Director of Quality​/Performance Improvement; DH

Navajo Preference Employment Act

In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.

The Director of Quality and Performance Improvement will work collaboratively in the Quality Department in leading and coordinating the quality and performance improvement initiatives of the hospital, while remaining in state and federal compliance. They will facilitate performance improvement projects and interact with and work alongside other hospital leaders in implementing and managing hospital-wide quality initiatives.

The Director of Quality & PI’s responsibilities include ensuring processes are implemented to evaluate and identify opportunities for improvement in the provision of high quality, safe and resource-efficient care to its patients. They will implement quality initiatives and ensure their goals are met. They will ensure compliance with Quality and Performance Improvement and, as applicable, will work with Infection Control, Risk Management, Patient Safety, Peer Review, etc.

The position monitors, in partnership with the medical staff, the measured outcomes of organization-wide clinical care activities, identifies opportunities for improvement, and leads clinical improvement activities.

This position is responsible for directing, planning, and organizing the staff and activities of the quality management/performance improvement program to achieve approved clinical goals and strategic operating plans and objectives. A performance improvement program will evaluate performance in the organization and develop and implement measures to improve it. It ensures compliance with regulatory agencies in accordance with internal and external requirements/regulations.

It directs departments and is fully accountable for monitoring program activities, including compliance, planning, implementing, and evaluating program development to ensure clinical and financial activities decrease waste and add value to the organization’s overall financial stability and resources.

Education:

Bachelor's degree in nursing, AND

Master’s degree in nursing, MBA, MSL or appropriate master's degree in healthcare.

License/Certification:

• Obtain a certification from an accredited Lean Program for a Lean yellow belt within six months of hire.
• Must obtain black belt within 1 year of hire.
• Must obtain master’s black belt within 2 years of hire.

A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States

• Must maintain a current valid certification of the following throughout employment:
• Basic Life Support (BLS) from the American Heart Association

Experience:

Five (5) years of supervisory experience in quality and performance improvement in an acute-care health care setting or related healthcare clinical leadership.

Other

Skills and Abilities:

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each of the following areas:

• Accessing community resources for patient referrals
• Knowledge of diagnosis related groups (DRG) and documentation requirements
• Positive working relationships with others
• Possession of high ethical standards and no history of complaints
• Reliable and dependable; reports to work as scheduled without excessive…