Job Description

Position Overview

The Chief Quality Officer (CQO) is a strategic leader responsible for advancing quality, patient safety, and performance excellence across the hospital. This position ensures compliance with Joint Commission (TJC) and regulatory standards, while driving a culture of continuous improvement. The CQO works collaboratively with leadership, clinical teams, and staff to enhance outcomes, optimize operations, and support organizational goals.

Relocation Assistance is available 

Key Responsibilities

Lead the development, implementation, and evaluation of the hospital’s Performance Improvement Plan. Serve as the primary liaison for all quality-related matters among hospital departments, administration, and medical staff. Chair and guide the Performance Improvement Committee; ensure TJC and accreditation compliance. Oversee and coordinate Joint Commission survey readiness, including applications and all correspondence. Facilitate internal education on regulatory updates, quality standards, and performance improvement practices. Design and deliver in-service training related to OSHA, CDC, CMS, and JC compliance standards. Maintain accurate documentation of all quality and performance activities for internal tracking and regulatory review. Lead the Joint Commission Task Force, ensuring ongoing compliance and preparation for accreditation surveys. Support clinical departments in developing and executing quality improvement initiatives. Disseminate best practices, industry standards, and emerging trends from current research and professional publications. Act as a subject matter expert and resource for all departments on quality, safety, and performance improvement matters.

Qualifications

Required:

Bachelor’s Degree in Nursing, Healthcare Administration, Public Health, or a related field 5–7 years of direct experience in quality management, nursing, or performance improvement 5–7 years of progressive leadership in a healthcare setting Deep understanding of Joint Commission, CMS, and Department of Health regulations

Preferred:

Master’s Degree in Healthcare Quality, Public Health, Nursing, or Healthcare Administration 5–7 years of clinical experience in an acute care setting

Knowledge, Skills, and Abilities

Expertise in quality improvement methodologies and regulatory compliance Proven leadership skills with the ability to manage multidisciplinary teams Proficiency in data analysis, quality metrics, and outcome measurement Strong interpersonal and communication skills; able to influence across departments Familiarity with learning management systems, audit tracking, and accreditation systems

Licenses and Certifications

Preferred: Active RN license (Compact or State-Specific Licensure) Required (Texas Only): Active and unencumbered Registered Nurse (RN) license CPHQ or similar certification highly desirable

Compensation Package Includes:

Competitive Salary Medical, Dental, Vision, and Life Insurance Generous PTO & Extended Illness Bank (EIB) 401(k) with Matching Contributions Career Growth & Advancement Opportunities Recognition & Rewards Programs Employee Discounts and More INDLEAD To apply, please email laura_peterson2@chs.net