Chief Quality Officer - Healthcare Administration - Woodland Heights Medical Center : Job Details

TheChief Quality Officer (CQO)is a strategic leader responsible for advancing quality, patient safety, and performance excellence across the hospital. This position ensures compliance withJoint Commission (TJC)and regulatory standards, while driving a culture of continuous improvement. The CQO works collaboratively with leadership, clinical teams, and staff to enhance outcomes, optimize operations, and support organizational goals.Relocation Assistance is availableCompensation Package Includes:

• Competitive Salary
• Medical, Dental, Vision, and Life Insurance
• Generous PTO&Extended Illness Bank (EIB)
• 401(k) with Matching Contributions
• Career Growth&Advancement Opportunities
• Recognition&Rewards Programs
• Employee Discounts and More

Key Responsibilities

• Lead the development, implementation, and evaluation of the hospital'sPerformance Improvement Plan.
• Serve as the primary liaison for all quality-related matters among hospital departments, administration, and medical staff.
• Chair and guide thePerformance Improvement Committee; ensure TJC and accreditation compliance.
• Oversee and coordinateJoint Commission survey readiness, including applications and all correspondence.
• Facilitate internal education onregulatory updates, quality standards, and performance improvement practices.
• Design and deliver in-service training related toOSHA, CDC, CMS, and JCcompliance standards.
• Maintain accurate documentation of all quality and performance activities for internal tracking and regulatory review.
• Lead theJoint Commission Task Force, ensuring ongoing compliance and preparation for accreditation surveys.
• Support clinical departments in developing and executing quality improvement initiatives.
• Disseminate best practices, industry standards, and emerging trends from current research and professional publications.
• Act as a subject matter expert and resource for all departments onquality, safety, and performance improvementmatters.

QualificationsRequired:

• Bachelor's Degree in Nursing, Healthcare Administration, Public Health, or a related field
• 5-7 years of direct experience inquality management,nursing, orperformance improvement
• 5-7 years ofprogressive leadershipin a healthcare setting
• Deep understanding ofJoint Commission, CMS, and Department of Health regulations

Preferred:

• Master's Degree in Healthcare Quality, Public Health, Nursing, or Healthcare Administration
• 5-7 years of clinical experience in anacute care setting

Knowledge, Skills, and Abilities

• Expertise inquality improvement methodologiesandregulatory compliance
• Proven leadership skills with the ability to manage multidisciplinary teams
• Proficiency indata analysis, quality metrics, and outcome measurement
• Strong interpersonal and communication skills; able to influence across departments
• Familiarity withlearning management systems, audit tracking, and accreditation systems

Licenses and Certifications

• Preferred:Active RN license (Compact or State-Specific Licensure)
• Required (Texas Only):Active and unencumbered Registered Nurse (RN) license
• CPHQ or similar certification highly desirable

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