Director, Quality

Director of Quality

Who we are:

Your experience matters 

Mercy Rehabilitation Hospital Oklahoma City South is operated jointly with Lifepoint Health and Mercy. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As Director of Quality joining our team, you're embracing our promise to provide superior patient care that exceeds industry standards as well as patient expectations. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

More about our team 

Our rehabilitation programs at our Oklahoma City South Hospital provide ongoing care and specialized treatment to patients throughout their recovery journey. We offer customized, intense rehabilitation tailored to the individual needs of those recovering from stroke, brain injury, neurological conditions, trauma, spinal cord injury, amputation, and orthopedic injury.

Position Summary

Leads and oversees a comprehensive, efficient, and integrated hospital-wide Continuous Quality and Performance Improvement (CQPI) program. Uses data collection, analysis, and trending to assess performance; focuses on process and systems improvement; directs risk management and patient safety activities; investigates adverse outcomes; coordinates regulatory/accreditation readiness; and educates staff on CQPI and related quality programs.

Essential Functions

• Provide leadership and oversight of the organization-wide CQPI program.
• Measure and assess performance by collecting, analyzing, and trending data to identify opportunities for improvement.
• Focus on improving processes and systems to drive clinical quality, safety, and operational performance.
• Direct, facilitate, and report on all aspects of risk management and patient safety.
• Investigate factors contributing to adverse outcomes and drive process/system changes.
• Direct the hospital-wide CQPI operations, including record reviews for quality indicators and reporting findings to leadership, Medical Executive Committee, Board of Managers, and other committees.
• Annually review hospital-wide plans for Infection Control (IC) and CQPI; establish goals and objectives for the coming year.
• Serve as liaison to local health officials, coordinate inspections and accreditation reviews with state and other regulatory agencies.
• Perform other duties as assigned.

Additional Information

Develops and delivers hospital-wide CQPI education and training. Prepares quality/patient safety reports and dashboards for leaders and committees. Partners with clinical and non-clinical departments to sustain improvements and ensure compliance with applicable standards.

Knowledge, Skills & Abilities

Licensure: Registered Nurse with current state licensure highly preferred; clinical license required.

Education: BSN or BS/BA required.

Experience: Minimum two (2) years in an acute hospital or rehabilitation setting required; prior supervisory experience preferred.

Certifications: Basic Life Support (BLS/CPR) required; certification preferred by APIC (American Practitioners of Infection Control) and NAHCQ (National Association of Health Care Quality).

Skills: Data analysis and reporting; CQPI methodologies (e.g., RCA, FMEA, PDSA); risk management and patient safety facilitation; regulatory/accreditation readiness; effective teaching, communication, and collaboration.

EEOC Statement

"Lifepoint Rehabilitation is an Equal Opportunity Employer. Lifepoint Rehabilitation is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.