Chief Quality Officer
at RCM Health Care Services

Date Posted: 1/8/2020

Job Description

Chief Quality Officer

Job Summary
Responsible for direction, coordination, and oversight of quality improvement, patient safety, and performance improvement functions for all System Affiliates, including two hospitals; an ambulatory and community health network comprised of multiple clinics; an infectious disease ambulatory center, a correctional healthcare facility, and the Department of Public Health. The mission of the System is to provide high quality, safe care to the residents regardless of ability to pay.

This position is exempt.

Typical Duties

 Contributes to the management of staff and systemic development and success
 Discusses and develops system policies and procedures
 Consistently uses independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
 Works with Labor Relations to discern past practice when necessary
 Directs and effectuates management policies practices
 Accesses and proficiently navigates records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements

Collective Bargaining
 Reviews applicable Collective Bargaining Agreements and consults with Labor Relations to generate management proposals
 Participates in collective bargaining negotiations, caucus discussions and working meetings

 Documents, recommends and effectuates discipline at all levels
 Works closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
 Initiates, authorizes and completes disciplinary action pursuant to system rules, policies, procedures and provision of applicable Collective Bargaining Agreements

Other Responsibilities
Responsible for directing all quality management, performance improvement and patient safety activities including accreditation standards, regulatory requirements and organizational performance improvement. This professional will have a working relationship to the Clinical Leadership throughout and specifically have responsibility for:

• Establishing and maintaining efficient and reliable mechanisms for monitoring, analysis and reporting of quality outcomes and clinical performance improvement initiatives, in alignment with regulatory standards and healthcare best practices for quality improvement and patient safety initiatives
• Providing a planned, efficient, system-wide approach to identifying, designing, measuring, prioritizing and monitoring all quality improvement and patient safety
• Collaborating with medical staff and operational leadership to develop and facilitate evidence-based quality and patient safety initiatives
• Reporting to Executive Leadership and the Quality Committee of the Board
• Supporting the Quality Performance Council
• Engaging staff at all levels as participants in a continual pursuit of improvement opportunities
• Providing leadership and focus on performance excellence for patient satisfaction and regulatory compliance
• Establishing appropriate reporting tools for clinical and medical staff services
• Preparing and interpreting reports, summaries and statistical data including system-wide performance improvement summaries to identify trends and make recommendations for improvement, including but not limited to sentinel events, Root Cause Analysis and Failure Modes and Effect Analysis (FMEA) processes
• Assuring a common standard of care and service throughout the System
• Coordinating system-wide accreditation readiness activities

Reporting Relationships
The Chief Quality Officer reports to the Chief Executive Officer.

Required Minimum Qualifications
 Graduation from an accredited college or university with a Master's degree in Healthcare Administration or other health related field
 Minimum of five (5) years of experience in progressively more responsible healthcare leadership positions
 Experience in an academic or large teaching facility that incorporates both hospital and ambulatory sites
 Demonstrated knowledge of federal, state and local requirements

Preferred Qualifications
 Experience in managing and working towards achieving quality related awards (i.e. Magnet, Baldridge, etc.).
 Ten years of experience in progressively more responsible healthcare leadership positions
 Certified Professional in Healthcare Quality (CPHQ) or Health Care Quality Management (HCQM)

Knowledge, Skills, Abilities and Other Characteristics
 The ability to consistently support quality and patient safety by maintaining confidentiality, protecting the assets of the System, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements and System policies and procedures
 Experience in directing/leading a quality improvement program in a multi-site health system or equivalent setting
 Demonstrated knowledge and experience with hospital regulatory and accreditation requirements
 Demonstrated experience in performance improvement techniques, leading and training in performance improvements
 Working knowledge and expertise with Root Cause Analysis development
 Excellent communication skills to prepare written materials and to correspond with administrative personnel, System personnel and the general public
 Highly developed interpersonal skills
 Skilled in Microsoft Office Suite

Physical and Environmental Demands
This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.

Working Conditions and Physical Demands
General office environment where work is generally sedentary in nature, but may require standing and walking for up to 60% of the time. Environment is fast paced and some stress may occur. Visual acumen and manual dexterity for working with computer and keyboards is required.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.

For purposes of the American with Disabilities Act, 'Typical Duties” are essential job functions.

Job Snapshot

About Us

RCM Health Care Services offers career defining opportunities to candidates from the leading employers in health care. Whether you’re looking for a new job or seeking to hire the best medical talent, RCM Health Care Services has the solution for you. Since 1975, we’ve established ourselves as a leader in the recruitment industry by connecting thousands of healthcare professionals with placements that support their needs. If you’re looking to make the next move in your career, let RCM be your guide, we’re with you every step of the way!

We proudly hold the Joint Commission Gold Seal of Approval.

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