All the benefits and perks you need for you and your family:

• Benefits from Day One

• Career Development

• Whole Person Wellbeing Resources

• Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

Shift : Day

Location: 1395 S Pinellas Avenue, Tarpon Springs, Florida 34689

The community you’ll be caring for: AdventHealth North Pinellas

The role you’ll contribute:

Develops, implements and maintains the hospital-wide comprehensive quality assessment and performance improvement program. Provides leadership and direction for implementation, review and revision of the hospital Patient Safety and Performance Improvement Plan. Maintains and administers a framework for continuously monitoring and improving the quality of care and service provided to patients. The Director also assumes shared responsibility, accountability and direction for the patient safety transformation, along with the Director of Patient Safety & Risk Management, in developing a culture of safety and identifying opportunities and initiatives to enhance high reliability and patient safety.

The value you’ll bring to the team:

· Provides planning, implementation, integration and evaluation of the hospital-wide quality assessment and performance improvement program.

· Provides planning, implementation, integration and evaluation of activities relative to achieving high reliability organizational goals, including robust process improvement, just culture and culture of safety standards.

· Provides planning, implementation, integration and evaluation of the continuous accreditation readiness program including standards and regulatory compliance including project management related to action plans to AHCA/CMS and Joint Commission or DNV.

· Monitors compliance with evolving quality measures including, TJC Oryx Reporting, Leapfrog, CMS’s National Hospital Quality Measures, and other benchmarking reporting requirements.

· Monitors Joint Commission or DNV standards, Federal and State regulations, and professional standards and maintains compliance with all clinical regulatory reporting requirements.

Qualifications

The expertise and experiences you’ll need to succeed :

· Bachelor’s degree in healthcare-related field

· Minimum five (5) years clinical experience in acute care setting, preferably tertiary setting

· Minimum five (5) years experience in quality and performance improvement

· Leadership experience with working knowledge of Joint Commission or DNV Standards, State and Federal regulations, and professional standards and practice issues.

· Evidence of experience in successful leadership of organizational quality management programs.

· Licensed as RN in State of Florida

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Quality/Clinical Effectiveness

Organization: AdventHealth North Pinellas

Schedule: Full-time

Shift: 1 - Day

Req ID: 24021481

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.