Full-Time: Quality Director

Join Saint Thomas Hospital for Specialty Surgery's outstanding team!

As a leader in spinal and joint replacement surgery, we are proud of what we’ve achieved, and we believe that it’s our employees who have made that success possible. We strive to take good care of our employees, and we are always looking for exceptional talent. If you’re looking for an opportunity to be part of an extraordinary team, please consider Saint Thomas Hospital for Specialty Surgery. We would love for you to join us!

·Culture: Family oriented, collaborative efforts, open door policy

·Quality Care: One of the only hospitals in Nashville with a Five-Star Rating from the Centers for Medicare & Medicaid Services, Top 5% in the U.S. for spinal surgery, numerous Healthgrades awards for spinal and joint replacement surgery

·Benefits: Health, dental, vision, disability, life insurance, PTO, 401K with company match, competitive compensation, Employee Assistance Program reimbursement for certification/licensure renewals

·Education: Tuition reimbursement, training/in-services

·Recognizing and listening to our employees: Good Catch awards, employee appreciation week, Employee Leadership Committee, Employee bonuses

Job Summary

The Director of Quality & Compliance participates in the planning, organizing, coordinating, and evaluating the activities and functions of performance improvement, risk management, infection control, Joint Commission, and special projects. Serves as a resource to Administration, the Medical Staff, and other Departments. Evaluates quality of patient care and patient outcomes as they relate to healthcare-associated infections. Serves as a resource to all departments and personnel; Sets and recommends policies and procedures to prevent adverse events; provides internal and external reporting of information and data; promotes compliance with regulations, guidelines, and accreditation requirements. The Director of Quality & Compliance oversees/supervises the following departments: Quality, Infection Prevention, Education, Compliance, and Employee Health. The Director of Quality & Compliance will also serve at the hospitals Compliance/Privacy Officer.

Benefits

·Health, Dental, Vision, disability, and life insurance

·Health Savings Account

·Flexible Spending Account

·Retirement plan with company match

·Tuition reimbursement

·7 paid holidays

·Reimbursement for license renewals

·Paid Time Off

·Competitive compensation

·Employee Assistance Program

• Bachelor’s Degree preferred
• Current license as a Registered Nurse or related healthcare field in the State of Tennessee.
• Five (5) years leadership experience in an acute care facility
• Privacy Officer experience preferred
• A minimum of two years experience in quality management, compliance, and infection control preferred.
• A minimum of two years experience with Joint Commission strongly preferred.
• A minimum of one-year experience with internal and external data management systems preferred.
• Knowledge of hospital organizations, committees, department functions, and performance improvement activities.
• Effective communication, organizational and leadership skills, independent decision-making, and ability to handle multiple projects.
• Strong interpersonal skills.
• Working knowledge of TJC, Medicare, and The State of Tennessee standards.
• Excellent computer skills
• Working knowledge in areas of patient care practices
• Independent decision making skills
• Ability to prioritize and handle multiple projects.
• Excellent Communication skills with staff and physicians.
• Must have excellent presentation, report preparation, and technology skills.