Director, Quality

Overview

For more than 59 years, UF Health Leesburg Hospital has served as a regional leader in patient care, offering advanced cardiovascular services, one of Florida's largest open-heart surgery programs, world-class orthopedic care, robotic surgery, emergency services, stroke care, and other specialized clinical programs. The hospital has earned Chest Pain Center Accreditation with Primary PCI and Resuscitation from the American College of Cardiology, recognizing its commitment to delivering exceptional cardiovascular care. UF Health is currently seeking a Director of Quality.

Responsibilities

This role will serve as Director for Quality Management and Infection Control Departments for UF Health Leesburg Hospital. The person in this role will coordinate quality performance improvement activities across the campus to achieve performance goals. Monitors quality outcomes for the campus, provides necessary reporting to Executive Team as needed. Collaborates with Directors of Quality across the UF Health Enterprise for coordination of standards and processes across the organization. Attends and participates in selected Department/Division Meetings, Quality Committees, Medical Staff meetings, and MCE. Collaborates with Manager of Accreditation and Patient Safety to ensure and maintain survey readiness. Attends Physician Peer Review process as needed. Manages Infection Control team and monitoring, and adherence to IC standards for the campus.

Qualifications

Education

Graduate degree required; or

Bachelor’s degree required with willingness to obtain a master’s degree within two years of hire.

Licensure/Certification/Registration

Clinical healthcare experience required.

Lean Six Sigma Black Belt preferred.

Certified Professional in Healthcare Quality (CPHQ) preferred.

Special Skills/Qualifications/Additional Training

Must be able to read, write, speak, and understand English.

Proficiency with computers, Excel, quality metrics, and statistics.

Knowledge of The Joint Commission (TJC) surveys, AHCA complaints and surveys, QualityNet, team facilitation, data presentation and explanation, and NDNQI.

Knowledge of Leapfrog and CMS rating requirements and best practices for achieving top ratings.

Experience Required

Five or more years of quality assurance experience in a leadership role within a healthcare setting.

Acute care experience preferred.

This role will serve as Director for Quality Management and Infection Control Departments for UF Health Leesburg Hospital. The person in this role will coordinate quality performance improvement activities across the campus to achieve performance goals. Monitors quality outcomes for the campus, provides necessary reporting to Executive Team as needed. Collaborates with Directors of Quality across the UF Health Enterprise for coordination of standards and processes across the organization. Attends and participates in selected Department/Division Meetings, Quality Committees, Medical Staff meetings, and MCE. Collaborates with Manager of Accreditation and Patient Safety to ensure and maintain survey readiness. Attends Physician Peer Review process as needed. Manages Infection Control team and monitoring, and adherence to IC standards for the campus.

Education

Graduate degree required; or

Bachelor’s degree required with willingness to obtain a master’s degree within two years of hire.

Licensure/Certification/Registration

Clinical healthcare experience required.

Lean Six Sigma Black Belt preferred.

Certified Professional in Healthcare Quality (CPHQ) preferred.

Special Skills/Qualifications/Additional Training

Must be able to read, write, speak, and understand English.

Proficiency with computers, Excel, quality metrics, and statistics.

Knowledge of The Joint Commission (TJC) surveys, AHCA complaints and surveys, QualityNet, team facilitation, data presentation and explanation, and NDNQI.

Knowledge of Leapfrog and CMS rating requirements and best practices for achieving top ratings.

Experience Required

Five or more years of quality assurance experience in a leadership role within a healthcare setting.

Acute care experience preferred.