Quality Director
Green Oaks Behavioral Healthcare Service - Dallas - Dallas, TX

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PRINCIPLE JOB FUNCTIONS :
· Oversees the hospital wide performance improvement including patient safety initiatives by facilitating the Plan Do Check Act (PDCA)process
      Responsible for regulatory compliance: maintaining standards and instituting new measures
      · Collaborates with other health care providers in assessing, planning, implementing, and evaluating performance improvement programs and clinical outcomes.
      · Participates in peer review and other means of evaluation to assure quality of patient care delivery including the PI process
      · Responsible for coordinating ORYX indicators: submitting information, analyzing and sharing results to appropriate management staff.
      · Manifests problem solving abilities and decisive leadership, utilizing innovative thinking and approaches
      · Responsible for physician PI and peer review
      · Networks with peers and colleagues both within the organization and in the community
      · Responsible for overseeing the privilege and credentialing process for physicians and allied health members
      · Oversees and participates in Medical Executive Committees, including minutes and record keeping
      · Adheres to hospital policies and procedures.
      · Conduct reinforces the Company’s values and promote the Code of Conduct
      · Meets his or her leadership obligations under the Ethics and Compliance Program
      · Performs other duties as requested or required.

      Qualifications
      QUALIFICATIONS :

      * Graduate of an accredited school of Professional Nursing. *Current licensure as a Registered Nurse with the Board of Nurse Examiners for the State of Texas.
      * BSN required, MSN preferred.
      *Four years of progressively responsible experience in quality improvement related areas. Prefer experience with The Joint Commission (TJC) surveys, TDH and CMS.

      HCA Inc - 15 months ago - save job - block
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