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    Program Director, Quality Assurance/Quality Improvement/Risk Manager School of Dental Medicine - Greenville, NC, United States - East Carolina University

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    Program Director, Quality Assurance/Quality Improvement/Risk Manager School of Dental Medicine

    Position Number: 001411
    Vacancy Open to: All Candidates
    Are you willing to sponsor nonimmigrant visas for this position?:
    Time-Limited:
    Department: AAH SODM CS Clinics Mgmt
    Department Homepage:
    Advertising Department: DENTAL MEDICINE, SCHOOL OF
    Division: Academic Affairs
    Classification Title: Director-Professional (Other)
    Competency Level:
    Working Title: Program Director Quality Assurance/Quality Improvement/Risk Manager School of Dental Medicine
    Number of Vacancies: 1
    Full Time Equivalent (FTE): 1.00
    Full Time or Part Time: Full Time
    Anticipated Hiring Range:
    Salary Grade Equivalency:
    Work Schedule: M-F typically. May require some travel.
    Work Hours: 8-5 May require some travel.
    Position Location (City): Greenville
    Job Category: Non-Faculty Instructional & Research

    Organizational Unit Overview:

    The School of Dental Medicine is composed of ten administrative offices and four academic departments. The Administrative units include the Offices of the Dean, Vice Dean, Associate Dean for Student Affairs, Associate Dean for Research, Associate Dean for Clinical Affairs, Associate Dean for Extramural Clinical Practices, Assistant Dean for Dental Education and Informatics, Assistant Dean for Educational Support and Faculty Development, Assistant Dean for Academic Success and the Assistant Dean for Business Operations and Financial Affairs. The four academic departments are Surgical Sciences, Pediatric Dentistry, Orthodontics and Dentofacial Orthopedics, General Dentistry and Foundational Sciences.

    Included in the mission of the School of Dental Medicine is to educate dental care providers (both dental students and dental residents) and to address the oral health care needs of the underserved population of North Carolina. The School of Dental Medicine meets these missions by operating dental clinics that provide both educational experiences for the dental students and residents and provides dental care to the residents of North Carolina. These clinics occur in both Ross Hall in Greenville, North Carolina, as well as Community Service-Learning Centers located throughout North Carolina. In order to operate these clinics, appropriate dental auxiliaries and clinical staff are needed.

    Job Duties:

    The Quality Assurance/Quality Improvement/Risk Management Program Director, under the direction of the Associate Dean for Clinical Affairs, will be responsible for design, implementation, and continued support of the Quality Assurance/Quality Improvement/Risk Management programs to ensure the highest quality, patient-centered care is provided in a safe and compassionate environment.

