This job is responsible for developing, managing, and integrating a comprehensive, system quality and performance improvement program. Collaborates with executive system quality leaders, service line leaders, and division quality leaders to identify, analyze, and trend key performance indicators to implement successful solutions. Additionally, manages system documentation effectiveness program that engages HIM, IS, quality, and physician leaders in improvement strategies associated with accurate clinical documentation. Assures accurate data, timely analysis, and addresses the application of reported data to support performance improvement and project management activities. The Director independently makes decisions that could seriously affect overall and strategic results. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Education Required - Bachelor's degree in Nursing, Public Health, Business Administration, or related fields. Preferred - Master's degree in Nursing, Public Health, Business Administration, or related fields. Work Experience Required - 10 years' experience in healthcare leadership; Experience with healthcare quality, relational databases, and systems analysis; Experience with robust process improvement; Experience with documentation effectiveness tools (Crimson, Truven, 3M, Tableau, Vizient CDB) and analysis of ICD-10-CM data relating to externally reported quality methodologies including AHRQ PSI and CMS HAC. Certifications Preferred - Active Certified Professional in Healthcare Quality (CPHQ) certification. Knowledge Skills and Abilities (KSAs) 3 Effective verbal and written communication skills and the ability to present information clearly and professionally. 3 Strong interpersonal and conflict resolution skills. 3 Proficiency in using computers, software, and web-based applications. 3 Analytical skills and ability to use a logical process to formulate practical solutions. 3 Strong decision-making, delegation, and leadership skills and the ability to demonstrate good judgement. 3 Excellent time management skills and self-direction. 3 Maintains and enhances professional competency. Job Duties 3 Develops, manages, and integrates a comprehensive, system quality and performance improvement program that supports system quality strategic initiatives. 3 Manages and continuously evaluates improvement of key performance indicators. 3 Monitors progress on strategic plans and recommends updates to senior executive quality leaders. 3 Serves as a system quality and performance improvement partner to service line leaders and division quality leaders. 3 Manages documentation effectiveness program that engages HIM, IS, quality, and physician leaders in improvement strategies associated with clinical documentation. 3 Develops personnel and workforce. 3 Participates in long strategic planning that supports the company mission. 3 Performs other related duties as assigned. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent has no occupational risk for exposure to communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. 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