Director, Quality & Compliance

As a perennial leader in health care in Florida, University of Florida Health Shands Hospital is once again recognized by the U.S. News & World Report’s Best Hospitals rankings for excellence in adult patient care, with seven medical specialties ranked among the nation’s elite. Combined with the five pediatric specialties ranked in the nation’s top 50 by U.S. News & World Report, UF Health Shands has 12 specialties recognized.

Develops and implements the Continuous Quality Improvement program; coordinates licensure and accreditation activities for compliance with all applicable regularly agencies; serves as risk manager designee and directs the risk management program; supports the Medical Directors; establishes and assures hospital standards of performance; provides ongoing administrative, utilization and clinical quality consultation and support to the educators, managers, administrator and medical director of UF Health Psychiatric Hospital and UF Health system. Manages cost centers, departments and projects as assigned. Conducts special projects and serves as hospital representative to related core and system teams, projects and initiatives. Serves as a member of the hospital senior management team; represents administration in the absence of the Administrator and participates actively in institutional decision making. Chair the Emergency Preparedness to coordinate disaster relief efforts with County and State emergency management officials. Participate in the administrative on-call rotation.

Education

• Bachelor’s degree required.
• Master’s degree preferred.
• Master’s degree or higher in healthcare administration, risk management, nursing, or a directly applicable discipline preferred.

Experience

• Three to five years of progressively responsible management experience in a hospital setting, or equivalent, required.
• Experience with continuous quality improvement required.
• Experience with The Joint Commission accreditation required.
• Experience with Chapter 394 of the Florida Statutes, Rule 10E of the Florida Administrative Code, the Agency for Health Care Administration (AHCA), and/or other applicable regulatory agencies preferred.

Knowledge, Skills, and Abilities

• Demonstrated ability to organize and design services.
• Strong analytical skills.
• Demonstrated competency in:
• Problem definition
• Solution development
• Issue resolution
• Implementation
• Strong verbal and written communication skills.
• Strong conflict-resolution and conflict-management skills.
• Demonstrated ability to manage multiple projects and initiatives.
• Knowledge of procedural terminology and healthcare systems.

Motor Vehicle Operator Designation

• Will operate vehicles for an assigned business purpose as a non-frequent driver.
• A frequent driver is defined as an employee who uses a personal or Shands vehicle:
• At least once daily;
• For at least five individual trips per week; or
• To drive an average of more than 150 miles per week while performing job duties.
• The appropriate motor vehicle operator designation must be indicated on the Request for Personnel (RFP) form when the RFP is submitted to post the position.

Licensure/Certification/Registration

• None provided.