    Program Designs and Implementation: 50%

    • Continually assesses the full scope of all School of Dental Medicine services for Quality Assurance/ Improvement and Risk Reduction
    • Proactively manages ongoing, comprehensive quality assurance and improvement programs
    • Specifies data collection processes used to ensure quality performance and identify quality related problems
    • Develops ongoing improvement studies including measurable performance indicators to quantify process improvement activities
    • Expands processes, including pertinent data collection, to ensure desired results related to Quality Improvement activities, including annual program evaluation and provision of real-time, meaningful data
    • Assures the Risk Management program maintains focus on patient, provider, student and employee safety
    • Defines, classifies, and reviews all reportable adverse events and near misses
    • Investigates and trends incidents and accidents through data analysis to develop action plans to reduce harm and improve quality
    • Employs ongoing data analytics, comfortably performing root cause analyses to determine the reasons for problems, followed by proposals of solutions for improvement
    • Provides routine, periodic, and as-needed, status updates to the Dean's Executive Council on Quality and Risk Management activities, ongoing projects, planned initiatives, identified opportunities for improvement, and accomplishments
    • Proactively participates in Quality Assurance/Improvement, Risk Management, Safety, Peer Review meetings, and all other committees as appointed or required
    • Researches, develops, and manages a program directed toward identification and assistance with impaired health care professionals
    The Director will promote a culture of quality, safety, and customer satisfaction throughout the organization to include all administrators, providers, staff, students, and residents.
    Promotion of a Culture of Quality, Safety Risk Awareness and Customer Satisfaction: 25%
    • Helps deploy a non-punitive, non-retaliatory response to adverse and near miss events in support of an open, transparent, and just culture of quality and safety throughout the School of Dental Medicine
    • Collects, tracks, trends, distributes and communicates quality and risk management data across the organization
    • Implements activities and projects based on data collection, aggregation and analysis to improve dental services as well as risk mitigation to help grow a culture of quality and safety among all School participants
    • The Director will utilize and institutionalize nationally accepted best practices, essential to the position's effectiveness.
    Utilization of Nationally Accepted Best Practices: 25%
    • Collects and tracks data associated with quality, risk and compliance with associated practices
    • Establishes metrics to measure quality and risk practices and processes
    • Ensures data integrity of all information collected
    • Participates in organizational education and training related to best practices associated with clinical, quality and risk domains
    • Assists in providing oversight for infection prevention, peer review, external quality reporting, regulatory compliance, and ongoing survey readiness functions
    • Contributes to direct Peer Review activity and how it relates to Quality Assurance/ Improvement as well as
      • Credentialing and Privileging programs
    • Develops and integrates Quality Improvement, Risk Management and Peer Review processes, where applicable, to demonstrate interdependence and broad scope effects
    • Monitors all applicable Federal, State, and University guidelines, statutes, policies, and procedures related to healthcare quality to ensure compliance
    Position contingent upon available funding.
    Applicant must be authorized to work on a full-time basis in the US.

    Employment in this position provides eligibility to participate in the UNC Optional Retirement Program (ORP) which offers matching employer contributions and employee control of investment choices, along with eligibility to participate in various Voluntary Supplemental Retirement Plans (401k, 403b This position is not eligible to participate in the NC Teachers' and State Employees' Retirement System (TSERS). Additionally, this position offers multiple voluntary options for Medical, Dental, Vision, and Life Insurance as well as various supplemental plans including Critical Illness, Flexible Spending Accounts, Cancer, and Disability.

    Minimum Education/Experience:

    Master's degree required; or will accept in substitution a Bachelor's Degree in Health Care Administration, Public Health, or science related program and two years' experience in data, trend analysis and benchmarking in a medical related field.

    Qualifying degrees must be received from appropriately accredited institutions and conferred by the time of hire.

    License or Certification required by statute or regulation:N/A
    Preferred Experience, Skills, Training/Education:
    • Masters preferred.
    • Progressively responsible and directly related work experience with healthcare related quality assurance/quality improvement programs
    • Previous experience in designing and leading a continual readiness accreditation process.
    • Medical or dental records management experience
    • Working skill level in development of organizational policies and procedures
    • Excellent computer and database skills
    • Excellent interpersonal communication skills necessary to work with diverse groups
    • Excellent written and verbal communication skills
    • License or Certification required by the Department:
    Special Instructions to Applicant:

    Job Open Date: 04/24/2024
    Job Close Date:
    Open Until Filled: Yes

    Quick Link for Direct Access to Posting:

    Alternate option:

    AA/EOE:



    East Carolina University is an equal opportunity and affirmative action employer and seeks to create an environment that fosters the recruitment and retention of a more diverse student body, faculty, staff and administration. We encourage qualified applicants from women, minorities, veterans, individuals with a disability, and historically underrepresented groups. All qualified applicants will receive consideration for employment without regard to their race/ethnicity, color, genetic information, national origin, religion, sex, sexual orientation, gender identity, age, disability, political affiliation, or veteran status.

    Individuals requesting accommodation under the Americans with Disabilities Act Amendments Act (ADAAA) should contact the Department of Human Resources at Voice/TTY) or ADA-
    Eligibility for Employment:

    Final candidates are subject to criminal & sex offender background checks. Some vacancies also require credit or motor vehicle checks. ECU participates in E-Verify. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States.
    Office of Human Resources Contact Information:

    If you experience any problems accessing the system or have questions about the application process, please contact the Office of Human Resources at or toll free at or send an email to Our office is available to provide assistance Monday-Friday from 8:00-5:00 EST.

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