Quality Director

Quality Director

At UW Health Rehabilitation Hospital, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.

What we offer :

Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers :

Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

Competitive Paid Time Off

Employee Assistance Program mental, physical, and financial wellness assistance

Tuition Reimbursement / Assistance for qualified applicants

And much more...

About Us

People are our passion and purpose. UW Health Rehabilitation Hospital is a 50 bed hospital located in Madison, WI and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestoneyour experience matters.

How you'll contribute :

The Quality Director assumes responsibility and accountability for the hospital-wide Continuous Quality and Performance Improvement program. The DQM will assist the CEO / leadership and Medical Staff to establish priorities for Performance Improvement. He / she ensures that disciplines in the hospital work collaboratively to plan and implement Performance Improvement activities. The DQM will focus on measuring, analyzing and trending information in order to improve outcomes. He / she will assure ongoing monitoring of performance to ensure that improvements are sustained. The DQM will direct compliance following federal and state regulations and accreditation standards and assist with compliance investigations as requested by the corporate compliance department.

Qualifications & Requirements :

Registered Nurse with current state licensure highly preferred.

Clinical license required.

Certification preferred by APIC (American Practitioners of Infection Control), and NAHCQ (National Association of Health Care Quality).

BSN or BS / BA required. Two years of experience in an acute hospital or rehabilitation setting required. Previous supervisory experience preferred.

Current Basic Life Support / CPR Card.

Demonstrated ability to plan, coordinate, and evaluate PI activities, effective oral and written communication skills and proficiency in basic computer skills required.

Working knowledge of staff development and the educational process, quality improvement, infection control / employee health, and safety / risk management standards.

Effective oral and written communication skills, in English with additional languages preferred; proficiency in basic computer skills required.

Essential Functions :

Provides leadership and oversight of a comprehensive, efficient and integrated organization wide Continuous Quality Performance Improvement program.

Measures and assesses performance through collection, analyses, and trending of data.

Focuses on processes and systems to improve performance.

Directs, facilitates, and reports on all aspects of services relating to risk management and patient safety.

Investigates factors contributing to adverse outcomes in order to improve processes and systems.

Encourages reporting on risk reduction strategies in an atmosphere which minimizes blame or retaliation. Fosters environment to reduce unanticipated adverse events and / or outcomes.

Responsible for education of Continuous Quality and Performance Improvement and additional hospital-wide education and training.

Directs the functions and operation of the hospital-wide continuous quality improvement program including review of records for indicators of quality; reports findings to leadership, Medical Executive Committee, the Board of Managers and other committees as appropriate.

Responsible for education of Continuous Quality and Performance Improvement to hospital and medical staff.

Annually reviews hospital wide plans for the functions of IC and CQPI and establishes goals and objectives for the next year.

Acts as a liaison to local health officials, coordinates inspections and accreditation reviews with state and other regulatory agencies.

Demonstrates knowledge of growth, development, and the aging process for the planning and delivery of age-appropriate care.

Other duties as assigned.

EEOC Statement :

UW Health Rehabilitation Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.