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
INDLEAD