Director of Nursing Quality & Regulatory Compliance

Company: American Health Quality Association
Location: Chicago
Posted on: May 3, 2025

Job Description:

Opening Date Apr 4, 2025 Closing Date: OngoingFull-time Shift Start Time: 8:00 A.M. Shift End Time: 4:30 P.M.Collective Bargaining Unit: NONEPosting Salary: MIN $158,718 MAX $196,472Organization Health and Hospital SystemsThis position is exempt from Career Service under the CCH Personnel Rules. Please see our website for the full Job Description.Job SummaryThe Director of Nursing Quality and Regulatory Compliance reports to the Associate Chief Nursing Executive of Quality, Professional Development, and Excellence and is responsible for enhancing the clinical quality and outcomes of nursing practice through the use of clinical data and project planning, implementation and evaluation by applying evidenced-based best practices throughout Cook County Health (CCH). In addition, the Director of Nursing Quality and Regulatory Compliance is responsible for developing systems and processes, which ensure continual survey readiness and regulatory compliance. The CCH is made up of John H. Stroger Hospital, Provident Hospital, Oak Forest Health Center, the Ambulatory and Community Healthcare Network, the CORE Center, Cermak Health Services, and the Cook County Department of Public Health. The mission of the System is to provide high quality care to the residents of Cook County (IL) regardless of ability to pay.General Administrative ResponsibilitiesCollective BargainingDisciplineSupervisionManagementTypical DutiesThe Director of Nursing Quality and Regulatory Compliance assesses, plans, organizes, directs and evaluates overall nursing quality and regulatory compliance initiatives at the unit, divisional, departmental and system level. The Director collaborates with Nursing leadership, Nursing staff and other patient care related services, as well as those in Quality/Performance Improvement roles to enhance the quality of nursing practice through the use of clinical data and the application of evidence-based practice. Under the direction of the Associate Nurse Executive, Quality, Development, and Advanced Practice Nursing, specifically has responsibility for:

• Providing leadership and direction in overall nursing quality and regulatory compliance.
• Planning, coordinating, implementing and evaluating programs provided by CCH relative to quality improvement and regulatory compliance.
• Utilizing various assessments and data to identify gaps in compliance from a quality and regulatory compliance perspective in the Department of Nursing.
• Reporting at the system, divisional and departmental level survey readiness findings and action planning to ensure compliance.
• Creating structure and processes to ensure optimal quality and compliant nursing performance.
• Partnering with various service lines, departments and leaders throughout the organization to promote and provide quality and compliance education that helps CCH meet its mission and vision.
• Serving as the Department of Nursing point of contact for surveyors during regulatory visits.
• Representing the CCH on various advisory boards and Commissions.Reporting RelationshipReports to the Associate Chief Nursing Executive of Quality, Professional Development and ExcellenceMinimum Qualifications
  • Licensed as a Registered Professional Nurse in the State of Illinois
  • Master's or higher-level degree in Nursing from an accredited school of nursing
  • Five (5) years of clinical or leadership experience as a Registered Nurse
  • Three (3) years of nursing leadership experience
  • Two (2) years of nursing quality and/or regulatory compliance experiencePreferred Qualifications
    • Knowledge of and experience working in Magnet recognized facilitiesKnowledge, Skills, Abilities and Other Characteristics
      • Knowledge of research/evidence-based practice initiatives, and Microsoft Office.
      • Ability to lead staff development initiatives to successful outcomes, and effectively utilize data, particularly with respect to evidence-based practices.
      • Excellent interpersonal skills with the ability to establish strong and effective collaborative relationships.
      • Excellent communication skills to prepare written materials and correspond with administrative personnel and the general public.Physical and Environmental DemandsThis position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.For purposes of the American with Disabilities Act, "Typical Duties" are essential job functions.BENEFITS PACKAGE
        • Medical, Dental, and Vision Coverage Basic Term Life Insurance
        • Pension Plan and Deferred Compensation Program Employee Assistance Program
        • Paid Holidays, Vacation, and Sick Time
        • You may also qualify for the Public Service Loan Forgiveness Program (PSLF)For further information on our excellent benefits package, please click on the following link: To receive Veteran Preference, appropriate discharge papers must be attached to the online application or must be included with your emailed resume/CV. Please refer to Veteran Preference document requirements listed on the bottom of posting on our website.VETERAN PREFERENCE PLEASE SEE JOB POSTING ON OUR WEBSITE FOR FULL DETAILS*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.*CCH is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER.
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Keywords: American Health Quality Association, Joliet , Director of Nursing Quality & Regulatory Compliance, Executive , Chicago, Illinois