Your future role at a glanceLocation: St John's, FL
Facility: Ascension St. Vincent's St. Johns Hospital
Department: Total Quality Management
Schedule: Days | Full-time | Monday - Friday | 8am - 5pm
How you'll make an impact in this role- Serve as the primary leader for all accreditation activities-orchestrating survey prep, on-site leadership, and post-survey action plans to ensure continuous organizational compliance.
- Develop and execute a comprehensive framework to meet external quality and safety standards, overseeing data management, outcomes reporting, and continuous process improvements.
- Aggregate and analyze key quality metrics to present actionable reports to leadership and conduct departmental audits that align with regulatory requirements.
- Lead cross-system communication to share regulatory updates, accreditation information, and quality outcomes, fostering a culture of shared best practices.
- Oversee departmental operations-including hiring, scheduling, payroll, and performance management-while cultivating high staff satisfaction and professional growth.
What minimum requirements you'll needLicensure / Certification / Registration:
- Quality Professional preferred.
- Risk Management preferred.
Education:
- High School diploma equivalency with 3 years of cumulative experience OR Associate'
degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required. - 3 years of leadership or management experience preferred.
What additional preferences we're seeking- Bachelor of Science in Nursing (BSN) strongly preferred, bringing a solid clinical foundation to our quality and safety operations.
- Proven Quality & Leadership Expertise with 3+ years of progressive healthcare experience. Preferred background in nursing management, performance improvement, clinical quality, or regulatory readiness.
Responsibilities- Serve as the primary leader for all accreditation activities-orchestrating survey prep, on-site leadership, and post-survey action plans to ensure continuous organizational compliance.
- Develop and execute a comprehensive framework to meet external quality and safety standards, overseeing data management, outcomes reporting, and continuous process improvements.
- Aggregate and analyze key quality metrics to present actionable reports to leadership and conduct departmental audits that align with regulatory requirements.
- Lead cross-system communication to share regulatory updates, accreditation information, and quality outcomes, fostering a culture of shared best practices.
- Oversee departmental operations-including hiring, scheduling, payroll, and performance management-while cultivating high staff satisfaction and professional growth.
QualificationsLicensure / Certification / Registration:
- Quality Professional preferred.
- Risk Management preferred.
Education:
- High School diploma equivalency with 3 years of cumulative experience OR Associate'
degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required. - 3 years of leadership or management experience preferred.
