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In addition to the responsibilities listed below, this position is also responsible for providing strategic oversight and guidance to large-sized service areas (i.e., facilities with more than 300 licensed beds) by leading the development and implementation of broad, complex quality programs and initiatives; serving as a leader and expert on clinical quality management programs and initiatives; proactively monitoring performance metrics and performance improvement activities across large, complex services lines and facilities; championing and overseeing the use of evidence-based guidelines and criteria to optimize clinical outcomes; directing accreditation, licensing, and regulatory activities and ensuring compliance in all applicable settings, including compliance with administrative, legal, and regulatory requirements; partnering with and directing medical staff in large service areas to support peer review, practitioner performance review, and oversight processes across broad, complex services lines and facilities; and developing, evaluating, and managing ongoing improvement systems to reduce care delivery risk and medical errors across broad, complex services lines and facilities.

Essential Responsibilities: