About the role
We are seeking an experienced, results‑driven Director of Quality to lead our quality, safety, infection prevention, and regulatory readiness programs across a 400+ bed skilled nursing facility. This is a senior clinical/quality leadership role reporting to the Chief Operating Officer and working closely with Nursing, MDS, Medical Director, and Operations.
Key responsibilities
- Lead QAPI and quality improvement strategy; set and track KPIs (CMS star measures, readmissions, HAIs, falls, pressure injuries).
- Oversee infection prevention program and surveillance; lead survey readiness and plan‑of‑correction efforts.
- Direct data collection/analysis and reporting (internal dashboards, electronic health record/PointClickCare or equivalent, external quality reporting).
- Collaborate with clinical leaders on clinical pathways, staff education, and process redesign to improve outcomes.
- Manage the QA/PI team, clinical auditors, education team, and contractors as needed; develop policies and staff training.
- Prepare and present quality reports to executive leadership and the Quality Committee
Required qualifications
- Active, unencumbered NYS RN license (if non‑RN candidate, please note — but RN strongly preferred).
- Bachelor of Science in Nursing (BSN) required; Master’s or additional quality/healthcare degree preferred.
- Minimum 5 years of long‑term care / skilled nursing experience, with at least 2 years in quality, infection prevention, or clinical leadership.
- Demonstrated success improving CMS quality measures, reducing readmissions/infections, and survey readiness.
- Strong data/analytics skills (experience with PointClickCare, Excel) and quality certification (CPHQ, Lean Six Sigma preferred)
- Excellent communication skills and ability to lead interdisciplinary teams.
Core Organizational Competencies:
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St. John’s Brand Characteristics – Embrace living by being Friendly, Respectful, Responsive, Compassionate, Innovative and Fun towards elders, families and colleagues.
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Teamwork – Actively participates. Assists team members; offers encouragement. Acknowledges/welcomes elders. Keeps team members informed. Recognize achievements and efforts of others.
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Job Knowledge - Consistently demonstrates working knowledge of all aspects of job. Remains current on job related changes and trends.
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Planning/Organization – Demonstrates initiative; plans appropriately. Uses time, materials, resources effectively. Organizes work to ensure commitment and priorities.
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Productivity – Consistently maintains high activity levels and efficiently produces acceptable volume of work. Consistently meets deadlines and commitments.
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Quality – Consistently produces accurate, timely work which meets required quality standards. Pays attention to detail. Sets high standards of performance for self and others; actively seeks continuous improvement. Ensures highest quality elder-driven care is provided.
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Reliability – Consistently delivers on commitments. Can be counted on to accomplish tasks without follow-up. Available when required by elder or team, and can be counted on to help or assist when needed. Responds in a timely manner.
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Demeanor (attitude) – Embraces change with optimism. Addresses concerns appropriately. Positively communicates. Good listener. Consistently maintains a positive demeanor.
Preferred
- Prior experience in a 200+ bed facility (experience with a 400‑bed facility or multi‑site oversight a plus).
- Proven leadership in QAPI, MDS collaboration, and regulatory interactions with NYS DOH/CMS.
What we offer
- Competitive base salary range $110,000–$145,000 + performance bonus.
- Comprehensive benefits: medical/dental/vision, 401(k) with employer match, paid time off, CME/education support.
