Director, Quality

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

Your experience matters 

At Rehabilitation Hospital of Wisconsin , we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.

 What we offer

Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:  

Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

Competitive Paid Time Off 

Employee Assistance Program - mental, physical, and financial wellness assistance

Tuition Reimbursement/Assistance for qualified applicants

And much more...

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.

Job Summary

Director of Quality 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.

EEOC Statement:

Rehabilitation Hospital of Wisconsin is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of 

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.