Director of Quality Job Burlington area,Wisconsin USA,Business

Directs, organizes, and plans the site clinical and administrative functions of the ISO
9001 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 surveys
Responsible 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.

Major Responsibilities

Directs, organizes, and plans the site clinical and administrative functions of the ISO
9001 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 surveys
Responsible 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.

Licensure, Registration And/or Certification Required

None Required.

Education Required

Bachelor’s degree in healthcare or related field.
Master's degree preferred.

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…