Director of Quality- Full-Time chez Mille Lacs Health System

Summary

Works with assigned senior leader and applicable provider lead to plan, direct, and coordinate the overall quality, utilization review, and infection prevention plans for the organization; including the collaboration and integration of active working committees and/or individual service areas. Oversees clinical education and education compliance for the organization.

Position collaborates with colleagues on leadership team to improve productivity, processes, and patient/resident/customer outcomes. Specifically coordinates patient satisfaction, peer review, and compliance management, to include potential legal action and maintenance of the organizations' electronic policy program.

The quality leader actively oversees and processes the collection of quality data, monitors variances from outcomes, and conducts key event analysis that will assist with process improvement. Provides leadership and organizational accountability for conditions of participation and follows all regulatory guidance related to quality, utilization review and infection prevention.

Job Duties

All duties are the essential functions of this job.

• People and Culture: Demonstrates leadership in employee human resource management, healthy and productive department work culture, and management of standards of performance and behavior. Create the vision for staff and the framework for services, promotes goal alignment, employee engagement and integration with the team, along with change and conflict management strategies and solutions. Is a good listener and follows through to positive outcomes desired.

• Quality: Demonstrates a priority for process management to align with positive patient outcomes and safety. Uses applicable process improvement tools and methods to continuously improve safety within department and across the organization. Continuously learning and modifying processes to grow self and the team, while developing stakeholders to align with change, strategic goals, and performance improvement initiatives. Will be responsible to collaboratively manage projects.

• Customer Service: Demonstrated passion for patient/resident centeredness with service. Aligns services, processes, and procedures to meet service excellence for patients/residents as well as internal and external customers, vendors, and payers. Manages service recovery as well as written and verbal communication from team towards all internal and external customers. Uses service framework in alignment with organizational directives.

• Growth and Facilities: Drives revenue increases and improves efficiency to reduce expenses. Uses systems thinking and collaboratively provides for and supports the marketing of the department and organization. Demonstrate knowledge, understanding, and compliance with all regulations set by external regulatory agencies and internal policies. Manages self and is flexible and able to quickly adapt to and lead change.

• Finance: Demonstrates the ability to plan, execute and monitor departmental financial functions. Prepares and manages budget, resources, and assets. Measures and monitors the success metrics for the assigned department.

• Community and Relationships: Demonstrate capacity of connecting with and serving the community and partners with the services of the organization both internally and externally. Supports the mission, vision and demonstrates the values of the organization. Builds trust and cultivates relationships both ethically and professionally. Communicates inclusively and collaboratively with all stakeholders.'

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Employee will comply with all Mille Lacs Health System (MLHS) policies, including safety policies, procedures, and rules. All will be expected to report unsafe conditions to a member of management.

Required Education and Experience

• Must have a bachelor's degree in nursing .

• Maintain RN licensure is the state of Minnesota

• Must have at least five years of healthcare leadership experience, critical access hospital system experienced preferred.

• Minimum of one year experience in a previous leadership or supervisory position.

Preferred Education and Experience

• Certification and maintenance of Certified Professionals in Healthcare Quality (CPHQ) or Certified Manager of Quality/Organizational Excellence (CMQ/OE) required

Additional Eligibility Qualifications

• Exception written and verbal communication skills

• Expertise with computer based data

• Customer/Client Focus

• Ethical Conduct

• Initiative

• Personal Effectiveness/Credibility

• Teamwork Orientation

• Technical Capacity

• Time Management

• Quality and Safety focused

Position Type/Expected Hours of Work

Exempt 40 hours per week and may require some flexibility.

Supervisory Responsibility

Direct manager to quality department personnel which may include licensed or non-licensed personnel.