Description

This position is incentive eligible.

Introduction

Are you ready to manage in a new era as a Quality Director where building a healthier tomorrow is more than a job? Our Parkridge Medical Center team is committed to partnership, innovation, legacy and improving more lives in more ways. Share your resume today.

Benefits

Parkridge Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

• Free counseling services and resources for emotional, physical and financial wellbeing

• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

• Employee Stock Purchase Plan with 10% off HCA Healthcare stock

• Family support through fertility and family building benefits with Progyny and adoption assistance.

• Referral services for child, elder and pet care, home and auto repair, event planning and more

• Consumer discounts through Abenity and Consumer Discounts

• Retirement readiness, rollover assistance services and preferred banking partnerships

• Education assistance (tuition, student loan, certification support, dependent scholarships)

• Colleague recognition program

• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

Our teams are dedicated to improving human life. Each year about five percent of all U.S. hospital services happen at an HCA Healthcare facility. Be an impact as a Quality Director where your passion for leading and creativity are valued? We want your knowledge and expertise!

Job Summary and Qualifications

What you will do in this role:

• You will provide administration and oversight of all activities concerning the achievement of continuous regulatory and survey readiness. Ensure strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations.

• Your role directs strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations, along with safety policies and procedures and professional standards of the organization.

• You will assist in the establishment of operational performance measurements and the monitoring of trends in key performance indicators to evaluate effectiveness, reliability, and efficiency.

• You will maintain knowledge of current accreditation and regulatory trends, guidance, standards, and requirements to ensure facility survey readiness and compliance.

• You will establish and maintain proactive system for continual survey readiness with key stakeholders and department leaders. Manage the system’s tracer process and audits where appropriate. Recommend monitoring activities and determines effectiveness of interventions to meet desired outcomes.

• Your role develops and leads CMS, TJC, and state hospital licensure regulatory and quality compliance plan for the organization.

• You will monitor the organization’s survey readiness activities for compliance.

• You will identify opportunities and notifies appropriate leaders of necessary changes.

• You will serve as an internal resource to address and resolve any accreditation questions or issues.

• Your role coaches others in the development of accreditation improvement capabilities.

• You will identify areas of improvement for the organization based on the information that flows through this position, working with others in the organization to encourage improvement.

• Your role demonstrates knowledge and application of TJC standards and elements of performance, CMS Conditions of Participation, and state hospital licensure requirements.

• Your role oversees activities related to safety regulations, ensuring that all TJC, CMS, and state guidelines for the physical Environment of Care standards at the facility remain compliant.

• You will prepare and distribute accurate and timely reports on quality and survey monitoring efforts regarding regulatory requirements and standards.

• You will manage post-survey activities. Work with key stakeholders to identify and address areas of non-compliance and to develop, submit, and implement plans of correction. Oversee post-survey compliance activities to ensure successful implementation of process changes. Monitor re-evaluation results to ensure performance improvement.

• You will develop and maintain strong, collaborative relationships with other key stakeholders, including infection prevention, nursing, patient safety, facilities, etc.

• You will practice and adhere to the “Code of Conduct” and “Mission and Value Statement.”

What qualifications you will need:

• Currently licensed as a registered nurse or health professional in the state(s) of practice and/or has an active compact license, in accordance with law and regulation Preferred

• Certified Professional in Healthcare Quality (CPHQ) within 12 months of hire date OR Certification in Healthcare Quality Management (CHCQM) within 12 months of hire date

• Healthcare Accreditation Certification Program (HACP)

• 1+ years of technical and managerial experience in accreditation required

Parkridge Medical Center is a 270+ bed hospital. We are near downtown Chattanooga. We feature comprehensive diagnostic, medical, and surgical services. These services include cardiovascular surgery and cancer treatment. These services include intensive care, orthopedic and spine surgery, and rehabilitation. The facility includes a state of the art neurosurgery program. Patients also have access to OB-GYN services. Patients have access to a level III Neonatal Intensive Care Unit. They also have access to (NICU) and behavioral health treatment centers for children and adults.

"Across HCA Healthcare’s more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare.

Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN

Senior Vice President and Chief Nursing Executive

If this is the kind of dynamic growth opportunity that compels you, apply for the Quality Director role. We are interviewing apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.