Director of Quality Management

Join Livingston Regional Hospital, a 114-bed, community hospital certified for sepsis care by the Joint Commission and accredited for chest pain by the American College of Cardiology. As part of the ScionHealth network, Livingston Regional proudly delivers quality care covering all aspects of healthcare, from 24-hour emergency services to inpatient and outpatient rehabilitative, a Level I neonatal nursery, a 16-bed gero-psych unit, and many other specialty services. Livingston serves a five-county area in central Tennessee and southern Kentucky. Grow your career where your work touches your neighbors.

Job Summary

The Director of Quality Management is responsible for the strategic leadership, coordination, and oversight of quality-related functions that may include Accreditation, Infection Prevention, Employee Health, Service Quality, and Clinical Outcomes. This position works collaboratively with hospital leadership, physicians, staff, and external agencies to ensure high-quality, cost-effective, and safe healthcare delivery. The Director manages and interprets clinical data, supports compliance with regulatory standards, and drives continuous performance improvement throughout the facility.

Essential Functions

• Leads development and implementation of departmental goals, plans, and standards in alignment with organizational strategy.
• Directs departmental operations including staffing, budget, and performance improvement.
• Oversees internal and external audits and regulatory readiness.
• Oversees complaint management and service recovery efforts.
• Collaborates with executive leadership and medical staff on strategic quality initiatives.
• Serves as subject matter expert to the Board of Trustees and other stakeholders.
• Uses benchmarking and evidence-based practices to guide improvements in patient care.
• Prepares professional reports and communicates findings to all levels of the organization.
• Integrates data and analytics into clinical and administrative decision-making.
• Leads committees and workgroups focused on patient safety and quality.

Knowledge/Skills/Abilities/Expectations

• Strong analytical, organizational, and leadership skills.
• Advanced knowledge of accreditation standards and quality methodologies.
• Effective interpersonal and communication skills.
• Ability to manage multiple priorities and work independently.
• Competence in statistical analysis, systems thinking, and change management.

Education

• Postsecondary (Cert/Diploma/Program Grad) from an accredited school of nursing (Required)
• Bachelor’s Degree (BSN) or Master's Degree in Nursing or healthcare related field (Preferred)

Licenses/Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure in state of practice Upon Hire (Required)
• BCLS - Basic Life Support Upon Hire or within facility-specified time frame (Required)
• ACLS - Advanced Cardiac Life Support Upon Hire or within facility-specified time frame (Preferred)
• CPHQ - Certified Professional in Healthcare Quality and/or certification in specialty area of practice Upon Hire (Preferred)

Experience

• 5+ years in related healthcare field (Required)
• 3+ years in progressive management (Required)
• Prior Experience in quality, case management, infection prevention, risk management, or accreditation (Required)
• Prior Experience in leading hospital or system-level accreditation processes (Preferred)