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Director, Quality

Performance Improvement


Address   Franciscan Health
    20201 Crawford Avenue
    Olympia Fields, IL 60461

Hours  Days

Calendar  Full-Time; 40.00/week

Education Master's Required


Quality & Regulation Leader


Exceptional quality health care doesn’t happen by luck; it happens because there is a team of health care professionals working together – each doing their own job to the highest standards and working together for a common goal. Our Director of Clinical Integration and Quality Regulation is an important part of this care team – developing and implementing Performance Improvement and Infection Prevention plans while integrating quality and safety in all aspects of clinical care to our patients.


Are you a good leader? Do you enjoy helping others? Can you schedule others and oversee their work? Can you successfully develop Performance Improvement plans? We have just the job for you.


  • Develop and successfully implement Performance Improvement Infection Prevention plans that are consistent with Franciscan Alliance vision and goals.
  • Educate, coach and develop medical staff and leadership so that they actively lead and participate in departmental, functional and service line Performance Improvement and Infection Prevention plans.
  • Ensure compliance with regulatory guidelines for all outside regulatory and accrediting bodies. 
  • Oversee the preparation for all site visits and coordinates all activities during site visits.
  • Submit all data to external agencies in a timely manner for Quality Improvement and Infection Prevention requirements.
  • Coordinate, facilitate and document all quality activities; monitor Quality Improvement/ Infection Prevention and wound management initiatives, with a strong focus on public reporting initiatives.
  • Monitor Quality, Infection Prevention performance and wound care (trends, etc.) relative to key benchmarks – national, regional and local – routinely reports this comparative information and ensures that it is utilized in developing action plans.
  • Direct the completion of all corporate board reports
  • Monitor clinical, medical and ancillary compliance to the quality plan and initiates appropriate action to assure compliance with CMS, Value Based Purchasing and insurance carrier’s quality measures.
  • Participate in risk/safety review in order to identify potential risks and opportunities for enhancing patient care and safety.
  • Act as a liaison with staff and management in clinical areas.
  • Participate in the identification of high-risk areas and provide prioritized recommendations and solutions to eliminate exposure to liability and improve quality of care and patient safety.
  • Support implementation of evidence-based clinical best practices for improving processes, outcomes and patient experience of care.


  • Excellent written and oral communication skills.
  • Maintain current knowledge of regulatory agency requirements, is a resource person to patient care services and hospital departments in order to achieve compliance to regulatory agency standards.
  • Assess and analyze strategies and implement activities to maximize effectiveness.
  • Keep abreast of changing healthcare industry and develops Quality/Infection Prevention processes that provide differentiation in the marketplace.
  • Secure relevant information, and identify key issues and relationships from a base of information relating and comparing data from different sources, identifying cause-effect relationships.


5-10 Years Clinical Experience: preferably with demonstrated experience in delivery of quality services

License(s): Registered Nurse and a Master’s Degree in Nursing or Healthcare Administration required

Certification(s): Certified Professional in Health Care Quality (CPHQ) or Certified Professional in Health Care Risk Management (CPHRM) desirable

Travel: Never or Rarely



It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

Nearest Major Market: Chicago

Job Segment: Manager, Medical, Patient Care, Registered Nurse, Nursing, Management, Healthcare