UnityPoint-St Luke's Hospital

Full-Time Days

Monday-Friday

The Director of Quality is responsible for the development, direction, and effective implementation of a comprehensive hospital-wide Quality Management System (ISO 9001), Peer Review program, Outcomes Management, Clinical Analytics, Accreditation Compliance, external reporting and Patient Safety programs in collaboration with the Quality Dyad Physician.

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.  

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:      

• Expect paid time off, parental leave, 401K matching and an employee recognition program.   

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.  

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.   

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.  

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. 

Find a fulfilling career and make a difference with UnityPoint Health. 

Quality Improvement

• Development and execution of the organization’s Annual Performance Improvement Plan.
• Perform an annual review of the Quality Management System.
• Support hospital leadership’s clinical process improvement efforts through data analysis, risk / resource prioritization and unit-level coaching / education in basic process improvement methodologies (A3, PDSA, 5S).
• Develop and sustain organizational expertise in data / information analysis, benchmarking and presentation. Serves as a knowledge expert for evidence-based practice, performance improvement, patient safety and clinical quality activities and results.
• Facilitate and manage the Medical Staff Peer Review process as specified in the Medical Staff Bylaws.
• Oversee and facilitate house-wide compliance with regulatory agency and accrediting body requirements and corporate and hospital policies and procedures.
• Designated by Senior Leadership to serve as the Management Representative with the responsibility and authority for ensuring that the requirements of the Quality Management System are implemented and maintained with quality oversight to ensure corrective and preventative actions are carried out and measured for effectiveness.
• Provide oversight for clinical registries and support departmental quality resources as entity content expert and partner.
• Collaborate with system quality leaders and join system-level groups to gain knowledge and understanding of organization wide initiatives and competency in the use of system-level resources and tools.
• Provide organizational leadership, change management, and culture development as key components of all Quality and Safety Improvement, Performance Improvement, Patient Safety and Infection Prevention duties and deliverables.
• Staffs and provides support for the Quality Management Council, Patient Quality and Safety Committee, the Nursing Quality Committee and the Operations Quality Committee and Quality Advancement Teams.
• Demonstrates the components of FOCUS values statement.
• Facilitate and manage the organizations’ Wound Care Program.

Management Duties

• Plans, budgets, and organizes department to accomplish operational and strategic objectives and stays within budget.
• Strategic planning: Sets priorities and goals in consultation with Senior Management.
• Customer Care: Sets, directs, delegates and oversees work efforts as appropriate to insure the best possible delivery of service to customers.
• Leadership: Promotes a satisfied and competent employee work environment through establishing a climate for growth and change, doing timely performance appraisals providing development and mentoring of staff.

Basic UPH Performance Criteria         

• Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.
• Demonstrates ability to meet business needs of department with regular, reliable attendance.
• Employee maintains current licenses and/or certifications required for the position.
• Practices and reflects knowledge of HIPAA, DNV, OSHA, CoP’s and other federal/state regulatory agencies guiding healthcare.
• Completes all annual education and competency requirements within the calendar year.
• Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff.  Takes appropriate action on concerns reported by department staff related to compliance.

• Degree in Nursing, Business, or Healthcare Administration. 
• 5 years hospital experience
• Valid driver’s license when driving any vehicle for work-related reasons.
• Director must have knowledge and experience of continuous quality improvement concepts including data sources /analytics.
• Transformational leadership skills, project management experience, and strong team building characteristics are essential.
• Strong verbal communication skills, writing skills, and knowledgeable about state and federal regulatory bodies. Motivational self-starter, transparency minded, and collaborative
• Knowledge of human resource management; program development; and fiscal management skill.
• Use of usual and customary equipment used to perform essential functions of the position.