General Summary of Responsibilities: Provides clinical and administrative leadership and direction to the quality division and other assigned departments.Facilitates development, implementation, delivery and evaluation of services within the assigned areas through collaboration with the clinical/medical staff , nursing leaders, and other managers. Assures achievement of goals and adherence to policies, procedures, and standards set forth by state, federal, and hospital regulatory agencies. Creates an environment of innovation and creativity.Accountable for establishing operational mechanisms and quality leadership structures which facilitate safe and quality patient care and working environment. Essential Job Functions: