Chief Quality Officer - Healthcare Administration

46383 Valparaiso, Indiana Community Health Systems

Posted 1 day ago

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Job Description

The Chief Quality Officer (CQO) is responsible for driving quality and performance improvement initiatives across the hospital. This role ensures compliance with regulatory and accreditation standards-including The Joint Commission (JC)-while fostering a culture of safety, accountability, and continuous improvement. Acting as a key liaison among departments, medical staff, and leadership, the CQO champions operational excellence and optimal patient outcomes.
**What We Offer:**
+ Competitive Pay
+ Medical, Dental, Vision, and Life Insurance
+ Generous Paid Time Off (PTO)
+ Extended Illness Bank (EIB)
+ Matching 401(k)
+ Opportunities for Career Advancement
+ Rewards & Recognition Programs
+ Exclusive Discounts and Perks*
**Essential Functions**
+ Lead the development and execution of the hospital's Performance Improvement Plan to align with quality benchmarks and regulatory requirements.
+ Serve as the primary liaison for quality-related efforts across departments, medical staff, performance improvement committees, and administration.
+ Chair the Performance Improvement Committee, ensuring active progress on quality initiatives and full compliance with Joint Commission and other regulatory standards.
+ Manage all Joint Commission activities-including survey preparation, applications, and communication-to ensure readiness and ongoing compliance.
+ Educate staff and clinical teams on quality metrics, performance improvement methodologies, and evolving regulatory standards.
+ Develop and lead in-service education sessions covering JC, OSHA, CDC, and other regulatory topics.
+ Maintain comprehensive documentation of all quality initiatives and performance improvement activities for audit readiness.
+ Regularly update hospital staff on regulatory changes and lead implementation of new quality programs.
+ Act as a subject matter expert and internal consultant on quality-related challenges across all departments.
+ Lead the JC Task Force and coordinate all accreditation readiness activities.
+ Support medical staff in clinical performance improvement efforts focused on optimizing patient outcomes.
+ Disseminate relevant updates and best practices from professional publications and industry sources.
+ Perform other related duties as assigned and maintain compliance with all organizational policies.
**Qualifications:**
**Required** :
+ RN - Registered Nurse - State Licensure and/or Compact State Licensure
+ Bachelor's Degree in Nursing, Healthcare Administration, or related field
+ 5-7 years of direct experience in nursing, quality management, performance improvement, or related field
+ 5-7 years of progressive leadership experience in similar settings
+ Strong knowledge of hospital operations, Joint Commission (JC) standards, CMS requirements, and Department of Health (DOH) regulations
**Preferred** :
+ Master's Degree in Public Health, Healthcare Quality, or related field
+ 5-7 years of clinical nursing experience in an acute care setting
**Knowledge, Skills and Abilities**
+ Deep understanding of quality improvement strategies, regulatory compliance, and accreditation standards (JC, CMS, DOH)
+ Exceptional leadership, communication, and collaboration skills across multidisciplinary teams
+ Strong analytical abilities with experience in quality metrics, data interpretation, and performance improvement planning
+ Skilled in fostering a culture of safety and accountability
INDLEAD
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.
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