<p>Manages the Performance Improvement (PI) activities of the hospital to include the Quality Assessment and Performance Improvement (QAPI) Program, Peer Review, regulatory compliance and comparative database support. Oversees and coordinates the Performance Improvement committee, PI teams and projects, regulatory compliance, and completion of the Intracycle Monitoring and Focused Standards Assessment. Performs annual integrated review and evaluation of all departmental activities and provides a report for executive and medical leadership, based on entity requirements.</p> <p>Estimated salary range for this position is $105647.55 - $140511.24 / year depending on experience.</p> <p>Degrees:</p> <ul> <li>Bachelors. </li></ul> <p>Licenses & Certifications:</p> <ul> <li>NAHQ Certified Professional in Healthcare Quality. </li><li>Registered Nurse. </li></ul> <p>Additional Qualifications:</p> <ul> <li>Bachelor degree in Nursing -BSN. </li><li>Master Degree preferred in Business, or related field. </li><li>At least 5 years experience in a hospital or healthcare setting with 2 years minimum in quality management/PI area of practice. </li><li>2 years leadership experience required. </li><li>Experienced in leading a TJC and accreditation survey process, highly desired. </li><li>Certified Professional in Healthcare Quality (CPHQ) required. </li></ul> <p>Minimum Required Experience: 5 Years</p>