Quality Officer-Accreditation & Regulatory Improvement

Job Purpose

Coordinates the development and implementation of facility-wide quality improvement programs, collaborates with all departments to ensure quality and safety priorities are implemented, and provides ongoing support to quality teams.

• Collaborate and partner with all departments and practices to ensure quality and safety priorities are implemented.
• Facilitate and suggest improvements based on hospital-wide performance measures or other issues requested by senior management.
• Contribute to the development of tools and resources to support the quality development program.
• Participate in departmental feedback meetings to provide solutions.
• Assist departments with project timelines and coordinate needed internal support.
• Identify quality improvement methodology and concepts to be followed in coordination with direction from management.
• Provide ongoing support to quality teams.
• Maintain quality management documents, case files, and correspondence in an organized, confidential, and secure manner.
• Facilitate committees and task forces related to quality improvement and ensure recommendations are carried out and evaluated.
• Coordinate the development and implementation of facility-wide policies and procedures guiding service provision under the guidance of the Manager.
• Liaise with accreditation bodies for implementation of programs.
• Follow reliable data collection, validation, and analysis processes to improve care delivery efficiency.
• Develop project timelines, coordinate and ensure timelines are met, and monitor action plan development and progress to close the loop.
• Ensure documents are in appropriate format with validated data.
• Escalate identified challenges to Manager/Senior Quality Officer.
• Implement quality and safety strategies and priorities.
• Ensure compliance with SSMC compliance guidelines and regulatory requirements.
• Maintain confidentiality in accordance with facility policy.

• Complying with policies, procedures, and practices of SSMC facilities and other regulatory requirements.
• Completing and maintaining regulatory requirements, including licensure, certification, and mandatory training within established time frames.

• Required:
  
  2-6 years of relevant experience.
• Desired:
  Experience in a large healthcare facility.

• Required:
  
  Bachelor's degree or equivalent in a relevant field such as quality, performance management, or clinical practice.
• Desired:
  Master's degree or equivalent in a relevant field.