Director, Quality

Job Info

Director of Quality Management (DQM), Rehabilitation

People are our passion and purpose.

Come work where you are appreciated for who you are not just what you can do. MercyOne Clive Rehabilitation Hospital is a state-of-the-art, 50-bed inpatient acute rehabilitation hospital dedicated to the treatment and recovery of individuals who have experienced the debilitating effects of a severe injury or illness. Our rehabilitation programs provide ongoing care and specialized treatment to patients throughout their recovery journey. We offer customized, individualized rehabilitation tailored to the specific needs of those recovering from a stroke, brain injury, neurological conditions, trauma, spinal cord injury, amputation, and orthopedic injury. We strive to maximize the health, function, and quality of life of those we serve through comprehensive physical medicine and rehabilitation programs.

Where We Are:

Clive, Iowa is a thriving suburb of Des Moines, known for its upscale residential areas, well-maintained landscapes, and convenient location. It serves as a central hub for the western Des Moines suburbs, situated between Urbandale, Waukee, and West Des Moines. Clive offers a blend of urban convenience and peaceful suburban living, with attractions like the Greenbelt Park and trail system, the Clive Aquatic Center, and various community events

Why Choose Us:

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

• Competitive Paid Time Off / Extended Illness Bank package for full-time employees

• Employee Assistance Program - mental, physical, and financial wellness assistance

• Tuition Reimbursement/Assistance for qualified applicants

• And much more

Position Summary:

Leads and oversees a comprehensive, efficient, and integrated hospital-wide Continuous Quality and Performance Improvement (CQPI) program. Uses data collection, analysis, and trending to assess performance; focuses on process and systems improvement; directs risk management and patient safety activities; investigates adverse outcomes; coordinates regulatory/accreditation readiness; and educates staff on CQPI and related quality programs.

Essential Functions:

• Provide leadership and oversight of the organization-wide CQPI program.
• Measure and assess performance by collecting, analyzing, and trending data to identify opportunities for improvement.
• Focus on improving processes and systems to drive clinical quality, safety, and operational performance.
• Direct, facilitate, and report on all aspects of risk management and patient safety.
• Investigate factors contributing to adverse outcomes and drive process/system changes.
• Direct the hospital-wide CQPI operations, including record reviews for quality indicators and reporting findings to leadership, Medical Executive Committee, Board of Managers, and other committees.
• Annually review hospital-wide plans for Infection Control (IC) and CQPI; establish goals and objectives for the coming year.
• Serve as liaison to local health officials; coordinate inspections and accreditation reviews with state and other regulatory agencies.
• Perform other duties as assigned.

Develops and delivers hospital-wide CQPI education and training. Prepares quality/patient safety reports and dashboards for leaders and committees. Partners with clinical and non-clinical departments to sustain improvements and ensure compliance with applicable standards.

Licensure: Registered Nurse with current state licensure highly preferred; clinical license required.

Education: BSN or BS/BA required.

Experience: Minimum two (2) years in an acute hospital or rehabilitation setting required; prior supervisory experience preferred.

Certifications: Basic Life Support (BLS/CPR) required; certification preferred by APIC (American Practitioners of Infection Control) and NAHCQ (National Association of Health Care Quality).

Skills: Data analysis and reporting; CQPI methodologies (e.g., RCA, FMEA, PDSA); risk management and patient safety facilitation; regulatory/accreditation readiness; effective teaching, communication, and collaboration.

EEOC Statement:

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Posting Date: 2025-09-09T16:10:26 00:00

Job Schedule: Full time

Locations: 1401 Campus Dr Clive IA 50325