Dir of Qual Mgmt - Acute Care

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Quality Management - Acute
Full Time
Day Shift
8-4:30p

* Eligible for relocation assistance*

Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bedteachinghospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinctionstatus for excellence in nursing care.

Consistently ranked as bestin the Columbia Metroarea by U.S. News & World Report, Lexington Health delivers more than 4,000babies each year, performs more than 34,000surgeries annually and isthe region's third largest employer.

Lexington Health also includes an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer’s care center.

Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.

The Director of Quality Management - Acute Care directs department activities, which includes quality data management and analysis, initiation of evidence based practices, identification of required education of clinical staff and leadership and oversight of compliance with regulatory standards (DNV, CMS, DHEC, Leapfrog). Responsible for planning, developing, maintaining and evaluating the hospital-wide quality management and infection prevention and control programs. Responsible for oversight of the acute hospital Clinical Documentation Improvement (CDI) program.

Collaborates with system-wide hospital leadership to ensure the quality improvement goals and metrics are aligned with the goals of the organization. Offers strategic direction and leadership to achieve quality excellence.

Minimum Education: Master's Degree in Nursing, Healthcare Admin, or Related Field
Minimum Years of Experience: 5 Years of quality and patient safety/performance improvement leadership or hospital management, in an acute care facility.
Substitutable Education & Experience: None.
Required Certifications/Licensure: Currently Licensed as a Registered Nurse (RN) by the State Board of Nursing for South Carolina;

Current CPHQ certification or received within 12 months of employment.
Required Training: Knowledgeable of regulatory and accrediting agencies' requirements, experience with Midas preferred

• Provides direction and supervision of quality and infection control team members, activities, systems, and services.
• Directly accountable for organizing and leading external regulatory surveys such as DNV, DHEC, CMS, and Leapfrog Safety reporting.
• Tracks performance relative to national benchmarks providing feedback/date to leadership and guidance toward effective performance improvement interventions.
• Contributes to teamwork and creates harmonious, effective and positive working relationships with others. Maintains confidentiality.
• Leads/supports multidisciplinary teams to prepare measures and related results to assign priority recommendations to executive leadership.
• Ensures a standardized communication process for strategy and engagement, as well as communication/collaboration across the continuum for each service line to identify process gaps which may affect quality outcomes. Shares evidence based practices across with multidisciplinary teams and medical staff committees.
• Outstanding leadership, communication, collaboration, and change management skills required as this role oversees organizational performance improvement as well as…