About the position
HCA Healthcare is one of the nation's leading providers of healthcare services, comprising over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a Director of Quality and Risk Management for our HCA HealthONE Rose team where excellence creates excellence. The Director of Quality will oversee hospital compliance as it pertains to regulatory requirements and public reporting, including but not limited to The Joint Commission, Center for Medicare and Medicaid Services, and Colorado Department of Public Health and Environment. Manages Quality programs and regulatory functions. Serves as the Leader of the Regulatory Readiness Committee. Accountable for ongoing continuous survey readiness, mock surveys facilitation, regulatory rounding throughout the hospital, survey coordination, post survey follow up, and regulatory compliance with licensing and accreditation. Oversees the completion of various regulatory and quality survey submission requests. Interacts with senior management, multidisciplinary departments, and the medical staff as required to keep all adequately informed and educated on regulatory issues. Assists in the management of policies and procedures. Participates in process improvement related to quality and regulatory standards which may include patient and facility safety initiatives. When need arises, performs other duties as assigned by supervisor.
Responsibilities
- Oversee hospital compliance with regulatory requirements and public reporting.
- Manage Quality programs and regulatory functions.
- Serve as the Leader of the Regulatory Readiness Committee.
- Ensure ongoing continuous survey readiness and facilitate mock surveys.
- Conduct regulatory rounding throughout the hospital.
- Coordinate surveys and follow up on post-survey actions.
- Ensure regulatory compliance with licensing and accreditation.
- Complete various regulatory and quality survey submission requests.
- Interact with senior management and multidisciplinary departments.
- Assist in the management of policies and procedures.
- Participate in process improvement related to quality and regulatory standards.
Requirements
- Certified Joint Commission Professional (CJCP) or Certified Professional in Healthcare Quality (CPHQ) preferred.
- Bachelor's degree with related experience in healthcare, nursing, business or process improvement required.
- Master's degree preferred.
- A minimum of five years experience in acute care setting required.
- Previous management experience preferred.
- Knowledge of JCAHO standards and federal, state, and local statutes related to healthcare.
- Ability to assess information, apply critical thinking, and convey necessary information to the interdisciplinary team.
- Excellent communication skills, both written and verbal.
- Ability to prioritize workload.
- Experience in providing education and presentations.
- Experience with policy and procedure development.
Benefits
- Comprehensive medical coverage with low copay options.
- Dental and vision benefits.
- Life and disability coverage.
- Flexible spending accounts.
- Supplemental health protection plans.
- 401(k) Plan with a 100% match on 3% to 9% of pay.
- Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
- Family support through fertility and family building benefits.
- Referral services for child, elder and pet care.
- Consumer discounts through Abenity.
- Education assistance including tuition and student loan support.
- Colleague recognition program.
- Time Away From Work Program including paid time off and paid family leave.
- Employee Health Assistance Fund offering free employee-only coverage.
