Director of Quality

Presbyterian/St. Luke's Medical Center - Denver, CO3.3

Full-timeEstimated: $87,000 - $120,000 a year

SHIFT: No Weekends

SCHEDULE: Full-time

Director of Quality
Presbyterian/St. Luke's Medical Center

We are seeking a Director of Quality for our facility to ensure that we continue to provide all patients with high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now!

We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity.

Healthcare Corporation of America (HCA) is a community of 94,000 Registered Nurses and 38,000 active physicians. We have over 1,900 facilities ranging from hospitals, freestanding ER’s, ambulatory surgery centers, and urgent care clinics. Our facility based staff continues to raise the bar in patient care. Ten HCA hospitals have been named in IBM Watson Health’s top 100 best-performing hospitals based on patient satisfaction and operational data.

Presbyterian St. Luke’s Medical Center, located in the Uptown neighborhood in Denver, CO, we provide the most advanced care for patients across the Rocky Mountains and Great Plains. We are proud to serve our community with experienced physicians who offer a wide range of medical services for patients of all ages.

Since delivering our first baby in 1882 at St. Luke’s Hospital, we have focused on providing exceptional baby care. Today, P/SL offers the region’s most advanced maternal-fetal care, focusing on rare conditions that put mothers and their developing babies at high-risk. The Advanced Cardiac Center at P/SL is known as a major heart hospital, recognized several times over the American Heart Association for excellence and for its success in implementing a higher standard of cardiac care that effectively improves treatment of patients hospitalized for heart disease.

While the tools are ever changing and our ability to care for patients is always advancing, one things remains constant - putting our patients first, with quality, respect, safety and teamwork.

Facts at a Glance:
The Rocky Mountain Hospitals for Children at P/SL's 84-bed Neonatal Intensive Care Unit is the largest in the Region.
Presbyterian/St. Luke’s Medical Center leaves a legacy of over 135 years of exceptional medical care
Over 80 specialties and 1,000 specialists and primary care physicians
Three Year Accreditation with Commendation from the Commission on Cancer
The Joint Commission Accreditation
18-bed OR embraces diversity and learning
Robotics: 3 da Vinci Xi and 1 Medrobotics systems – least invasive surgery options

This position supports the mission of Presbyterian/St. Luke’s Medical Center and Rocky Mountain Hospital for Children in optimizing the quality of life of all those served by expanding beyond the traditional focus on medical needs to the needs of the whole person. The Quality and Regulatory Compliance Director is responsible to support the VP of Quality in advancing the organization’s quality improvement goals and for creating and maintaining a culture of continual regulatory readiness. The Quality and Regulatory Compliance Director will oversee hospital compliance as it pertains to regulatory requirements, including but not limited to The Joint Commission, Center for Medicare and Medicaid Services, and Colorado Department of Public Health and Environment. Manages Quality programs and regulatory functions. Accountable for ongoing continuous survey readiness, mock surveys facilitation, regulatory rounding throughout the hospital, survey coordination, post survey follow up, and regulatory compliance with licensing and accreditation. Oversees the completion of various regulatory and quality survey submission requests. Interacts with senior management, multidisciplinary departments, and the medical staff as required to keep all adequately informed and educated on regulatory issues. Assists in the management of policies and procedures. Participates in process improvement related to regulatory standards which may include patient and facility safety initiatives. This role will also be active in patient care areas, observing practices, reviewing medical records and collaborating with management, front line staff and the medical staff when there are opportunities to improve the organization’s compliance. When need arises, performs other duties as assigned by supervisor.

Presbyterian/St. Luke’s Medical Center and Rocky Mountain Hospital for Children expects our core values to be reflected in the way every employee interacts with co-workers, patients and family members, and with others in the community. The intent of these values is to assure that PSLMC/RMHC creates the environment where individuals choose to work, and that patient care services are of the highest quality.

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply. We promptly review all applications. If you are highly qualified you will hear from one of our managers. Come unlock the possibilities and apply today!



  • Colorado RN license or Licensure in a healthcare related profession.
  • CPHQ or other Quality Certification preferred.
  • Baccalaureate degree in a healthcare related field required; Graduate degree preferred
  • Minimum of three years progressive experience in healthcare quality management, including management of individuals, teams, and regulatory compliance, i.e. JCAHO, CMS, and State Department of Health and Environment.
  • Ability to analyze detailed reports, statistical data, and financial reports.

  • Ability to design and develop performance measures
  • Experience in providing data analysis and statistical processes
  • Experience in providing education and presentations
  • Experience in Core measure review
  • Experience with policy and procedure development
  • Experience in facilitating PI teams using quality improvement methodology
  • Ability to effectively communicate both verbally and writing with hospital, medical staff and regulatory bodies
  • Computer skills in Word, Excel, and Power Point
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.

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.

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