This position is incentive eligible.
Salary Estimate: $102440.00 - $159827.20 / year
Learn more about the benefits offered for this job.
The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
Job Summary and Qualifications
POSITION SUMMARY: This position supports the mission of Presbyterian/St. Luke's Medical Center and Rocky Mountain Hospital for Children in optimizing the quality of life of all those served by expanding beyond the traditional focus on medical needs to the needs of the whole person. The Director of Quality is responsible to support the VP of Quality in advancing the organization's quality improvement goals and for creating and maintaining a culture of continual regulatory readiness. The Director of Quality will oversee hospital compliance as it pertains to regulatory and public reporting requirements, including but not limited to The Joint Commission, Center for Medicare and Medicaid Services, and Colorado Department of Public Health and Environment. Manages Quality programs and regulatory functions. Accountable for ongoing continuous survey readiness, mock surveys facilitation, regulatory rounding throughout the hospital, survey coordination, post survey follow up, and regulatory compliance with licensing and accreditation. Oversees the completion of various regulatory and quality survey submission requests. Interacts with senior management, multidisciplinary departments, and the medical staff as required to keep all adequately informed and educated on quality and regulatory issues. Assists in the management of policies and procedures. Participates in process improvement and change management initiatives related to quality, regulatory, and patient safety initiatives and goals. This role will also be active in patient care areas, observing practices, reviewing medical records and collaborating with management, front line staff and the medical staff when there are opportunities to improve the organization's compliance. Provides day to day personnel management of Quality Coordinator team. When need arises, performs other duties as assigned by supervisor.
II. Presbyterian/St. Luke's Medical Center and Rocky Mountain Hospital for Children expects our core values to be reflected in the way every employee interacts with co-workers, patients and family members, and with others in the community. The intent of these values is to assure that PSLMC/RMHC creates the environment where individuals choose to work, and that patient care services are of the highest quality.
III. Position Requirements:
A. Licensure/Certification/Registration: CPHQ or other Quality Certification highly desirable.
B. Education: Baccalaureate and graduate degree in a healthcare related field or management program required.
C. Experience: Minimum of three years progressive experience in healthcare quality management, including demonstrated management of individuals, teams, quality and regulatory compliance, i.e. TJC, CMS, and State Department of Health and Environment. Ability to analyze detailed reports, statistical data, and financial reports.
D. Knowledge/Skills/Abilities:
• Ability to design and develop performance measures
• Experience in providing data analysis, review, and action planning
• Experience in providing education and presentations to varied groups of individuals, including executive and medical staff
• Experience in core measure, complication and healthcare acquired condition review
• Experience with policy and procedure development
• Experience in facilitating PI teams using quality improvement methodology
• Ability to effectively communicate both verbally and writing with hospital, medical staff and regulatory bodies
• Proficient computer skills in Word, Excel, and Power Point
HCA HealthONE, one of the largest and most comprehensive healthcare systems in the Rocky Mountain region, offers more than 170 care sites in the Denver metro area. Offering services across the continuum of care to meet patients' total healthcare needs, HCA HealthONE includes seven acute care hospitals, a dedicated flagship pediatric hospital, a rehabilitation hospital, CareNow® urgent care clinics, mental health campuses, imaging and surgery centers, physician practices, home and hospice care, and AirLife Denver, which provides regional critical care air and ground transportation. Among HCA HealthONE's acute care hospitals is Presbyterian/St. Luke's (P/SL). P/SL has been meeting the healthcare needs of patients and their families from across the Rocky Mountain region for more than 140 years. Included on the P/SL campus is Rocky Mountain Children's, a dedicated pediatric hospital, making the campus the only tertiary/quaternary combined pediatric and adult hospital in this region. P/SL is home to an award-winning cancer program including the Colorado Blood Cancer Institute, a solid organ transplant program, and complex orthopedics. Consistently among the Denver Business Journals' list of top corporate philanthropists in the Denver-metro area, HCA HealthONE was named as one of the most community-minded organizations by The Civic 50 and contributed more than $1 million through cash and in-kind donations last year alone, along with more than $400M in federal, state and local taxes.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you're looking for a leadership opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as a(an) Director of Quality and Regulatory.Unlock your leadership potential with HCA Healthcare.
