Poplar Bluff Regional Medical Center

Chief Quality Officer (CQO)
Full-Time | Leadership | Hospital-Based

Position Overview:
The Chief Quality Officer (CQO) provides strategic leadership for all quality, performance improvement, and regulatory compliance efforts across the hospital. This role drives a culture of safety, accountability, and continuous improvement, ensuring the highest standards in patient care and operational excellence. The CQO serves as the primary liaison among departments, medical staff, and hospital leadership on all quality-related matters, while ensuring compliance with The Joint Commission (TJC), CMS, and other applicable regulatory bodies.

Key Responsibilities:

• Lead the development, execution, and monitoring of the hospital-wide Performance Improvement Plan (PIP), ensuring alignment with national quality benchmarks and accreditation standards.
• Serve as the primary contact for all TJC-related matters, including surveys, documentation, applications, and ongoing readiness activities.
• Chair the hospital's Performance Improvement Committee, guiding quality initiatives, setting priorities, and ensuring cross-functional collaboration.
• Provide expert guidance and education on regulatory standards (TJC, CMS, OSHA, CDC) and quality improvement strategies to clinical and non-clinical staff.
• Maintain complete and accurate documentation of all performance improvement efforts; ensure timely communication and recordkeeping for audits and accreditation reviews.
• Coordinate and support quality initiatives across departments and with medical staff to drive improved patient outcomes.
• Facilitate medical staff performance improvement projects, working closely with clinical leaders to monitor, analyze, and enhance clinical processes.
• Stay current on quality trends by reviewing professional journals and disseminating best practices to teams.
• Lead and support the hospital's Joint Commission Task Force, ensuring ongoing regulatory compliance and successful survey outcomes.
• Promote a patient-centered culture focused on safety, accountability, and continuous learning.

Qualifications:

Licensure/Certifications:

• Registered Nurse (RN) licensure preferred (required in Missouri)
• Certifications in healthcare quality (e.g., CPHQ) are a plus

Education:

• Bachelor's degree in Nursing, Healthcare Administration, or a related field (required)
• Master's degree in Public Health, Healthcare Quality, or related field (preferred)

Experience:

• 5-7 years in nursing, quality management, or performance improvement (required)
• 5-7 years in healthcare leadership roles with increasing responsibility (required)
• Clinical nursing experience in an acute care setting (preferred)

Knowledge & Skills:

• In-depth knowledge of TJC standards, CMS regulations, and Department of Health (DOH) requirements
• Strong command of quality improvement methodologies and regulatory frameworks
• Proven ability to lead cross-functional teams, manage projects, and influence stakeholders at all levels
• Skilled in data analysis, performance metrics, and translating insights into actionable strategies
• Excellent communication, facilitation, and organizational skills

Why Join Us?

• Competitive Compensation
• Comprehensive Medical, Dental, Vision & Life Insurance
• Generous Paid Time Off (PTO) & Extended Illness Bank (EIB)
• Matching 401(k) Retirement Plan
• Opportunities for Career Growth & Advancement
• Recognition & Reward Programs
• Exclusive Discounts & Perks*

Make a measurable difference-every day.
Join our mission to deliver exceptional care through innovation, compassion, and quality leadership.

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