Director, Quality Resource Services

Job Title: Director

Location: RWJUH Rahway Hospital

Department Name: Quality Resource Services

Req #: 0000231125

Status: Salaried

Shift: Day

Pay Range: $96,350.00 - $135,000.00 per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview:

The Director is responsible for the management and supervision of hospital measures of Regulatory Compliance, Publicly Reported Metrics, Quality and Process Improvement and Patient Safety. Ensures completion of required regulatory quality reporting and provides hospital leadership an analysis of opportunities to improve those metrics, including Patient Safety Indicators (PSI’s) and Hospital Acquired Conditions (HAC’s). Coordinates oversight of medical staff peer review/improvement. Provides oversight of nursing quality assessment/improvement programs. Works collaboratively with management team members to support their analysis and improvement strategies. Ensures PIC reports are meaningful, include appropriate data analysis and address opportunities for improvement.

Qualifications:

Required:

• Bachelor's Degree
• 3 years experience in an acute care setting
• Demonstrates team building and collaborative practice behaviors
• Demonstrates understanding of performance improvement and quality outcomes management

Preferred:

• Master's degree
• Certification as Professional in Healthcare Quality (CPHQ) and Certified Professional in Patient Safety (CPPS)
• Quality Improvement experience

Essential Functions:

• Leads Performance Improvement

  • Utilizes principles of CQI in all work situations
  • Provides education to clinical and ancillary staff within the organization to help achieve department and hospital goals
  • Seeks feedback and recommendations from others to improve the quality, processes and services
  • Participates in multidisciplinary task forces to plan, implement, and evaluate process changes designed to improve compliance with publicly reported metrics
• Coordinates Patient Safety Activities
  • Oversees Quality coordinators in developing agendas and documents for medical staff peer review committees
  • Prepares agendas and documents for assigned medical staff peer review committees
  • Participates in and oversees fact finding, high-risk occurrence, or sentinel event meetings
  • Provides oversight of daily reviews of patient safety events and coordination of follow up
  • Prepares or oversees root cause analysis documents for submission to regulatory agencies
  • Implementation of Organizational Development initiatives as part of the High Reliability journey
• Provides Hospital Leadership
  • Participates in organizational meetings; functions as a key Quality member and communicates as appropriate within the Quality department
  • Plans, implements, and evaluates performance improvement activities for a variety of clinical, ancillary, and administrative departments
  • Participates in or leads performance improvement teams as requested
  • Participates in employee orientation program
  • Develops strong relationships with managers, department heads, and administration
  • Provides input in policies and procedures to support operational outcomes and organizational goals
  • Represent the hospital in RWJBH Quality system meetings
• Manages Publicly Reported Data
  • Analyzes CMS National Quality Measure reports to identify trends and issues
  • Reviews Quality Measure reports and communicates information to stakeholders

• Leads Regulatory Compliance Efforts

  • Identifies changes in regulatory requirements; communicates changes to appropriate customers in a timely manner
  • Prepares for regulatory surveys in collaboration with Quality staff and other departments
  • Leads hospital-wide regulatory surveys including Joint Commission and NJ Department of Health and participates in other surveys as needed

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-classwork experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.