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Dir, Quality - Washington

Job ID: 961295
Facility: ECUH BEA Campus of ECUH MC
Dept: VBFT Clinical Quality Mgmt
Location: Washington, NC
FT/PT: Full-Time
Shift: Days
Reg/Temp: Regular
Date Posted: Nov 22, 2022

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Job Description

ECU Health

About ECU Health Beaufort Hospital, a campus of ECU Health Medical Center

ECU Health Beaufort Hospital is located in Washington and serves as a campus ECU Health Medical Center, our Level I Trauma Center in Greenville. The 142-bed full-service hospital offers a broad range of inpatient and outpatient services including medical, surgical, intensive care, emergency, pediatrics and women’s services. In addition there is a lab, diagnostic imaging services, physical and respiratory therapy. The facility also features the Marion L. Shepard Cancer Center, offering leading-edge chemotherapy and radiation therapy, among other cancer services.

Position Summary

Responsibility, accountability and decision-making authority for facilitating the implementation of systems, programs and strategic initiatives that advance entity capability.  Develops and aligns strategies, initiatives, supporting infrastructure, and budgets that enable the entity to achieve results that align with established quality imperatives to create and sustain operational excellence.  Communicates objectives to staff to ensure understanding of quality goals and their alignment. Oversees initiatives and operations, including staff, budget, and vendor management. Measures effectiveness and take steps to ensure continuous improvement of entity performance. Facilitates change to advance the organization and uses resources and operational practices to drive execution of plans.  Ensures that policies, procedures and practices are operationalized to support safe, reliable care, regulatory compliance, and fosters a continuous learning culture. Accountable for a positive organizational culture in decision making and performance management to influence work attitudes and enhance job satisfaction.  Has oversight of quality programs such has infection prevention, regulatory compliance, performance improvement and/or patient safety. Member of management teams and functions as a key liaison between the leadership teams, staff and physician partners of the health care facility and programs.


Clinical and Information Technology: 

  • Supports the needs of the organization for clinical and management information technology and works in conjunction with key stakeholders and the information services function.
  • Supports the use of technology and work processes for alignment ensuring maximum benefit is derived for providers, leadership and staff.

Organizational Performance Management: 

  • Responsible for the successful performance of areas of accountability.
  • Maximizes the efficiency of processes and actions to support the operations of areas of accountability.
  • Sets expectations, assigns accountabilities, and measures performance against expectations in areas of accountability. 
  • Develops and monitors action plans to improve performance against expectations in areas of accountability.
  • Conducts the affairs and operations of the areas of accountability in support of operational excellence.

Operational Management:

  • Provides direction and leadership to management and staff in areas of accountability. 
  • Identifies, coordinates and adjusts resources as needed.
  • Regularly tracks and trends data and assesses progress/achievement of agreed-upon performance measures, and provides periodic reports to key stakeholders. 
  • Responsibility for monitoring and coherence to policies and procedures.
  • Ensures effective operations and support for compliance with applicable governing, regulating and accrediting bodies, licensure, laws and regulations.

Team Coordination and Collaboration: 

  • Facilitates positive relationships and communications between departments and key stakeholders, through various means, such as conducting and attending meetings, rounding, having one-to-one communications, and generally being visible and accessible to colleagues and staff. 
  • Plan and manage cost effective use of staff and resources in meeting organizational needs and services.
  • Evaluate and continuously improve service delivery through data collection, planning and implementation to meet organizational needs.
  • Demonstrates strong independent judgment and analytical skills to recommend improvements/changes in process.
  • Considers/explores new and creative options to further improve areas of accountability in keeping with strategies and goals.

Financial Management and Viability: 

  • With the assistance of assigned financial staff, reviews periodic financial statements and reports, and makes changes in resource allocation, spending, and other relevant business activity, to ensure the financial viability and budget compliance.
  • Supports and adheres to the financial controls and related policies and procedures and ensures that administrative and business activities are conducted in support of operational excellence.

Human Resources Management:

  • With the support of and in coordination with the Human Resources and Organization Development function, maintains positive personnel relations and strives to be an employer of choice by ensuring that employee questions and concerns are addressed responsively. 
  • Ensures compliance with laws and regulations and adherence to HR/OD policies and procedures. 
  • Ensures that performance management programs are effectively administered and individuals receive on-going feedback and coaching on job performance, competencies, values-based behaviors and developmental needs.

Compliance and Privacy:

  • Ensures that policies and procedures regarding corporate compliance and privacy of patient and employee information are observed. 
  • Exercises due diligence in contracting and other activities with legal risks, and uses the services of the Office of General Counsel as appropriate. 
  • Personally models professional confidentiality and discretion in all communications and exchanges of information.

Management, Talent and Performance: 

  • Employ methods of change management to advance the organization by using tools, business processes, budget allocations and operational practices to significantly reshape ECU Health. 
  • Accountable for a positive organizational culture in conducting business, decision making and performance management to influence work attitudes and enhance job satisfaction.
  • Responsible for the selection, engagement, and development of Staff, inclusive of performance management, professional development, formation, and succession planning.
  • Typically delegates initiatives and projects, may provide operational support.

Minimum Requirements

  • Master's degree is required
  • 5 to 7 years experience is required

Other Information

  • Shift(s): 8 hours
  • Days: Monday - Friday
  • Administrative call rotating schedule
  • Clinical Quality Mgmt Department
  • Great benefits

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

Contact Information

For additional information, please contact:

Nadia Moore, BA, MBA, Talent Acquisition Consultant

ECU Health Talent Acquisition

Email: [email protected]

Tel: (252) 917-7122


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