Advocate Aurora Health
Director Quality & Regulatory
Advocate Aurora Health, Marinette, Wisconsin, United States, 54143
Department:
12830 Advocate Aurora Health Corporate - Quality WI Region
Status:
Full time
Benefits Eligible:
Yes
Hou
rs Per Week:
40
Schedule Details/Additional Information:
Business hours with flexibility
Provides leadership, development, and oversight of Aurora Bay Area Medical Center's Quality Management System and health outcomes. This individual collaborates with operational leaders to ensure that the highest level of quality of patient care is delivered through data analysis, performance improvement activities and initiatives, the Quality Management System, and compliance with regulatory requirements and accreditation agencies. This position serves as a key role in facilitating key quality and regulatory communication to the site executive leadership team and medical staff.
Major Responsibilities:Directs, organizes, and plans the site clinical and administrative functions of the ISO9001 Quality Management System, including Quality Management Oversight Committee, and its requirements.Responsible for monitoring performance improvement activity in accordance with system and site safety and health outcomes priorities.Provides leadership and oversight to external agency visits, including accreditation and certification surveys, state surveys, and other agency investigations.Serves as the hospital management representative and preparation agent for DNV and ISO surveysResponsible for management and oversight of the hospital physician and APC peer review program including the provision of data and case review for OPPE and FPPE related processes.Oversees the hospital contract management program, including maintenance of a hospital log and overall evaluation.Responsible for the hospital document management program, including policies, procedures, scope of service, and other key site documents.Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.Education Required:
Bachelor's degree in healthcare, Nursing or related field.Years of Experience:
Typically requires 7 years' experience in quality improvement. Includes 3 years' experience in leadership role.Knowledge, Skills & Abilities Required:
Advanced knowledge of quality improvement methodologies (i.e. Lean, Six Sigma)Analytical and statistical skillsClinical knowledge of care processesProficiency with MS OfficeFacilitation skills; excellent verbal and written communication skillsProficiency with change managementProficiency with project managementPhysical Requirements and Working Conditions:
Ability to sit for extended periods of time.Ability to travel to other AAH locations.Exposed to normal office environment.Operates all equipment necessary to perform the duties of the job.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
12830 Advocate Aurora Health Corporate - Quality WI Region
Status:
Full time
Benefits Eligible:
Yes
Hou
rs Per Week:
40
Schedule Details/Additional Information:
Business hours with flexibility
Provides leadership, development, and oversight of Aurora Bay Area Medical Center's Quality Management System and health outcomes. This individual collaborates with operational leaders to ensure that the highest level of quality of patient care is delivered through data analysis, performance improvement activities and initiatives, the Quality Management System, and compliance with regulatory requirements and accreditation agencies. This position serves as a key role in facilitating key quality and regulatory communication to the site executive leadership team and medical staff.
Major Responsibilities:Directs, organizes, and plans the site clinical and administrative functions of the ISO9001 Quality Management System, including Quality Management Oversight Committee, and its requirements.Responsible for monitoring performance improvement activity in accordance with system and site safety and health outcomes priorities.Provides leadership and oversight to external agency visits, including accreditation and certification surveys, state surveys, and other agency investigations.Serves as the hospital management representative and preparation agent for DNV and ISO surveysResponsible for management and oversight of the hospital physician and APC peer review program including the provision of data and case review for OPPE and FPPE related processes.Oversees the hospital contract management program, including maintenance of a hospital log and overall evaluation.Responsible for the hospital document management program, including policies, procedures, scope of service, and other key site documents.Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.Education Required:
Bachelor's degree in healthcare, Nursing or related field.Years of Experience:
Typically requires 7 years' experience in quality improvement. Includes 3 years' experience in leadership role.Knowledge, Skills & Abilities Required:
Advanced knowledge of quality improvement methodologies (i.e. Lean, Six Sigma)Analytical and statistical skillsClinical knowledge of care processesProficiency with MS OfficeFacilitation skills; excellent verbal and written communication skillsProficiency with change managementProficiency with project managementPhysical Requirements and Working Conditions:
Ability to sit for extended periods of time.Ability to travel to other AAH locations.Exposed to normal office environment.Operates all equipment necessary to perform the duties of the job.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.