contact for JC-related activities, including surveys, applications, and correspondence, to maintain continuous regulatory compliance.
• Provide education to hospital staff and medical teams on quality standards, performance improvement methodologies, and regulatory updates.
• Conduct in-service education programs on OSHA, CDC, and JC requirements to enhance staff knowledge of regulatory standards.
• Maintain thorough records of performance improvement activities and ensure accurate documentation for regulatory reviews.
• Update hospital staff on regulatory changes and communicate new quality initiatives effectively.
• Serve as a resource to all departments, providing guidance on quality and performance improvement challenges.
• Lead the JC Task Force to ensure ongoing compliance and accreditation readiness.
• Oversee medical staff performance improvement activities to enhance patient outcomes.
• Stay informed on industry best practices by reviewing professional journals and sharing relevant updates with staff.
• Perform other duties as assigned while adhering to all hospital policies and standards.

• Licenses & Certifications:

• RN - Registered Nurse State Licensure and/or Compact State Licensure (required).
• Education:

• Bachelor's degree in Nursing, Healthcare Administration, or a related field (required).
• Master's degree in Public Health, Healthcare Quality, or a related field (preferred).
• Experience:

• 5-7 years of direct experience in nursing, quality management, performance improvement, or a related field (required).
• 5-7 years of progressive leadership experience in nursing, quality management, or performance improvement (required).
• Working knowledge of hospital operations, JC standards, CMS requirements, and DOH regulations (required).
• 5-7 years of clinical nursing experience in an acute care setting (preferred).

• Expertise in quality improvement methodologies, regulatory compliance, and accreditation standards (including JC).
• Strong leadership and communication skills to foster collaboration across departments.
• Proficiency in data analysis, performance metrics, and the development of quality initiatives.
• In-depth understanding of healthcare regulations with a focus on patient safety and performance improvement.

Crestwood Medical Center