Director, Quality Management Job Listing at Montage Health in Monterey, CA (Job ID 72358783)

Description

Welcome to Montage Health's application process!

Job Description:

Under the leadership of a vice president, the department director carries out the strategy and vision for the assigned departments (including Quality Management, Medical Staff Services, Infection Prevention) that supports Community Hospital's strategic plan, quality commitment, and values while complying with hospital policies/procedures and applicable laws and standards.

The director is responsible and accountable for overall management of the assigned departments and service to include assessing, planning, implementing, and evaluating all aspects of care/services delivered; ensuring quality programs, patient safety, and a level of customer service that strives to exceed internal and external customer expectations.  

The director develops and mentors a high-performing team for all areas of responsibility through practice of excellent employee relations, attention to employee needs (including fostering effective working relationships training, developing/coaching and evaluating), performance improvement initiatives, a collaborative environment, and initiating personnel actions, when necessary, in accordance with Human Resource policies and organization philosophy. 

The director ensures financial viability by managing both applicable revenue and expenses with attention to cost management, productivity in assigned cost centers, and tactical execution of Lean concepts. 

The director establishes and maintains effective working relationships with medical staff, organizational leaders, and other departments and fosters a collaborative environment with department leadership and staff in order to achieve department goals.

In addition to the above, the Quality Management Director is responsible for regulatory and accreditation survey coordination throughout the organization, managing the medical staff office to coordinate credentialing and other activities for the hospital and the long term care facility, and managing the CME program for compliance with IMQ or other standards to maintain accreditation status. Acts as a liaison between the hospital and medical staff participating with medical staff and hospital leaders in planning, development, decision-making and administration of medical and professional staff activities in accordance with federal and state laws, Joint Commission requirements, medical staff bylaws and/or rules and regulations, and policies. Is authorized to request information on all performance improvement activities including those of the medical staff, allied health services and other clinical caregivers for the reporting of such information.

Experience

Five years of progressive quality management experience in an acute care hospital or health system. Preference given to those with clinical work experience (ex. nursing, pharmacy, laboratory). Must have thorough knowledge of patient care, healthcare systems, regulatory body inspection, and be able to implement processes that enhance quality.  Must have a demonstrated ability to facilitate change and work with the organized medical staff. Must have the analytical, customer service, and financial skills to measure the outcomes of performance improvement processes.

Preferred experience:

• implementing the rapid-cycle change model of quality improvement,
• integrating quality databases with operational IT systems,
• utilizing statistical process control and analytical statistics to measure small area variation,
• developing quality dashboards,
• developing physician profiles,
• implementing patient safety systems,
• implementing patient satisfaction systems,
• leading a successful TJC survey;
• managing credentialing/privileging systems (electronic or manual), and

coordinating CME programs for organized medical staff. 

Education

Master of Science in a health related field or business administration preferred.

Licensure/Certifications

Not applicable.  

Equal Opportunity Employer

#LI-AC1

Assigned Work Hours:

Full time (exempt)

Position Type: