Tennova Healthcare- LaFollette Medical Center ยท 22 hours ago
Director of Quality
Tennova Healthcare- LaFollette Medical Center is seeking a Director of Quality to develop, implement, and oversee quality improvement and patient safety programs. This role ensures compliance with regulatory standards and collaborates with hospital leadership to promote a culture of continuous improvement and high-quality patient-centered care.
Emergency MedicineHealth CareHealth DiagnosticsOncologyRehabilitation
Responsibilities
Develops and oversees quality and performance improvement initiatives to meet regulatory standards and improve patient care outcomes
Monitors quality metrics and performance data, analyzing trends and identifying areas for improvement across clinical and operational areas
Leads and supports teams in conducting root cause analyses, Failure Modes and Effects Analysis (FMEA), and other quality methodologies
Collaborates with department leaders to develop action plans, track progress, and achieve performance targets related to quality and patient safety
Facilitates training and education programs for staff on quality improvement practices, patient safety standards, and regulatory requirements
Ensures compliance with The Joint Commission, Centers for Medicare & Medicaid Services (CMS), and other accrediting and regulatory agencies
Prepares and presents quality and performance reports to hospital administration, committees, and the Governing Board to support informed decision-making
Performs other duties as assigned
Maintains regular and reliable attendance
Complies with all policies and standards
Provides leadership, mentorship and professional development opportunities for departmental staff
Schedules employees to ensure effective use of resources. Consults with leadership on any potential staffing issues
Conducts performance evaluations, sets goals and provides feedback to staff on their performance and development
Collaborates with hospital leadership to set the strategic direction for the department, including budgeting, resource allocation and long-term planning
Monitors expenditures, ensuring cost-effective delivery of services
Evaluates and implements new technologies to enhance operational efficiency
Develops and implements departmental policies and procedures and protocols to optimize quality and overall efficiencies
Ensures compliance with all relevant regulatory bodies. May oversee the accreditation process with relevant agencies ensuring that services meet or exceed industry standards
Participates in audits, inspections and accreditation processes as applicable
Follows established quality control practices to ensure accuracy, consistency and safety
Works closely with leadership teams to coordinate and improve service delivery
Stays up-to-date with industry advancements, new technologies, and regulatory changes
May work in a staff role, when required. Ensures that duties and responsibilities are fulfilled while meeting all competencies established for that job
Qualification
Required
Bachelor's Degree in relevant field required or
Seven (7) plus years of direct experience in lieu of a Bachelor's degree required
3-5 years of experience in closely related field with Bachelor's degree required
Strong leadership, organizational, and communication skills
Ability to collaborate with interdisciplinary teams and manage cross-functional relationships
Foster a positive work environment that promotes teamwork, professionalism, and continuous improvement
Communicate effectively with leadership, team members, and stakeholders
Ability to work effectively with others, delegate responsibilities, and independently manage tasks while meeting established deadlines
Problem-solving and critical thinking skills
In depth knowledge of industry best practices and regulatory compliance (if applicable)
Strong organizational and time management skills
Proficiency with Google and Microsoft platforms, healthcare software systems, and data analysis tools
Preferred
Master's Degree preferred
3-5 years of previous leadership experience preferred
CPHQ - Certified Professional in Healthcare Quality preferred
CPHRM - Certified Professional in Healthcare Risk Management preferred
Benefits
Medical, Dental, Vision, & Life Insurance
Generous Paid Time Off (PTO) & Extended Illness Bank (EIB)
Matching 401(k)
Opportunities for Career Advancement
Rewards and Recognition Programs
Additional Discounts and Perks