Director of Quality - Hospice

Day (United States of America)

Director of Quality - Hospice

The Director of Quality is responsible for managing, directing, planning and organizing operations of assigned departments in accordance with the organization’s strategic plan and operating requirements. He/she must ensure those departments offer high quality, efficient and fiscally responsible services that add value to hospice supporting its mission. The Director of Quality is expected to support administration through collaboration and attendance at: Hospice board meetings, compliance committees, quality committees, national, state and community functions and act as a liaison between Halifax Health and its affiliates.

KEY RESPONSIBILITIES AND DUTIES: 

Leadership

Assures compliance with all state and federal regulations.

Promotes positive relationships through regular communication and collaboration, providing constructive feedback that fosters a spirit of inquiry.

Acknowledges the scope of leadership, accepting responsibility for the position assigned

Prioritizes in the following manner: organization, patient, staff, self.

Acknowledges hospice as an affiliate of Halifax Health, a system in which we collaborate, share resources and work interdependently for the common good of the community we serve.

Serves as a member of the Senior Leadership Team, providing guidance to peers and colleagues related to areas of specialty.

Represents Senior Leadership Team and Hospice at community events.

Operational

Successfully conducts day-to-day operation and management of assigned departments utilizing effective leadership skills.

Develop departmental goals and strategies.

Provides staff leadership and quality support.

Ensures that desired outcomes for each department are the focus of departmental activities. 

Provides adequate resources for departmental operations.

Provide direction in prioritizing tasks, reporting results in understandable and actionable terms, and development of departmental and organizational goals.

Provides ongoing survey readiness review and education to all staff related state and federal regulations. Acts as a liaison between surveyors, clinical, and operations during the survey process.

Oversee emergency management including representation on local, regional and state organizations. Prepares and submits the CEMP.

Oversee the process of renewing all licensures required by local, state and federal agencies.

Oversee the hospice coding process.

Financial

Assists with budget preparation of assigned departments.

Ensure each department’s adherence to budget.

Monitors human resource allocation to assure that departments are within FTE allocations and eliminate overtime.

Provides adequate resources for departmental operations.

Compliance/Quality Assurance

Departmental activities meet regulatory compliance.

Model high ethical standards, advocating against fraud, waste and abuse.

Education of staff related to compliance with policies and procedures.

Submitting and benchmarking quality outcomes to ensure quality care.

Is a member of the Halifax Health Compliance Committee and works collaboratively with Halifax Health Compliance, Risk Department and Legal Department. 

Human Resources

Knowledgeable in implementation of system Human Resources policies and procedures.

Interviews and hire new employees.

Allows for adequate staffing ratios.

Provides safe and positive work environment, inspiring staff through leadership.

Ensures adequate staff orientation, supervision and ongoing education.

Allows for staff recognition, corrective actions and educational plans.

Other Duties as Assigned

Member of Senior Management Team who represents the Executive Director, Hospice, and Halifax Health to the community, and state or national associations as assigned.

Works with the Executive Director to develop strategies to assure compliance with regulations and assure that quality improvement initiatives are geared toward organizational objectives.

Participate in organizational strategic planning.

Proficient in Information Technology Systems and Electronic Medical Records.

Develop policies and procedures as appropriate.

SUPERVISION REQUIRED: Guidelines, precedents, and general instructions from the Executive Director provide general procedures to be followed.  Progress will be reviewed at key points in the work and upon completion.

COLLABORATION/CONTACTS:  Frequent contact with Halifax Health departments/management, other hospice programs, and state and national organiz