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Detroit Medical Center · 1 day ago

RN Director Quality Assurance

Detroit, MI

Full-time

Onsite

Lead/Staff, Director/Executive

3+ years exp

Detroit Medical Center is seeking an innovative and experienced healthcare leader to drive excellence at the Rehabilitation Institute of Michigan. The RN Director of Quality Assurance will direct the Quality and Compliance Department, ensuring compliance with medical safety standards and leading efforts toward exceptional patient outcomes.

Health CareHospitalMedical

Responsibilities

Directs the Quality and Compliance Department for Rehabilitation Institute of Michigan (RIM)

Directs unexpected clinical event investigation and oversees recommendations/follow-through

Ensures compliance with internal and external standards and principles of medical safety and infection control

Responsible for on-going hospital readiness for accreditation

Responsible for leading the RIM employees and physicians on the journey to become a high reliable organization

Oversees policy, pathway, protocol, guideline and/or pre-printed order development/implementation and analyzes results of their use

Identifies the need for policy development and/or revision, defines policies in collaboration with higher level management input, goals and objectives

Oversees the development, implementation and/or revision of procedures/protocols in accordance with system-wide goals and objectives

Approves procedures/protocols and/or seeks other departmental approvals as appropriate

Develops, monitors and revises functional processes in accordance with goals and objectives

Provides input into the development and revision of organizational structure for area

Approves personnel actions such as hires, fires, disciplines, etc

Ensures the timely completion of performance appraisals

Develops current to intermediate goals and measures for area

Measures and assesses performance

As requested, assists in long-range goal development

Develops and monitors budget for area

Provides strategies to executive team to optimize reimbursement and ensure continued recognition as an inpatient rehabilitation hospital under Medicares Conditions of Participation

Collaborates with senior leadership to ensure documentation supports medical necessity for admission, appropriateness of continues stay, accuracy of FIM scores, and optimal CMG assignment/reimbursement

Collaborates with senior leadership to identify quality improvement and clinical resource management process improvement opportunities/priorities, develop quality/process improvement plans and implement appropriate interventions to improve clinical service outcomes of care and support achievement of system outcome standards

Monitors activities for and ensures compliance with laws and government regulations

Responsible for DMC policies, as well as Joint Commission coordination and follow-up

As directed, implements external and internal audit recommendations

Ensures hospital departments achieve objectives for diversity of their suppliers

Qualification

Registered Nurse LicenseHealthcare ManagementQuality AssuranceStatistical SoftwareProcess ImprovementLeadershipCollaborationCommunication

Required

Bachelors degree in Nursing

Licensed to practice as a Registered Nurse in the State of Michigan

Three to five years progressively more responsible experience in a related field

Three years progressively more responsible management experience in an acute care facility with at least one year of frequent involvement with senior management, physicians and outside patient care providers

Experience in the use of personal computers as well as knowledge of statistical or spreadsheet software tools

Preferred

Masters degree in a health-related field or the equivalent combination of education and/or experience

Benefits

Medical, dental, vision, and life insurance

401(k) retirement savings plan with employer match

Generous paid time off (PTO)

Career development and continuing education opportunities

Health savings accounts, healthcare C dependent flexible spending accounts

Employee Assistance program, Employee discount program

Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder C childcare, auto C home insurance.