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:
Required :
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*
- 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.
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
- Master's Degree in Public Health, Healthcare Quality, or related field
- 5-7 years of clinical nursing experience in an acute care setting
- 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