Director of Quality job, AZ

Responsible for ensuring the facility is in compliance with Joint Commission, state and federal standards; oversight responsibility for all regulatory body surveys, i.e., Joint Commission, State Licensing Review, CMS Validation surveys.  This includes staying current with Joint Commission standards, educating facility staff about standards, preparing the facility for such accreditation surveys.  Responsible for planning and implementing the performance improvement program to meet the needs of the hospital. Provides education to medical staff, hospital staff and Governing Body. Facilitates performance improvement activities throughout the hospital. Maintains oversight responsibility for all performance improvement activities conducted throughout the institution.  Performs clinical risk management functions. Coordinates risk programs with all hospital departments, and administration.  Reports real and potential risk situations to the Governing Body, medical staff, administration, hospital departments and committees, as appropriate.  Enters potential claims (PCR) into the STARS program.  Responsible for establishing and monitoring methods to avoid, eliminate and/or reduce risk situations associated with the provision of patient care and services

Collaborates with HIM Director regarding risk management issues including legal requests for records, subpoenas, and sequestering medical records.

Responsible for Core measure abstraction/ inter-rater reliability (IRR) assignments, actions plans and PI activities related to core measure improvement

Formulates monthly reports (QRM report) that are submitted to the corporate office regarding quality

Responsible for submission of the monthly QRM report data.

Responsible for coordinating the following meetings: Quality Council, Patient Safety, Joint Commission, P&T.

Collaborates with the DPO/Safety Officer for EOC/safety rounds

Takes the lead in all root cause analysis investigations.

Experience Required: Hospital Quality and Risk Management experience required.  Experience with Joint Commission and Core Measure abstraction required

Once you get past our awesome 360 degree views of mountain ranges, the mighty Colorado River and its wonder, our unique history, and the diversity of Mohave County, you’ll find a community robust with unique and diverse people, and with a spirit that will touch your heart.

Today, we are approaching 100,000 (the entire county’s population is over 200,000) with southern Californians selling their high-priced homes for our better values, new neighbors escaping the massive congestion and big city traffic issues in Phoenix and Las Vegas, and retirees throughout North America buying where they regularly vacationed. Others “discover” Western Arizona for our warm winters, outdoor recreation, and gaming.
We offer the Hualapai Mountains (pronounced “walla pie”) of 8,000′ snow-capped peaks, camping, hiking, to near 0 elevation desert lands for motor biking and discovering. We’re dry with little annual rainfall but offer year-round unlimited water sports, from kayaking through gorges to boating on Lake Mohave. And while we offer Las Vegas-style casinos, sports books, day spas, and entertainment across the river in Laughlin, NV, here in the Mohave Valley we play with our families in parks, cheer our state champion high school sports teams, and meet close friends and neighbors at community-sponsored festivals and concerts. Las Vegas is not in our backyard. We like it that way. But it is an easy drive to what is arguably the world’s largest adult playground with unbelievable shopping, dining, and premier entertainment and sports.

Sunny almost all the time. No natural disasters. Desert. Mountains. A lake and river. Dramatic elevations. Small town life with ‘Vegas close by. That’s what we’ve got!

Laughlin, Kingman, Oatman, Las Vegas, and Lake Havasu City are close by. They add incredible diversity and fun to life in Mohave County. Imagine camping in a marvelous state park admiring mountains and enjoying cool air for lunch, then waterskiing on Lake Mohave in the afternoon. How about a day golfing with visiting family members or friends, and then driving to Las Vegas to a championship boxing match for the night? Imaging a day of exploring Christmas Tree Pass on your ATV in the desert and spying ancient petroglyphs with your kids and then a short drive to Oatman to see an old gold mine or a staged gunfight, and pet some wild burros!

And we’re 4 hours to Los Angeles and Southern California via I-40, 3 hours to Sedona and the Grand Canyon, and under 3 to Phoenix and Flagstaff!