Career Center

Opening Date Apr 4, 2025 Closing Date: Ongoing

Full-time Shift Start Time: 8:00 A.M. Shift End Time: 4:30 P.M.

Collective Bargaining Unit: NONE

Posting Salary: MIN $158,718 MAX $196,472

Organization Health and Hospital Systems

This position is exempt from Career Service under the CCH Personnel Rules. Please see our website for the full Job Description.

Job Summary

The Director of Nursing Quality and Regulatory Compliance reports to Associate Chief Nursing Executive of Quality, Professional Development, and Excellence and is responsible for enhancing the clinical quality and outcomes of nursing practice through the use of clinical data and project planning, implementation and evaluation by applying evidenced-based best practices throughout Cook County Health (CCH). In addition, the Director of Nursing Quality and Regulatory Compliance is responsible for developing systems and processes, which ensure continual survey readiness and regulatory compliance. The CCH is made up of John H. Stroger Hospital, Provident Hospital, Oak Forest Health Center, the Ambulatory and Community Healthcare Network, the CORE Center, Cermak Health Services, and the Cook County Department of Public Health. The mission of the System is to provide high quality care to the residents of Cook County (IL) regardless of ability to pay. 

General Administrative Responsibilities

Collective Bargaining

Discipline

Supervision

Management

Typical Duties

The Director of Nursing Quality and Regulatory Compliance assesses, plans, organizes, directs and evaluates overall nursing quality and regulatory compliance initiatives at the unit, divisional, departmental and system level. The Director collaborates with Nursing leadership, Nursing staff and other patient care related services, as well as those in Quality/Performance Improvement roles to enhance the quality of nursing practice through the use of clinical data and the application of evidence-based practice. Under the direction of the Associate Nurse Executive, Quality, Development, and Advanced Practice Nursing, specifically have responsibility for:

• Providing leadership and direction in overall nursing quality and regulatory compliance.
• Planning, coordinating, implementing and evaluating programs provided by CCH relative to quality improvement and regulatory compliance.
• Utilizing various assessments and data, identify gaps in compliance from a quality and regulatory compliance perspective in the Department of Nursing.
• Reporting at the system, divisional and departmental level survey readiness findings and action planning to ensure compliance.
• Creating structure and processes to ensure optimal quality and compliant nursing performance.
• Partnering with various service lines, departments and leaders throughout the organization to promote and provide quality and compliance education that helps CCH meet its mission and vision.
• Serving as the Department of Nursing point of contact for surveyors during regulatory visits.
• Representing the CCH on various advisory boards and Commissions.

Reporting Relationship

Reports to the Associate Chief Nursing Executive of Quality, Professional Development and Excellence

Minimum Qualifications

• Licensed as a Registered Professional Nurse in the State of Illinois
• Master's or higher-level degree in Nursing from an accredited school of nursing
• Five (5) years of clinical or leadership experience as a Registered Nurse
• Three (3) years of nursing leadership experience
• Two (2) years of nursing quality and/or regulatory compliance experience

Preferred Qualifications

• Knowledge of and experience working in Magnet recognized facilities

Knowledge, Skills, Abilities and Other Characteristics – See website for full Job Description

• Knowledge of research/evidence-based practice initiatives, and Microsoft Office.
• Ability to: lead staff development initiatives to successful outcomes, and effectively utilize data, particularly with respect to evidence-based practices.
• Excellent interpersonal skills with the ability to establish strong and effective collaborative relationships.
• Excellent communication skills to prepare written materials and correspond with administrative personnel and the general public.

Physical and Environmental Demands

This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.

For purposes of the American with Disabilities Act, “Typical Duties” are essential job functions.

BENEFITS PACKAGE

• Medical, Dental, and Vision Coverage  Basic Term Life Insurance
• Pension Plan and Deferred Compensation Program  Employee Assistance Program
• Paid Holidays, Vacation, and Sick Time
• You may also qualify for the Public Service Loan Forgiveness Program (PSLF)

For further information on our excellent benefits package, please click on the following link: http://www.cookcountyrisk.com/

To receive Veteran Preference, appropriate discharge papers must be attached to the online application or must be included with your emailed resume/CV. Please refer to Veteran Preference document requirements listed on the bottom of posting on our website.

VETERAN PREFERENCE PLEASE SEE JOB POSTING ON OUR WEBSITE FOR FULL DETAILS

*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.

*CCH is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.

COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER.

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About Cook County Health

ABOUT COOK COUNTY HEALTH (CCH)The Cook County Health’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County. CCH is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCH is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, collaborative health plan and enhancing the patient experience.COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER

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