Oversees the Quality Coordinators, including assignments, scheduling, and performance reviews. Assesses collected data to identify areas needing improvement, assists in developing corrective action plans, and monitors results. Ensures accurate abstraction of focus metrics and core measure data through validation of concurrent and closed record reviews, and direct observation. Collaborates with hospital and medical staff leadership to identify needs affecting the Quality Management System. Oversees the implementation of corrective actions and evaluates their effectiveness and sustainability, ensuring closure within defined timeframes. Participates in departmental and organizational meetings for survey readiness. Prepares departmental reports, studies, and audits as needed. Other duties as assigned. Provides feedback regarding data collected and outcomes to hospital leadership, medical staff, and others as applicable. Maintains up-to-date, accurate documentation of QM Department tasks and projects to ensure integration of information for quality care and improved patient outcomes/safety. Develops, coordinates, implements, maintains, and oversees the quality metric education program for Quality Coordinators and other staff by disseminating knowledge of quality assurance best practices. Oversees the dissemination of QM Program additions/updates to hospital staff and physicians in conjunction with department leaders and the staff development department. Ensures documentation meets standards for reimbursement in relation to Leapfrog, CMS guidelines, and the Value-Based Purchasing Program. Knowledge, Skills, and Abilities: Demonstrates strong professional, organizational, and interpersonal skills required for effective and creative leadership in working with all levels of the organization including physicians, committees, senior management, and trustees, as well as patients and their families. [Required] Ability to lead, support, and build on current efforts of the Quality Management Systems and various other departments. [Required] Ability to communicate effectively with outside agencies, third party payers, and regulators. [Required] Possess strong analytical, quantitative and problem-solving skills. [Required] Foster team environment by overseeing and validating orientation and training to new team members; Effective oral and communication skills. [Required] Ability to interact with everyone in a considerate, helpful, and courteous manner. [Required] Expresses appreciation to others for their work and treats others with respect. [Required] Handle frequent interruptions; adapt to changes in workload and work schedule; establish priorities. [Required] Proficient use of Microsoft Excel, PowerPoint, Word and computer operations. [Required] Possesses extensive working knowledge of unit operations, patient care policies/procedures, and methods for obtaining and analyzing patient care data relevant to Performance Improvement. [Required] Data graphing and data collection experience. [Required] Ability to organize manage multiple projects simultaneously. [Required] Ability to work and perform duties with minimum amount of supervision. [Required] Accountable for the appropriate utilization of supplies and equipment. [Required] Demonstrates initiative, flexibility, integrity, and diplomacy. [Required] Ability to work with data that is of sensitive and confidential nature. [Required] Working knowledge of Federal, State, and Regulatory requirements in quality assessment performance improvement, resource management, hospital systems, accreditation, and licensure [Preferred] Education: Associate'sof Nursing[Required] Bachelor's of Nursing [Preferred] Field of Study: Work Experience: 3 experience [Required] 3 lead nurse position or similar role in acute care setting; [Required] Additional Information: N/ A Licenses and Certifications: Registered Nurse (RN)[Required] Certified Professional in Healthcare Quality (CPHQ) [Preferred]Physical Requirements: (Please click the link below to view work requirements)Physical Requirements - km 2677 Pay Range:$68,132.50 - $119,520.35