Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 48 distinct markets across 16 states, CHS is committed to helping people get well and live healthier. CHS affiliates operate 83 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

Summary: The Corporate Quality Improvement Director works as part of the corporate quality team to ensure there is proper planning, organization, implementation of quality management, clinical performance/outcomes improvement, peer review/FPPE/OPPE, medical staff credentialing, regulatory/accreditation compliance, and patient safety/high reliability. This team member reports to the Corporate Senior Director of Quality.The Improvement Director helps provide leadership, education, guidance, and assistance to CHS-affiliated organizations in the event that there is a vacancy and need in quality leadership for the facility. The role provides expertise to both facility and corporate leaders/colleagues to support quality improvement projects that have been prioritized in the quality agenda for the organization.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Support and leadership of quality improvement, patient safety and medical staff credentialing including peer review/FPPE/OPPE.
• Ensure mechanisms to assess progress towards implementation of goals and objectives are continuing in facilities with quality leader vacancies.
• Lead company-wide, group, and/or facility education programs and resource materials for specific quality improvement projects.
• Become expert trainers in the CHS Process Improvement methodology as led by the Corporate Director of PI.
  Assist the organization to plan, implement, and evaluate the effectiveness of improvement efforts
• Provide education, training and support to facility leaders in their evolution toward becoming a highly reliable organization.
• Support successful transition and implementation of key CHS policies/programs/practices following acquisition.
• Provide orientation for new Facility Quality Improvement Directors/Chief Quality Officers/Medical Staff Professionals.
• Provide on-going education and support development of Facility Quality Improvement Directors/Chief Quality Officers/Medical Staff Professionals.
• Coordinate efforts with other internal CHS support departments to support achievement of individual/hospital/regional/corporate goals.
• Assist hospitals with continuous survey readiness.
• Participate in other projects as requested.
• Routinely communicate effectively with facility/regional/department/corporate leaders on findings, priorities, results of improvement actions, barriers to improvement actions, recommendations for improvement, and other pertinent information.

Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education:
BSN or other clinical degree required.

Experience:
7 years current experience in Healthcare Quality, Patient Safety, and/or Regulatory/Accreditation Readiness with at least 3 years recent experience in quality management, performance/outcomes improvement, patient safety/high reliability, peer review, and regulatory/accreditation compliance required.

Certificates and Licenses:
Nursing (RN) Degree with BSN or advanced degree; Other clinical degree/Licensure with greater than. CPHQ/other Certifications and/or advanced degrees considered, but optional.

Reasoning Ability:
To perform this job successfully, an individual must be able to:
Define problems, collect and interpret data, utilizing a variety of statistical tools and formats, as needed , establish facts, draw valid conclusions and develop sound plans for improvement.
Communicate effectively with facility/corporate staff and leaders, patients, families/significant others, vendors, co-workers, regulators, and others via written and verbal communications.
Work collaboratively with others across the organization to achieve individual, group, departmental, facility, or corporate goals.

Computer Skills:
To perform this job successfully, an individual should have knowledge of Word Processing software; Spreadsheet software and Database software. The individual should also have skills (or obtain skills within a reasonable time) to support quality staff and other leaders in the use/troubleshooting of quality/operational software within the acute care setting (Examples: Event reporting, Physician Focus and MD-Staff Credentialing).

Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Travel is to comprise around 50% of the time in this role and may occasionally require long travel times (greater than 4 hours). Work focused on a specific facility is expected to be no longer than 4-6 weeks per site.
• Travel and other work activities will likely require the employee to lift and transport objects (luggage, computer bags, training materials, manuals, etc.) up to 25 lbs or greater.
• The employee will be exposed to public (airports/hotels/etc.) as well as healthcare environments.