Chief Quality Officer (CQO)

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