Director - Quality & Patient Safety - FT Days - MCI

Job Description

Location:

Pembroke Pines, Florida

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary:

Leads activities and resources for Quality, performance improvement, patient safety and compliance with Accreditation & Licensure to ensure alignment with the mission, and pillars of the Memorial Healthcare System. Responsible for overseeing all quality improvement and driving quality results for the area of responsibility.

Responsibilities:

Responsible for developing, implementing and maintaining a formal process for resolving customer complaints and monitors customer satisfaction.Leads, supports and performs medication quality and safety analysis, investigations, and initiatives that guide the design, implementation, maintenance and evaluation of safe medication systems. Participates in medication safety and quality committees instrumental to continuous quality improvement.Manages the development, deployment, and completion of the accreditation and quality related training and data for pharmacists, technician and supporting staff.Responsible for reviewing, implementing, evaluating, leading and maintaining documentation for the Pharmacy Quality Management Program and Continues Quality Improvement programs which promote the objectives, systematic measurements of quality process improvements based on findings and reporting quality measures.Stays up to date with accreditation standards for applicable accreditation and regulatory bodies and makes the necessary system changes to ensure compliance. Acts as a primary resource for all applicable accreditations and accreditation compliance. Ensures the pharmacy's continuous accreditation compliance through assessments and gap analysis, action plans, resolutions and timeline development for standard adherence. Collaborates with key stakeholders to ensure implementation of corrective action plans.Participates in the revision of policies, procedures, protocols and forms to support a systems-oriented view of medication safety improvement, staff education and pharmacy accreditation. Employs quality improvement principles, safety methodologies and effective tactics (i.e. RCA, FMEA) to implement strategies and reduce medication errors.Performs cross functional duties including those of pharmacist, clinical specialist or other clinical coordinator duties if needed by the department and serves as a preceptor and resource to pharmacy residents, pharmacists, pharmacy interns and students.Interfaces with clinical staff, information technology, and risk management to develop and lead implementation of medication error prevention strategies. Uses internal and external evidence related to medication safety to identify best practices, viable improvement strategies and practical tools for implementation of harm-mitigation and/or workflow changes.

Competencies:

ACCOUNTABILITY, ACCREDITATION, ANALYSIS AND DECISION MAKING, CUSTOMER SERVICE, DEVELOPS RELATIONSHIPS, EFFECTIVE COMMUNICATION, ORGANIZATION SKILLS, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR

Education and Certification Requirements:

Accredited Program (Required)Registered Nurse License (RN LICENSE) - State of Florida (FL)

Additional Job Information:

Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Must have experience in interpreting the healthcare regulations for accreditation, licensure or other regulatory agencies.Required Work Experience: 3 years experience in healthcare or managed care quality depending on area of responsibility.**If RN, then requires Florida state license as a Registered Nurse (RN)Additional Education Info: Nursing Degree or Bachelor's degree or in a Related Field

Working Conditions and Physical Requirements:

• Bending and Stooping = 60%
• Climbing = 0%
• Keyboard Entry = 80%
• Kneeling = 0%
• Lifting/Carrying Patients 35 Pounds or Greater = 0%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
• Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
• Lifting or Carrying > 75 lbs Non-Patient = 0%
• Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
• Pushing or Pulling 26 - 75 lbs Non-Patient = 0%
• Pushing or Pulling > 75 lbs Non-Patient = 0%
• Reaching = 60%
• Repetitive Movement Foot/Leg = 0%
• Repetitive Movement Hand/Arm = 80%
• Running = 0%
• Sitting = 80%
• Squatting = 0%
• Standing = 80%
• Walking = 80%
• Audible Speech = 80%
• Hearing Acuity = 80%
• Smelling Acuity = 0%
• Taste Discrimination = 0%
• Depth Perception = 80%
• Distinguish Color = 80%
• Seeing - Far = 80%
• Seeing - Near = 80%
• Bio hazardous Waste = 0%
• Biological Hazards - Respiratory = 0%
• Biological Hazards - Skin or Ingestion = 0%
• Blood and/or Bodily Fluids = 0%
• Communicable Diseases and/or Pathogens = 0%
• Asbestos = 0%
• Cytotoxic Chemicals = 0%
• Dust = 60%
• Gas/Vapors/Fumes = 0%
• Hazardous Chemicals = 0%
• Hazardous Medication = 0%
• Latex = 60%
• Computer Monitor = 80%
• Domestic Animals = 0%
• Extreme Heat/Cold = 0%
• Fire Risk = 0%
• Hazardous Noise = 0%
• Heating Devices = 0%
• Hypoxia = 0%
• Laser/High Intensity Lights = 0%
• Magnetic Fields = 0%
• Moving Mechanical Parts = 0%
• Needles/Sharp Objects = 0%
• Potential Electric Shock = 0%
• Potential for Physical Assault = 0%
• Radiation = 0%
• Sudden Decompression During Flights = 0%
• Unprotected Heights = 0%
• Wet or Slippery Surfaces = 0%

Shift:

Primarily for office workers - not eligible for shift differential

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net