Job Description Leads and directs all quality management activities for the hospital including patient care and relations, JHACO compliance, risk management and safety, performance improvement, and infection control. Develops strategic plans and policies for improved quality throughout the hospital and works with top management to ensure compliance with regulatory agencies. Relies on extensive experience and judgment to plan and accomplish goals. Performs a variety of tasks. Leads and directs the work of others. A wide degree of creativity and latitude is expected. Typically reports to top management. Bachelor's degree in the field or a related area, at least 7-10 years of experience in the field and certification as a registered nurse. Familiar with a variety of the field's concepts, practices, and procedures.