University of Rochester Director of Quality Systems - 218427 in Rochester, New York
Director of Quality Systems
Strong Memorial Hospital
Full Time 40 hours Grade 055 Organ Procurement Org
The Director of Quality Systems will be responsible for developing and implementation of an organizational wide quality management program, for ensuring the organizations compliance with internal policies and procedures and all regulatory, accreditation, and organizational performance improvement. He/she will be responsible for collaborating with the Executive Director, Medical Director and departmental Directors/Managers on the organization's quality assurance processes and will conduct ongoing monitoring of internal and external process occurrences for trend analyses. He/she will perform a variety of tasks in which a wide degree of creativity and latitude is expected. He/she will be responsible for preparation of site surveys and audits by regulatory agencies such as CMS, AOPO, UNOS, and FDA.
Responsible for the management and supervision of Quality Systems staff.
Communicates job expectations, planning, and monitoring, coaching, counseling and
appraising job results.
Follows and enforces systems including Standard Operating Procedures.
Facilitates inter/intra departmental functions and synergizes quality processes, including but not limited to, Quality Control (QC), Quality Assurance (QA), and Performance Improvement (Pl).
Ensures thorough and accurate compliance with all pertinent federal, local, and state regulatory agencies and laws.
Responsible for review of all Standard Operating Procedures (SOPs).
Conducts ongoing monitoring of internal and external process occurrences, variance, and nonconformance for trends analysis and reporting; providing corrective action recommendations for process improvement.
Monitor for proposed regulatory changes which will affect FLDRN operations and provides Executive Director regular updates. (i.e. All UNOS
Develops, Implements and is responsible for the internal CQI Council and Quality subcommittee of the Advisory Board.
Oversees internal audits and acts as lead and facilitates external audits.
Responsible for audit responses to regulatory agencies.
Oversees the quality management system.
Responsible for system configuration and validation/verification as applicable.
Collaborates with Executive Director to direct organizational and departmental data monitoring and analysis to ensure compliance, included but not limited to, external data reports from regulatory agencies, internal occurrence reports, dashboards, and etc.
Collaborates with, assists, and provides Quality Systems department staff support to all members.
Prepares reports to the Executive Director on compliance with CMS, FDA, UNOS, and AOPO.
Collaborates with the Executive Director on the organization's quality improvement process.
Acts as Continuous Performance Improvement Team facilitator.
Collaborates with department directors to initiate and maintain accreditation status with applicable regulatory bodies.
Monitors and analyzes information release and activity pertaining to federal, state, and industry standards as it relates to regulatory compliance and organizational operation.
Oversees the auditing process to include policies and procedures and donor case records.
Presents reports and data analyses to the QAPI Council as required by AOPO and CMS regulatory standards.
Collaborates with Director of Clinical Services to maintain all required data collection and analysis systems and tools including the electronic donor record system and a variety of Excel spreadsheets.
Collaborates with Director of Clinical Services to ensure interdepartmental synergy and efficiency.
Member of Directors Group participating in the development and implementation of organizational and strategic goals.
Ensures implementation of strategic goals as they relate to the department.
Develops, tracks, and reports Key Performance Indicators (KPI), departmental Continuous Quality Improvement (CQI) goals and monthly statistics utilizing techniques to test improvement efforts.
Presents CQI departmental goals to CQI committee.
Presents departmental reports to Director's Group, Leadership Team, and/or Advisory Board, as required.
Expected to serve as spokesperson at public events as it relates to your area of responsibility.
Responsible for Quality Systems Department to ensure policies and practices follow Standard Operating Procedures and are in compliance with accreditation, certification and regulatory agencies.
Responsible for writing, revising, editing and proofreading job descriptions, SOPs, and related departmental documents.
Responsible for cooperative management with other managers at FLDRN to ensure that tasks and responsibilities of direct reports are completed timely and efficiently.
Responsible for interviewing, hiring, orientation, counseling, discipline, and separation of direct report(s).
Conducts annual evaluations, monitors professional development and annual competencies for direct report(s).
With the approval of Executive Director serves on national committees.
Bachelor of Science or Bachelor of Art degree; preferably in health care administration or other health care related field, required. Master's degree preferred.
Prefer five years' experience working in Quality Systems and regulatory compliance within an Organ Procurement Organization.
Computer skills, including word processing, data entry, and spread sheets.
Consistent demonstration of attention to detail, precision, accuracy, and customer satisfaction.
Possess strong leadership and prioritization skills and the ability to effectively manage multiple projects and tasks. Excellent problem solving, conflict resolution and interpersonal skills (i.e. has the ability to make decisions based on situational circumstance, company policy and customer relations).
Ability to utilize general office equipment, software, and must be proficient in Microsoft Office Suite.
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled