Director of Quality Management

ResponsibilitiesSt. Mary's is a 229-bed, acute care hospital located in Enid, OK. St. Mary's Regional Medical Center has served the healthcare needs of northwest Oklahoma for more than 100 years. We host more than 125 highly skilled physicians offering specialties in Cardiology, Neurology, Orthopedics, Emergency Medicine, Rehabilitation, Laboratory, Women's Imaging, Wound Care, and more.Position Summary:Responsible for the overall program of utilization and patient safety. This includes the Hospital wide Performance Improvement Program, Risk Management Program including Infection Control, Patient Satisfaction Survey, Joint Commission (TJC) Survey Coordination and Patient Safety. Serves as the facility Corporate Compliance Officer and HIPAA Privacy Officer. Performs all work with accord to the mission, vision, and values of St. Mary's Regional Medical Center.Employee has responsibility to lead health equity process reviews, analysis, and reporting, including creation of tactics and action plans to address/improve health equity as data determines.Employee has authority on behalf of the C-Suite and BOG to focus on health equity.Employee is responsible for reporting of data trends and analyses to the C-suite and BOG to ensure communication and knowledge of health equity improvement opportunities.Employee serves as the point of contact for action plans to improve health equity, with the C-Suite championing improvement initiatives.Employee will present health equity program performance and actions for improvement to the C-Suite and BOG at a predetermined basis of semi-annually at a minimum.Job Duties/Responsibilities:Works closely with senior leadership to formulate process improvement activities, risk reduction strategies and enforce compliance measures related to Federal and State standards. Serves as resource to resolve complex issues and serves as liaison to corporate risk and compliance departments. Serves as Administrator on Call with other senior leaders.Puts safety first for employees; ensures compliance with OSHA, Infection Control and Environment of Care requirements. Provides training to staff. Measured by knowledge of staff through safety rounds and workers' compensation claims, etc.Responsible for complying with St. Mary's hiring procedure and ensures that interviews are completed timely. Measured by vacancy rate and time-to-fill position.Provides timely feedback to new hires through the 90-day evaluation. Provides intermittent feedback to staff on performance along with annual performance evaluations. Measured by 100% complete timely.Assesses current staff educational needs. Develops structures and processes within Surgical Services to improve employee knowledge, skills and abilities. Utilizes best practices to positively impact Staff education and competencies. Measured through competency documentation and education plan.Benefits:Tuition AssistanceCompetitive Compensation & Generous Paid Time OffExcellent Medical, Dental, Vision, Prescription Drug Plans & 401k with company matchDiscounts with local St. Mary's providersQualificationsRequirements:Bachelor's degree in Nursing, Healthcare Management or Business Administration required, masters preferred.Registered Nurse licensure in the State of Oklahoma required.A minimum of five (5) years management experience with a focus on quality improvement leadership required.Clinical nursing experience preferred.Previous experience with TJC standards and regulatory compliance of other agencies required.Experience in risk management and healthcare compliance principles required.Certification in one of the following: Certified Professional in Healthcare Quality, or Certified Professional in Risk Management strongly preferred.EEO StatementIt is the policy of the Facility to provide equal opportunity in employment to all employees and applicants for employment. No person will be discriminated against in employment on the basis any legally protected characteristics such as race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age (40 and over or as otherwise defined by applicable law), disability or genetic information (including family medical history) or protected veteran status, or any other characteristic protected by applicable Federal, State, or local law.NoticeAt UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

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