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Director - Clinical Quality

Texarkana, Texas
Job Type
3 Sep 2022


Directs development and implementation of quality management strategies, programs and regulatory compliance. Actively collaborates with physician services, nursing, other allied health professionals, ancillary and support personnel, and operational leadership to promote implementation of evidence-based quality and patient safety initiatives, and to engage Associates at all levels as participants in a continual pursuit of improvement opportunities. Establishes and maintains efficient and reliable mechanisms for monitoring, analysis and reporting of quality outcomes and process improvement initiatives, in alignment with regulatory standards and healthcare best practices for quality and patient safety. Promotes and vigorously supports a comprehensive culture of quality throughout the organization, across all regions, campuses, and departments.


Drives results- Consistently achieving results, even under tough circumstances.

Manages conflict- Handling conflict situations effectively, with a minimum of noise.

Communicates effectively- Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences.

Directs work- Providing direction, delegating, and removing obstacles to get work done.

Builds effective teams- Building strong-identity teams that apply their diverse skills and perspectives to achieve common goals.

Business insight- Applying knowledge of business and the marketplace to advance the organization's goals.

Ensures accountability- Holding self and others accountable to meet commitments.


Directs the overall development, implementation, and integration of various regulatory, quality, patient safety, and other hospital improvement programs, using a systematic approach to monitoring the effectiveness of the program including problem resolution strategies

Responsible for coordinating the overall development, implementation, and integration of the Quality Management System with other improvement programs within the organization

Identifies and ensures compliance with all regulatory standards related to accurate and timely aggregation and reporting of quality outcome measures to appropriate internal and external stakeholders and agencies

Directs department staff to promote an organization-wide focus on achieving optimum clinical and operational outcomes by utilizing an organized, structured approach to continuous improvement using risk based corrective action plans

Promotes high reliability organization fundamentals to reduce errors.

Develops, facilitates and coaches leadership on policy and procedure to direct processes within the organization


Directs the activities of the quality management teams, administers process improvement initiatives, and directs the evaluation, interpretation and documentation of the improvements.

Must have knowledge of all clinical quality and testing procedures as well as ensure that the clinical quality department budget is met.

Involvement with processes for measuring, reporting and improving various quality programs such as Patient Satisfaction and Patient Safety, Medical Staff privileging and peer review, accreditation and TJC assessments and collaboration with groups responsible for outcomes across the continuum of care



Bachelors in Healthcare Administration, Nursing or a relevant clinical discipline required, with evidence of additional training in PI and Quality

Master's degree preferred

CPHQ ( Certified Professional in Healthcare Quality) or similar certification in quality, preferred


Minimum of five (5) years clinical experience in a hospital setting, including progressive management responsibilities

Two (2) to three (3) years Quality Improvement experience in acute care hospital

Experience with managing organizational change, regulatory compliance, process improvement activities and quality management

Comprehensive knowledge of Nursing and health care practices and techniques.

Licenses, Registrations, or Certifications

RN license in good standing in state of employment or a compact state, if applicable

CHRISTUS Health System approved Basic Life Support certification

Current Certified Professional in Healthcare Quality (CPHQ), or similar quality certification. If not current, then obtained within 2 years

Work Type: 

Full Time

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  • Job Reference: 703449069-2
  • Date Posted: 3 September 2022
  • Recruiter: CHRISTUS Health
  • Location: Texarkana, Texas
  • Salary: On Application
  • Sector: Healthcare & Medical
  • Job Type: Permanent