Responsible for coordination and leadership in all performance and quality activities (High Reliability Organization (HRO); Performance Measurement/Improvement, External/Internal Reviews/Accreditation, Utilization Review/Management, Infection Control, Green Environmental Management Systems (GEMS), Emergency Management, Risk Management, Safety & Occupational Health; Patient Advocates; Systems Redesign and Patient Safety) throughout the facility. Duties include but not limited to the following: Provides leadership and direction for the quality control and assurance program that continually assesses and improves compliance with the requirements, standards, and guidelines. Responsible for facilitating a facility quality management program that continuously assesses and strives to improve heal
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