SJH MDS/Reimburseme
Rochester, NY, US

Salary Range: $110,000.00 To $145,000.00 Annually


About the role

We are seeking an experienced, results‑driven Director of Quality to lead our quality, safety, infection prevention, and regulatory readiness programs across a 400+ bed skilled nursing facility. This is a senior clinical/quality leadership role reporting to the Chief Operating Officer and working closely with Nursing, MDS, Medical Director, and Operations.

Key responsibilities

- Lead QAPI and quality improvement strategy; set and track KPIs (CMS star measures, readmissions, HAIs, falls, pressure injuries).

- Oversee infection prevention program and surveillance; lead survey readiness and plan‑of‑correction efforts.

- Direct data collection/analysis and reporting (internal dashboards, electronic health record/PointClickCare or equivalent, external quality reporting).

- Collaborate with clinical leaders on ...