Kindred Hospital Lima is a 26-bed long-term acute care hospital offering the same in-depth care you would receive in a traditional hospital, but for an extended recovery period. We partner with your physician and offer 24-hour clinical care seven days a week so you can start your journey to wellness. We are located downtown Lima on the west side of I-75, with ease access to surrounding shops and restaurants.
Job Summary
Responsible for planning, implementing, and overseeing the hospital-wide performance improvement program to meet organizational and regulatory requirements. Provides education to medical staff, hospital staff, and the Governing Body while facilitating continuous quality improvement (CQI) activities across the organization.
Serves as a key resource to the administrative team, department managers, and medical staff, and performs clinical risk management functions. Maintains oversight of regulatory surveys and all performance improvement activities. Acts as the Facility Ethics & Compliance Officer, ensuring adherence to organizational policies, regulatory standards,



and ethical practices.
Essential Functions
- Plans, implements, and oversees the hospital-wide performance improvement program.
- Facilitates performance improvement and CQI initiatives across all departments.
- Collaborates with clinical leaders, department managers, administrative team, and Governing Body to support quality initiatives.
- Maintains current knowledge of regulatory requirements, accreditation standards, and industry best practices.
- Oversees preparation for regulatory surveys including Joint Commission, State Licensing, and CMS validation reviews.
- Educates and supports department managers in maintaining compliant policies and procedures.
- Utilizes database systems to document occurrences, track medical staff review activities, and compile reports for committees and leadership.
- Participates in and supports risk management and patient safety initiatives.
- Provides suppo

📌 Director of Quality, Ethics and Compliance (Lima)
🏢 ScionHealth
📍 Lima