Nurse Director Performance Improvement

Overview

• Lead hospital-wide quality and performance improvement initiatives to ensure exceptional patient outcomes and regulatory compliance.
• Oversee risk management processes, including occurrence reporting, analysis, and clinical outcomes evaluation.
• Develop and implement accreditation and regulatory compliance programs for the healthcare facility.
• Collaborate with hospital management to promote safe patient care and regulatory adherence.
• Coordinate activities related to clinical excellence, process improvement, and regulatory readiness.
• Serve as a resource for clinical quality, patient safety, and accreditation-related issues.
• Manage investigational activities associated with liability occurrences and claim pre-litigation files.
• Provide preventative risk management assessments and in-service education to healthcare providers.

Key Responsibilities & Duties

• Implement and oversee quality improvement initiatives aligned with regional healthcare standards.
• Coordinate reporting and analysis of patient safety data and clinical outcomes.
• Develop and manage accreditation and compliance programs for the hospital.
• Promote regulatory compliance and safe patient care through leadership and collaboration.
• Facilitate activities in clinical excellence, process improvement, and regulatory readiness.
• Provide consultation and education on risk management and accreditation issues.
• Negotiate resolutions for liability occurrences with corporate risk management teams.
• Ensure compliance with established competencies within the designated introductory period.

Job Requirements

• Bachelor of Science in Nursing (BSN) required; Master’s degree in a healthcare-related field preferred.
• Current Registered Nurse (RN) license in the State of Texas.
• Minimum of 10 years of clinical experience as an RN.
• 2-5 years of experience in quality improvement and risk management.
• Proficiency in English communication, both verbal and written; additional languages preferred.
• Basic computer knowledge and ability to utilize healthcare software systems.
• Strong analytical and problem-solving skills to address patient safety and regulatory issues.
• Ability to lead and collaborate effectively with multidisciplinary teams.