8:00 AM - 4:30 PM, MONDAY - FRIDAY
FULL TIME BENEFITED
The Director of Patient Safety & Quality demonstrates excellent
customer service performance in that his/her attitude and actions
are at all times consistent with the standards contained in the
Vision, Mission and Values of Covenant HealthCare and the
commitment to Extraordinary Care for Every Generation.
This Director reports to the Chief Transformation Officer and is
responsible for leading all areas of Patient Safety and Quality
across the care continuum including the High Reliability
Organization (HRO) Culture of Safety and promotes the Safety
Leadership Behaviors. This individual is responsible for developing
strategy, directing personnel, operations, and financial activities
of the department. This Director ensures the development of goals,
objectives, policies and procedures, and budgets in accordance with
hospital, governmental, and licensing requirements. This individual
directs, implements, and ensures compliance with the highest
standards of practice. This individual is accountable for
achievement of continuous performance improvement and patient
satisfaction goals. This Director is responsible for continuous
achievement of hospital accreditation
Mentors subordinates for personal growth and development as well
as future positions in Covenant HealthCare.
Builds effective working relationships with management,
physicians, staff and other partners, and fosters a spirit of
teamwork in areas of responsibility within Covenant. Actively
supports the achievement of Patient Safety and Quality goals
throughout the organization.
Prepares departmental operating budgets and manages their
financial performance, projects volume/activity, manages net income
and controls expenses.
Provides ongoing reassessment of departmental cost effectiveness
Analyzes and reports financial information and incorporates
information into decision making.
Analyzes historical, current, and benchmark data to project
impact of CMS and payer-specific penalty and incentive programs.
Incorporates analysis into priority action plans, e.g. LOS,
Readmissions, Patient Safety, Complications, etc.
Adopts prudent financial practices such as inventory control,
cost ratio's, and cost benefit analysis.
Develops major equipment and project five year forecasts,
capital budgets, and pro-forma statements.
Effectively manages human resources (i.e., hiring, motivating,
communicating, coaching, appraising, disciplining), while adhering
to policies, standards, and pertinent regulations.
Evaluates and identifies opportunities, and drives improvements
to organization, hospital departments, and providers to reduce
variation and improve processes, impacting achievement of financial
and clinical process and outcome goals; e.g. LOS, Readmissions,
Mortality, Infections, etc.
Collaboratively formulates departmental and organizational
targets and goals, and creatively provides the leadership to
Demonstrates the ability and understanding of data and business
analytics, including the ability to design and collect data, use
business analytics tools, predictive analytics and
forecasting/modeling tools to drive performance and continuous
improvement. Shows the ability to effectively communicate data with
both management, staff, physicians, and outside agencies
Achieve planned results for productivity and quality in
accordance with Strategic Plan, Quality Improvement Priorities, and
Departmental Goals. Collaborates with Leadership to develop these
Measures and reports quality monitoring data, establishes and
leads performance improvement teams, develops and implements action
plans to address deficiencies, and incorporates best practice
benchmarks into target goal setting.
Works collaboratively and influentially across departmental
boundaries to accomplish work. Plans, develops, leads, facilitates
and coordinates projects and programs in accordance with strategic
plan and priorities to improve process and outcome of care, reduce
errors impacting patient safety, improve efficacy and efficiency of
care (LOS, Readmissions), reduce variation (system, process, and
provider), and promote coordination across continuum of care
(internal and external to hospital)
Adopt a strategic attitude towards departmental portfolio,
proactively plan for the future and is aware of opportunities and
potential advantages for reorganizing/restructuring, acquisition,
service expansion and/or contracting.
Promotes marketing opportunities for business units.
Establishes and maintains collaborative relationships with
medical staff to foster enhanced patient care.
Actively participates in projects and enhances relationships to
improve quality, safety, and continuity of care, e.g. providers,
ECF, home care, payers, hospitals
Serves as a liaison with CMU Residency Program for Clinical
Learning Environment Review (CLER) Program. Provides oversight,
access, and documentation of resident engagement in patient safety,
quality improvement, and transitions of care.
Ensures compliance to standards through ongoing measurement and
monitoring regularly with developmental action plans to improve
Assures organizational and departmental knowledge and compliance
with applicable laws and regulatory agency requirements; e.g. CMS
Conditions of Participation, CMS IPPS and OPPS, HFAP standards
Bachelor Degree in Business/Management, Nursing, or related
Master Degree (e.g. MSN, MBA, MSA, MPH) or willingness to obtain
within 3 years of date of hire
Certified Professional in Healthcare Quality (CPHQ) or
willingness to obtain within 1 year
LEAN or similar Process Improvement certification
Project management Certification
Demonstrates Leadership Skills
Ability to communicate effectively through verbal, written, and
presentation skills with both individuals, and small and large
Demonstrated achievement in a healthcare managerial/executive
leadership position of at least 3-5 years
Demonstrated ability to plan, organize, and lead across the care
Experience in developing and implementing innovative care
Demonstrates ability to establish and maintain effective
interpersonal relationships and communication
Demonstrates ability to accept and implement change.
Demonstrates ability for problem solving
Strong organization skills with the ability to work
independently and take initiative as well as lead and empower
WORKING CONDITIONS/PHYSICAL DEMANDS
Ability to maintain regular, punctual attendance consistent with
the ADA, FMLA and other federal, state and local standards
Constant Hearing, Visual Accommondation and Color Vision.
Frequent lifting up to 10 lbs
Frequent Standing, Walking, Sitting, Reaching, Handling,
Talking, Near Vision, Midrange Vision, Far Vision, Depth Perception
and Field of Vision.
Occasion lifting up to 25lbs
Occasional Lifting, Carrying, Pushing, Pulling, Climbing,
Balancing, Stooping, Kneeling, Crouching, Squatting, Crawling,
Twisting, Fingering, Feeling, Tasting/Smelling.
NOTICE REGARDING LATEX SENSITIVITY IN APPLICANTS FOR
It has been determined that Covenant HealthCare cannot provide a
latex safe or latex free work environment at any of its facilities.
Unfortunately, that means that any individual, including an
applicant or an employee, is likely to be exposed to latex while on
Covenant's premises. Therefore, latex tolerance is considered to be
an essential function for any position with Covenant.