Northwest Health - Porter

Chief Quality Officer - Healthcare Administration

Valparaiso

,

IN

Full Time

The Chief Quality Officer (CQO) is responsible for driving quality and performance improvement initiatives across the hospital. This role ensures compliance with regulatory and accreditation standards-including The Joint Commission (JC)-while fostering a culture of safety, accountability, and continuous improvement. Acting as a key liaison among departments, medical staff, and leadership, the CQO champions operational excellence and optimal patient outcomes.

What We Offer:
  • Competitive Pay
  • Medical, Dental, Vision, and Life Insurance
  • Generous Paid Time Off (PTO)
  • Extended Illness Bank (EIB)
  • Matching 401(k)
  • Opportunities for Career Advancement
  • Rewards & Recognition Programs
  • Exclusive Discounts and Perks*
Essential Functions
  • Lead the development and execution of the hospital's Performance Improvement Plan to align with quality benchmarks and regulatory requirements.
  • Serve as the primary liaison for quality-related efforts across departments, medical staff, performance improvement committees, and administration.
  • Chair the Performance Improvement Committee, ensuring active progress on quality initiatives and full compliance with Joint Commission and other regulatory standards.
  • Manage all Joint Commission activities-including survey preparation, applications, and communication-to ensure readiness and ongoing compliance.
  • Educate staff and clinical teams on quality metrics, performance improvement methodologies, and evolving regulatory standards.
  • Develop and lead in-service education sessions covering JC, OSHA, CDC, and other regulatory topics.
  • Maintain comprehensive documentation of all quality initiatives and performance improvement activities for audit readiness.
  • Regularly update hospital staff on regulatory changes and lead implementation of new quality programs.
  • Act as a subject matter expert and internal consultant on quality-related challenges across all departments.
  • Lead the JC Task Force and coordinate all accreditation readiness activities.
  • Support medical staff in clinical performance improvement efforts focused on optimizing patient outcomes.
  • Disseminate relevant updates and best practices from professional publications and industry sources.
  • Perform other related duties as assigned and maintain compliance with all organizational policies.
Qualifications:

Required :
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure
  • Bachelor's Degree in Nursing, Healthcare Administration, or related field
  • 5-7 years of direct experience in nursing, quality management, performance improvement, or related field
  • 5-7 years of progressive leadership experience in similar settings
  • Strong knowledge of hospital operations, Joint Commission (JC) standards, CMS requirements, and Department of Health (DOH) regulations
Preferred :
  • Master's Degree in Public Health, Healthcare Quality, or related field
  • 5-7 years of clinical nursing experience in an acute care setting
Knowledge, Skills and Abilities
  • Deep understanding of quality improvement strategies, regulatory compliance, and accreditation standards (JC, CMS, DOH)
  • Exceptional leadership, communication, and collaboration skills across multidisciplinary teams
  • Strong analytical abilities with experience in quality metrics, data interpretation, and performance improvement planning
  • Skilled in fostering a culture of safety and accountability
INDLEAD