Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors.

What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact - because when it comes to caring for people, we're all in.

Direct, plan and supervise activities of hospital performance improvement program. Plans, facilitates and provides updates to the hospital and medical staff on hospital performance through a variety of intermediary and other projects including the QIO, IHI and Premier/Care Discovery. Coordinates medical staff peer review process. Facilitate hospital wide performance improvement by conducting teams including FMEA's and Process Analysis Teams. Responsible to provide direction, planning and supervision of the quality measures nurse(s) and core measure data abstraction process. Prepares and presents to hospital and medical staff committees quality measures and other PI data on an ongoing basis. Responsible to support the hospital's continual readiness program through staff and physician education, yearly review of standards, mock surveys and survey coordination. Responsible to use a variety of IT systems to conduct complex data analysis using multiple internal and external databases and advanced statistical tools.

Estimated Salary Range $97,073 to $126,195 based on experience

Degrees:

• Bachelors.

Licenses & Certifications:

• Registered Nurse.
• NAHQ Certified Professional in Healthcare Quality.

Additional Qualifications:

• Bachelors degree in Nursing - BSN.
• 5 years acute care hospital experience required.
• 2 years of prior Performance Improvement experience required.
• Prior supervisory or accreditation survey experience preferred.
• Excellent verbal and written communication.
• Proficiency in Word, Excel and PowerPoint required.
• Certified Professional in Healthcare Quality or attainment within 2 years of hire.

EOE, including disability/vets