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Director - Performance Improvement

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Listing Info

Responsible for directing and managing hospital wide performance improvement activities including continued survey readiness. Will have complete oversight of the Performance Improvement program and will assumes a leadership role in accreditation and licensure activities. Work collaboratively with Administration and Leadership. Ensures execution and communication of Performance Improvement and Patient Safety activities occurs from the department level to Board of Trustees. Team facilitation and experience with accreditation (TJC / HFAP) standards and survey process preferred. Knowledge of local regulatory standards & OSHA regulations a plus.

Requirements

  • Bachelors Degree required, preferably in a healthcare related field.
  • Masters Degree preferred.
  • State RN licensure or a License in healthcare field preferred.
  • 4 - 5 years healthcare experience. 1-4 years quality improvement experience
  • Good computer skills.
  • Experience in reviewing charts for quality care issues. Detail oriented organizational skills. Must be able to handle multiple cases, directions and follow-through.
  • Good communication skills both verbally and written. Experience with Medical Staff communication
  • Coordination of internal departments and external entities to ensure compliance with company policies, and state/federal regulatory and accreditation standards.
  • Certified professional in healthcare quality preferred.
  • Must obtain Sexual Harassment certification within 6 months, and then maintain biennially.

    Roxborough Memorial Hospital is a 137-bed community hospital. The hospital has been serving the medical and health care needs of the Roxborough, Manayunk, East Falls and northwest section of Philadelphia communities for more than a century, having first opened its doors in 1890. Roxborough Memorial Hospitals School of Nursing has been educating nurses since 1898. The hospital is accredited by the Joint Commission on the Accreditation of Healthcare Organizations, the nations oldest and largest hospital accreditation agency.


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