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Director of Quality - Senior Care in Jacksonville, FL at Ascension Living

Date Posted: 6/1/2018

Job Snapshot

Job Description


Initiates and oversees the development of a comprehensive safety/quality/performance improvement programs. Assess the safety/quality/performance improvement and training needs of the community.


Quality Assessment and Performance Improvement

•         Implements a comprehensive safety/quality/performance improvement program inclusive of the analysis and trending of data related to initiatives.

•         Provides strategic oversight for resident safety and quality committee with accountability for distribution of organizational communication within the campus.

•         In conjunction with the Medical Director and organizational leadership, directs and coordinates safety/quality performance improvement initiatives.

•         Collaborates with the Director of Nursing to ensure that clinical services are provided in accordance with standards established through state and federal regulations and accreditation standards.

•         Monitors compliance of policy and procedure for regulatory compliance, evidence based care and standards of practice.

•         Initiates and oversees the community Safety Event Review (SERT) team. Provides strategic oversight of proactive and reactive resident safety activities including root cause analysis and failure mode effects analysis in regards to the facilitation of process, planning, implementation and evaluation of effectiveness of process changes.

•         Prepares reports and seeks consultation from the Subsidiary Board regarding resident safety, performance improvement programs and staffing effectiveness and other reports as requested.

•         Proactively educates leadership and staff regarding regulatory issues, new statutes/guidelines and safety/quality/QI activities.

•         Leads the QAPI process and regularly communicates QI and quality/safety activities to leadership and throughout the community.

•         Works effectively in multi-disciplinary teams, leading and facilitating, to move the community to new areas of excellence.

•         Coordinates the activities of the PSO (Patient Safety Organization)

•         Analyzes and identifies trends using the events reporting system. Leads improvement activities to correct any negative trends.

Infection Prevention

•         In conjunction with the Medical Director coordinates Infection Prevention Initiatives

•         Responsible for the community Infection Control Plan

•         Direct and monitor infection control practice to assure all associates follow established policies and procedures

Staff Development

•         Responsible for the implementation of mandatory Ascension Living Clinical Staff Development including being a resource for My Learning

•         Coordinate general nursing orientation

•         Assesses clinical staff education needs throughout the organization. (Includes competency checks)Identify resources for education (internal and external to the organization).

•         Responsible for identifying, training and maintaining adequate EMR trainers to support ministry needs

•         Other duties as assigned

Job Requirements


•         Bachelor’s degree from a recognized accredited college or university.

•         Minimum 3 years of applied clinical experience as a RN in a health related field required, Long Term Care experience preferred.

•         Two years’ experience in Quality Improvement, preferred.


•         Valid license as a registered nurse in the state in which employed required.


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