Responsible for direction of the Quality Management Department and the various functions under its umbrella, including Quality Improvement and Risk Management. Provides reports to the QM Committee, Medical Executive Committee, Board of Directors, administrative team and health plans as requested and required. Maintains quality improvement activities within the department and participates in CQI activities. Assures collaboration between quality, risk and utilization management functions. Assists in formulating and monitoring the budget for the areas included.
Responsible for developing and implementing policies and procedures for quality and risk management. Reviews and approves policies and procedures. Responsible to facilitate preparation for review by all regulatory agencies. Educates and assists department managers to maintain appropriate policies, procedures, and documentation to fulfill requirements and regulations. Demonstrates current clinical knowledge as well as current knowledge of regulations and standards as relating to AOA, JCAHO, HCFA, State Health Departments and regulatory agencies. Remains current in the appropriate fields encompassed by the departments.
Develops QM plan. Prepares quarterly and annual evaluation of QM program and plan, presents this to QM Committee and Board of Directors. Develops QM annual work plan, monitors work plan to evaluate time frame compliance. Provides education to staff on risk management, and performance improvement. Ability to plan and organize orientation and in-service training for department staff members, participates in guidance and educational programs.
Position will support both St. Luke's Medical Center and sister campus Tempe St. Luke's Hospital.
- Current Arizona Registered Nurse Licensure (or able to obtain).
- BSN required. Master's in Health Services Administration / MBA preferred.
- Hospital Quality Director experience required; 3 or more years. Previous clinical experience in an acute care setting.
- 2 or more years of management experience in the managed care arena, familiarity with Utilization Review concepts.
St. Luke's Medical Center / Tempe St. Luke's Hospital are Equal Opportunity Employers.
Additional Salary Information: Relocation assistance if moving to Phoenix from out-of-state.
St. Luke's Medical Center is a 219 bed acute care hospital located in Phoenix. St. Luke's Medical Center is accredited by DNV Healthcare, a world wide leader in quality management. St. Luke's Medical Center offers a diverse range of service lines including Cardiology, Acute Rehabilitation, Bridges Center for Surgical Weight Management, Emergency Medicine, Pain Management, Arizona Wound Center, Adu...lt and Geriatric Psychiatry, and the Center for Orthopedic Innovation. St. Luke's Medical Center is part of the Western Division Steward Healthcare.