The Director of Quality/Performance Improvement provides leadership and assumes ultimate accountability for the development, implementation and coordination of hospital wide clinical and operational quality improvement programs while focusing on measuring, analyzing and trending information in order to improve outcomes. Ensures compliance with all regulatory guidelines, accreditation standards and monitors quality improvement programs throughout the organization. Formulates strategies for improvement of quality and safety and monitors outcomes. The Director will work closely with the hospital and Medical Staff, and communicates to Quality and Safety Committee, Executive Team, Medical Executive Committee and Board of Directors; also responsible for overseeing the Infection surveillance and prevention with the Infection Control Practitioner.

The successful candidate will be able to:

• Oversees the Hospital wide Performance Improvement/Quality Plan. Manages the process for Core Measure abstraction and improvement.
• Leads the Joint Commission effort for the organization.
• Oversees the development of electronic submissions to ensure measurement results are accurately prepared and submitted electronically.
• Work with the other HRH Hospital Directors of Quality/PI to create an integrated, system-wide Quality program. 
• Coordinates the development of educational programs to orient hospital staff to quality measurement goals and objectives, including key components of Performance Improvement and Patient Safety initiatives.
• Promotes a strong commitment to quality healthcare, patient satisfaction, education, and research in alignment with the hospital's mission and goals.
• Ensures staff are properly trained and regularly evaluated on their understanding of, and adherence to, job-specific compliance policies and procedures
• Oversees the integration of chart abstraction and data analytics to support quality measurement and performance improvement initiatives.
• Designs, implements, and oversees a formal data collection system to deliver comprehensive statistical reports to clinical and hospital departments.
• Perform any and all duties as assigned

Full Time * Day Shift

What We Offer

• Competitive compensation based on experience and qualifications: When determining the compensation, several factors may be considered including, years of relevant experience, credentials, union contracts, education, and internal equity.
• Comprehensive health, dental, and vision insurance
• 401K, Retirement savings plan with employer contribution
• Generous Paid Time Off (PTO) and paid holidays
• Tuition Reimbursement
• Opportunities for professional growth, development, and continuing education
• Employee wellness programs and resources

Influenza Vaccinations are a requirement for employment. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date, during the influenza season, if you are offered employment, unless you request and receive an approved medical exemption.

We are an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.

• Bachelor’s in Nursing or Bachelor’s Degree in related field required, Master’s Degree preferred
• Current New Jersey Registered Nurse license required.
• 5+ years of Performance Improvement experience in an acute care/hospital setting with demonstrated ability to direct and implement major processes in PI.
• Demonstrated analytical and financial skills to measure current processes and outcomes of quality improvement process.
• Knowledge of Core Indicator’s along with Joint Commission and DOH regulations.
• Comprehensive knowledge of patient care and hospital systems.
• Certified Professional in Healthcare Quality (CPHQ) credential preferred.
• Excellent interpersonal and written communication skills with a demonstrated ability to orally relate complex information in a reliable fashion to both leadership and governance as well as general staff members and the medical staff.
• Must demonstrate a strong orientation to customer satisfaction, effective teamwork, problem solving and utilize small group dynamics in conflict management.
• Strong background in statistical process control and/or other quality improvement and measurement techniques necessary. Computer literacy required.