Director of Quality Improvement, Strategic Resource and Support

Community Health Systems

$110K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Nursing or another clinical healthcare degree required; Master's degree preferred (MPH, MSN, or MBA).
  • Minimum 5 years of experience in Healthcare Quality, with at least 3 years in quality management or performance improvement in a multi-site environment.
  • Proven success in improving clinical outcomes and reducing patient harm or HAIs.
  • Certified Professional in Healthcare Quality (CPHQ) required or must be obtained within two years; Current RN licensure or other applicable clinical licensure required.
  • Proficiency in Google Workspace and troubleshooting quality/operational software.

Responsibilities

  • Lead corporate-wide projects focused on enhancing quality and clinical outcomes.
  • Operationalize system-wide initiatives and standardize practices across facilities.
  • Collaborate with senior leadership to implement processes preventing patient harm.
  • Analyze regional data to identify trends and prioritize improvement opportunities.
  • Lead efforts to standardize policies and procedures across the health system.
  • Support facilities in maintaining 'survey-ready' status and provide on-site audit assistance.
  • Recruit, mentor, and develop facility-level quality leaders and educational resources.

Benefits

  • Opportunities for professional growth and development.
  • Supportive work environment fostering quality improvement.
  • Access to company-wide educational programs and resources.
Full Job Description
Job Description

Job Summary

The Corporate Director of Quality Improvement (CDQI)-Strategic Resource/Support is a high-level leadership role dedicated to the company's mission through the strategic allocation of resources and the successful execution of clinical outcome strategies across the Enterprise. This position serves as a critical bridge between corporate leadership and facility-based teams, operationalizing system-wide initiatives and standardizing quality practices to reduce clinical variation and improve patient safety. The CDQI provides expertise, education, and direct support to CHS-affiliated organizations, regional leaders, and corporate departments to prioritize and achieve the organization's quality agenda.
Reporting Structure
  • Reports To: Senior Vice President, Quality
  • Direct Support: Provides direct support and guidance to facility-based quality leaders and staff.
  • Supervision: Responsible for the direct supervision of staff within the assigned area of responsibility.

Core Responsibilities

Operational Execution & Strategy
  • Lead corporate-wide projects aimed at improving quality and clinical outcomes, including publicly reported measures.
  • Operationalize system-wide initiatives and standardizing practices across multiple sites, including Ambulatory Surgery Centers.
  • Ensure proper planning, organization, and implementation of quality strategic initiatives.
  • Collaborate with senior leadership and service-line departments to implement processes that prevent patient harm.
Data Oversight & Public Reporting
  • Provide leadership collaboration for quality improvement efforts related to publicly reported data (e.g., CMS Programs, Leapfrog Hospital Survey, Leapfrog Safety Grade).
  • Analyze regional data to identify trends, prioritize improvement opportunities, and assess progress toward quality goals.
  • Utilize statistical and process improvement tools to interpret data and develop sound improvement plans.
Standardization & Policy Maintenance
  • Lead efforts to standardize policies, procedures, and products across the health system to reduce clinical variation.
  • Provide oversight for the development and maintenance of quality toolkits and evidence-based policies.
  • Ensure all policies reflect current evidence-based principles and regulatory standards.
Regulatory Readiness & Support
  • Support assigned facilities in maintaining "survey-ready" status.
  • Provide on-site support during regulatory audits and as needed by specific facilities.
  • Coordinate with internal support departments to achieve individual, hospital, and corporate goals.
Staff Development & Education
  • Recruit, orient, and mentor facility-level quality leaders to ensure consistent competency across the system.
  • Design and lead company-wide, regional, and facility education programs and resource materials.
  • Foster professional growth and help facility leaders develop core competencies in healthcare quality leadership.


Required Qualifications

Education
  • Required: Bachelor's degree in Nursing or another clinical healthcare degree.
  • Preferred: Master's degree (MPH, MSN, or MBA).
Experience
  • Minimum Total: 5 years of current experience in Healthcare Quality.
  • Management: At least 3 years of recent experience in quality management, performance improvement, or patient safety in a multi-site healthcare environment.
  • Demonstrated Success: Proven track record in improving clinical outcomes and reducing patient harm or HAIs.
Certificates and Licenses
  • Required: Certified Professional in Healthcare Quality (CPHQ), or obtain within two years
  • Required: Current RN licensure or other applicable clinical licensure.
Skills & Abilities
  • Technical: Proficiency in Google Workspace (Docs, Sheets, Slides, Meet) and the ability to troubleshoot quality/operational software.
  • Communication: Ability to communicate effectively with all levels of leadership and external vendors.
  • Project Management: Basic project management skills with the ability to lead multiple simultaneous initiatives.

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