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Director of Quality (RN)

San Jose, CA · Healthcare
Position:    Director of Quality
Location:   San Jose, CA
Benefits:  Yes, full, comprehensive benefits package including Medical, Dental, 401K with match, Stock, Tuition Reimbursement, Adoption Assistance, etc.
Relocation:  Yes
Salary: Based on experience
Bonus:  Yes, up to 15% of Salary
Position Type:  Full-time, permanent position
Facility Type:   474-Full Service Acute Care Hospital
Department:  Quality
Reports To:  VP of Quality
  • Is responsible for coordination and oversight of all regulatory survey participation activities.
  • Responsible for completion of all Joint Commission accreditation survey requirements and management of the accreditation survey process. 
  • Responsible for completion of all Hospital survey requirements and management of the surveys. 
  • Responsible for coordination of all survey activity and follow up for a CMS validation survey. 
  • Assist to coordinate accreditation surveys for specialty programs, such as the Stroke Certification or Total Joint Certification Programs. 
  • In addition, this individual will be available to support regulatory surveys for individual hospital services, such as the Laboratory, Blood Bank, Imaging Services, Risk Management, and Patient Care Services.  
  • Graduate of an accredited nursing program (MUST BE AN RN)
  • MUST HAVE A BACHELOR’S DEGREE (BA/BS in Nursing, Public Health, or other Allied Healthcare degree from an accredited college or university), Required.
  • BSN and/or Masters’ Degree, preferred
  • CA Registered Nurse License, Required  
    • (*Must have CA RN license or be in-process w/ CA Board of Nursing for license to be considered)
  • HACP, Preferred
  • Lean or Six Sigma, Preferred
  • 5 Years hospital experience or the equivalent combination of education and experience working in Quality Improvement and Regulatory Compliance required.
  • MUST HAVE – Background experience must be in acute care hospital setting
  • MUST HAVE – Joint Commission and CMS quality measures experience
  • Strong ability to build and maintain positive relationships throughout the facility
Additional Skills/Knowledge
  • Interpersonal skills necessary to provide effective leadership to peers and assigned staff and to maintain effective contacts with patients, visitors, physicians and a variety of hospital department personnel.
  • Analytical skills necessary to organize and oversee assigned personnel and develop and administer sound policies, procedures, and budgets.
  • Effective communication skills required; experience at public speaking events required
  • Knowledge of applicable regulations in the field and governmental regulations with regard to healthcare marketing and public information
  • Ability to facilitate and implement effective strategies.  Must possess the ability to manage conflict and maintain objectivity
  • Must possess high level problem solving and process design skills.
  • Effective organizer and delegator, able to communicate well in every facet of the organization.0
  • Must be decisive and work well with other members of the management staff and have the ability to deal with a multiplicity of complex situations simultaneously
Together, we believe our success is dependent on an environment where caregivers, staff, administrators, physicians and volunteers are at the core of a patients-first culture.
We offer: 
  • Security and stability from working with America’s leading healthcare provider! 
  • Unmatched potential for a variety, flexibility and career growth. 
  • The joy of teaming with people who share your passion for the care and improvement of human life.
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