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Director, Quality

Copper Springs East

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Location:
United States , Waukesha

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Contract Type:
Not provided

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Salary:

Not provided

Job Description:

Leads and oversees a comprehensive, efficient, and integrated hospital-wide Continuous Quality and Performance Improvement (CQPI) program. Uses data collection, analysis, and trending to assess performance; focuses on process and systems improvement; directs risk management and patient safety activities; investigates adverse outcomes; coordinates regulatory/accreditation readiness; and educates staff on CQPI and related quality programs.

Job Responsibility:

  • Provide leadership and oversight of the organization-wide CQPI program
  • Measure and assess performance by collecting, analyzing, and trending data to identify opportunities for improvement
  • Focus on improving processes and systems to drive clinical quality, safety, and operational performance
  • Direct, facilitate, and report on all aspects of risk management and patient safety
  • Investigate factors contributing to adverse outcomes and drive process/system changes
  • Direct the hospital-wide CQPI operations, including record reviews for quality indicators and reporting findings to leadership, Medical Executive Committee, Board of Managers, and other committees
  • Annually review hospital-wide plans for Infection Control (IC) and CQPI
  • establish goals and objectives for the coming year
  • Serve as liaison to local health officials
  • coordinate inspections and accreditation reviews with state and other regulatory agencies
  • Perform other duties as assigned
  • Develops and delivers hospital-wide CQPI education and training
  • Prepares quality/patient safety reports and dashboards for leaders and committees
  • Partners with clinical and non-clinical departments to sustain improvements and ensure compliance with applicable standards

Requirements:

  • Registered Nurse with current state licensure highly preferred
  • clinical license required
  • BSN or BS/BA required
  • Minimum two (2) years in an acute hospital or rehabilitation setting required
  • prior supervisory experience preferred
  • Basic Life Support (BLS/CPR) required
  • certification preferred by APIC (American Practitioners of Infection Control) and NAHCQ (National Association of Health Care Quality)
  • Data analysis and reporting
  • CQPI methodologies (e.g., RCA, FMEA, PDSA)
  • risk management and patient safety facilitation
  • regulatory/accreditation readiness
  • effective teaching, communication, and collaboration

Nice to have:

  • Registered Nurse with current state licensure highly preferred
  • prior supervisory experience preferred
  • certification preferred by APIC (American Practitioners of Infection Control) and NAHCQ (National Association of Health Care Quality)
What we offer:
  • Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
  • Competitive Paid Time Off
  • Employee Assistance Program - mental, physical, and financial wellness assistance
  • Tuition Reimbursement/Assistance for qualified applicants

Additional Information:

Job Posted:
December 27, 2025

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:

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