Woodland Heights Medical Center-Chief Quality Officer - Healthcare Administration
Full job description
The Chief Quality Officer (CQO) is a strategic leader responsible for advancing quality, patient safety, and performance excellence across the hospital. This position ensures compliance with Joint Commission (TJC) and regulatory standards, while driving a culture of continuous improvement. The CQO works collaboratively with leadership, clinical teams, and staff to enhance outcomes, optimize operations, and support organizational goals.
Relocation Assistance is available
Compensation Package Includes:
- Competitive Salary
- Medical, Dental, Vision, and Life Insurance
- Generous PTO & Extended Illness Bank (EIB)
- 401(k) with Matching Contributions
- Career Growth & Advancement Opportunities
- Recognition & Rewards Programs
- Employee Discounts and More
Key Responsibilities
- Lead the development, implementation, and evaluation of the hospital’s Performance Improvement Plan.
- Serve as the primary liaison for all quality-related matters among hospital departments, administration, and medical staff.
- Chair and guide the Performance Improvement Committee; ensure TJC and accreditation compliance.
- Oversee and coordinate Joint Commission survey readiness, including applications and all correspondence.
- Facilitate internal education on regulatory updates, quality standards, and performance improvement practices.
- Design and deliver in-service training related to OSHA, CDC, CMS, and JC compliance standards.
- Maintain accurate documentation of all quality and performance activities for internal tracking and regulatory review.
- Lead the Joint Commission Task Force, ensuring ongoing compliance and preparation for accreditation surveys.
- Support clinical departments in developing and executing quality improvement initiatives.
- Disseminate best practices, industry standards, and emerging trends from current research and professional publications.
- Act as a subject matter expert and resource for all departments on quality, safety, and performance improvement matters.
Qualifications
Required:
- Bachelor’s Degree in Nursing, Healthcare Administration, Public Health, or a related field
- 5–7 years of direct experience in quality management, nursing, or performance improvement
- 5–7 years of progressive leadership in a healthcare setting
- Deep understanding of Joint Commission, CMS, and Department of Health regulations
Preferred:
- Master’s Degree in Healthcare Quality, Public Health, Nursing, or Healthcare Administration
- 5–7 years of clinical experience in an acute care setting
Knowledge, Skills, and Abilities
- Expertise in quality improvement methodologies and regulatory compliance
- Proven leadership skills with the ability to manage multidisciplinary teams
- Proficiency in data analysis, quality metrics, and outcome measurement
- Strong interpersonal and communication skills; able to influence across departments
- Familiarity with learning management systems, audit tracking, and accreditation systems
Licenses and Certifications
- Preferred: Active RN license (Compact or State-Specific Licensure)
- Required (Texas Only): Active and unencumbered Registered Nurse (RN) license
- CPHQ or similar certification highly desirable
