At Yoakum Community Hospital, we are committed to delivering the highest quality of patient care, and we are seeking a passionate and dynamic Quality Management Director to lead our quality improvement initiatives. If you are a driven healthcare professional with a keen eye for detail and a heart dedicated to enhancing patient outcomes, this is the role for you!

Drive excellence as our Quality Management Director, where you will lead the implementation of evidence-based programs and ensure strict adherence to regulatory standards. In this high-impact role, you will collaborate across departments to analyze performance metrics and spearhead safety initiatives. We are looking for a visionary leader to champion a culture of continuous improvement and elevate the patient experience throughout our hospital and community.

Reporting to the Chief Executive Officer, the Director, Quality Management leads and directs all quality management activities for the hospital including risk management, infection control, employee health, compliance, workers compensation and housekeeping.

MAJOR RESPONSIBIILTIES:

• Consistently demonstrates behavior which reflects that working as a team is more important than self-interest
• Complies with the Hospital’s core values of R.I.S.E.
• Attends Leadership, Performance Improvement Program Review Committee, Infection Control Committee, Safety, and other meetings as well as in-services when necessary
• Develops and maintains Policy and Procedure Manuals for all areas of responsibility
• Reports to Administration and Chief Nursing Officer all reportable situations
• Assures that Risk Management variance reports are completed by Hospital employees.  Assists      in securing all data
• Maintains OSHA log and annually posts summary as required by State and Federal agencies    
• Completes and submits forms for insurance policy renewals and notifies appropriate agencies of changes in property or equipment for effective insurance coverage
• Keeps apprised of appropriate regulatory agency requirements
• Coordinates the reports from the Clinical and Ancillary Departments for Performance Improvement Program Review
• Reviews and evaluates patient medical records
• Establishes and maintains the Hospital-wide Performance Review Program and documentation
• Evaluates all aspects of infection control within the Hospital as well as the healthcare team
• Assesses culture reports weekly to determine 1) infections present, b) Healthcare Associated Infection (HAI), c) infections community acquired
• Maintains log of all Healthcare Associated Infections (HAIs)
• Maintains current knowledge concerning principles of epidemiology and infection control
• Serves as Hospital Compliance Officer with responsibilities for oversight of development, implementation, and daily operations of the Compliance Program
• Serves as Employee Health Nurse
• Directs the Housekeeping Staff in maintenance of a clean, orderly, sanitary, and aseptic environment for the patients, public, and hospital staff within established safety guidelines
• Assures that all tasks performed are in compliance with related State and Federal guidelines, rules, and regulations
• Performance of other duties, as assigned
•  Abides by Hospital policies and procedures as set forth in the Personnel Handbook

Requirements

• Current licensure in Texas as a Registered Nurse, or related healthcare field
• Two to three years related experience and/or training or equivalent combination education and experience
• Current certification for CPR, ACLS, and PALS
• Management experience preferred

• CIHQ knowledge preferred

Benefits

At Yoakum Community Hospital, we believe that taking care of our community starts with taking care of our team. We offer a sophisticated total rewards suite designed to support your health, your family, and your future:

• Comprehensive Health & Wellness: Premium Medical, Dental, and Vision plans, plus Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to keep you and your family thriving.
• Financial Security: Build your future with a competitive 401(k) retirement plan featuring a generous company match and employer-sponsored Life and AD&D insurance.
• Work-Life Harmony: Enjoy a premier Paid Time Off (PTO) allowance that covers vacations, sick leave, and public holidays, ensuring you have the time you need to recharge.
• Career Advancement: We fuel your professional growth through Tuition Reimbursement and a culture that prioritizes internal promotion and continuous clinical excellence.
• A Culture of Excellence: Join a supportive, inclusive environment where your contributions are valued and your professional development is a top priority.

YCH is a drug free workplace. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.