Erlanger East Hospital - Chattanooga, TN

Director of Quality and Safety

Job Summary

Director of Quality and Safety

We are looking for a registered nurse to step into the role of Director of Quality and Safety at Erlanger East Hospital in Chattanooga, Tennessee. You will manage solely the 100+ bed community hospital with the mentorship from the Director of Patient Safety, Quality, and Accreditation for the Erlanger Health System.

You will need to have your RN Licensure from Tennessee, a graduate degree from an accredited school of nursing, and at least 3 years of progressive management experience in healthcare Quality. A BSN and more than 5 years of Quality leadership experience is ideal, as well as a CPHQ or a Lean Six Sigma certification. Additional bonus experience includes DNV survey knowledge, process improvement capabilities to drive change, and people skills to work alongside physicians and educate fellow employees.

erlanger east hospital

The Erlanger East Hospital campus is a full-service, community hospital taking care to the next level with world-class surgical, emergency, heart, stroke, cancer, and pediatric care. As part of Erlanger Health System, a teaching hospital system affiliated with the University of Tennessee Health Science Center, the East location includes an Emergency Department, a Level 1 NICU, and Women’s services, among other provisions. 


About the town

chattanooga, tn


Public Schools




Good for Familes




Cost of Living


Outdoor Activities


Crime & Safety








Health & Fitness



Leapfrog Hospital Safety Scores

erlanger east hospital

MeasureThe Hospital’s ScoreWorst Performing HospitalAvg. Performing HospitalBest Performing HospitalData SourceTime Period Covered
Dangerous object left in patient’s body What’s This?0.0000.3400.0140.000CMS07/01/2020 – 06/30/2022
Air or gas bubble in the blood What’s This?0.0000.3080.0010.000CMS07/01/2020 – 06/30/2022
Patient falls and injuries What’s This?0.8372.0060.4290.000CMS07/01/2020 – 06/30/2022
Infection in the blood What’s This?Not Available3.5120.8880.0002023 Leapfrog Hospital Survey01/01/2022 – 12/31/2022
Infection in the urinary tract What’s This?1.7053.0260.7350.0002023 Leapfrog Hospital Survey01/01/2022 – 12/31/2022
Surgical site infection after colon surgery What’s This?Not Available2.8680.8320.0002023 Leapfrog Hospital Survey01/01/2022 – 12/31/2022
MRSA Infection What’s This?Not Available3.6530.9270.0002023 Leapfrog Hospital Survey01/01/2022 – 12/31/2022
C. diff. Infection What’s This?0.2251.8760.4880.0002023 Leapfrog Hospital Survey01/01/2022 – 12/31/2022
Death from treatable serious complications What’s This?172.90186.71143.2573.88CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021
Harmful Events What’s This?0.752.700.980.50CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021
      Dangerous bed sores What’s This? *0.609.620.590.01CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021
      Collapsed lung What’s This? *0.180.390.190.08CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021
      Falls causing broken hips What’s This? *0.030.330.080.01CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021
      Blood Leakage What’s This? *2.604.732.381.29CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021
      Kidney injury after surgery What’s This? *1.393.060.920.27CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021
      Serious breathing problem What’s This? *4.1246.916.751.15CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021
      Dangerous blood clot What’s This? *2.487.743.411.11CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021
      Sepsis infection after surgery What’s This? *2.448.704.151.53CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021
      Surgical wound splits open What’s This? *0.761.980.810.30CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021
      Accidental cuts and tears What’s This? *0.503.131.040.32CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021
* This measure is a part of the Harmful Events Composite and is not used for scoring.

Process measures include the management structures and procedures a hospital has in place to protect patients from errors, accidents, and injuries.

MeasureThe Hospital’s ScoreWorst Performing HospitalAvg. Performing HospitalBest Performing HospitalData SourceTime Period Covered
Doctors order medications through a computer What’s This?1001590.581002023 Leapfrog Hospital Survey2023
Safe medication administration What’s This?752592.671002023 Leapfrog Hospital Survey2023
Specially trained doctors care for ICU patients What’s This?5562.311002023 Leapfrog Hospital Survey2023
Effective leadership to prevent errors What’s This?120.0064.62117.49120.002023 Leapfrog Hospital Survey2023
Staff work together to prevent errors What’s This?120.000.00116.99120.002023 Leapfrog Hospital Survey2023
Nursing and Bedside Care for Patients What’s This?1515.0071.00100.002023 Leapfrog Hospital Survey2023
Handwashing What’s This?701577.321002023 Leapfrog Hospital Survey2023
Communication with nurses What’s This?867589.5597CMS10/01/2021 – 09/30/2022
Communication with doctors What’s This?897689.4598CMS10/01/2021 – 09/30/2022
Responsiveness of hospital staff What’s This?766080.9795CMS10/01/2021 – 09/30/2022
Communication about medicines What’s This?705773.8588CMS10/01/2021 – 09/30/2022
Communication about discharge What’s This?806284.8095CMS10/01/2021 – 09/30/2022

Hospital Leadership

MEET THE staff

Emily Chambers


Eileen Shrum

Director Patient Safety & Quality

Official job description

erlanger east hospital - director of quality and safety

Job Summary:
Oversight for support of operational areas to meet their responsibility for Quality, Process Improvement,
Service Excellence, and Culture of Safety for the enterprise. Directs and coordinates key strategic
development and functional services to support department objectives and organizational goals.
Maintains effective and responsive relationships with patients, medical staff, and other departments.
Oversight for any of the above departmental committees at the facility level. Directs the surveillance of
targeted patient populations in accordance with each operating unit’s risk assessment plan. Works in
collaboration with others on enterprise wide initiatives.

– Graduate from an accredited school of nursing.
– BSN or MSN preferred
– Certification

– Experience in supervising/managing/leading within a department or functional area.
– 3-5 years of progressive healthcare management experience in healthcare.
– Proven experience and success with development and implementation of performance
improvement, accreditation, safety, and outcome programs
– Proven positive relationships with physicians and other care providers.
– Flexible hours or beyond regular business hours, based on quality and safety need.
– 7+ years of progressive healthcare management experience in healthcare.
– Intensive care, or other clinical experience
– DNV accreditation experience.
– Proven experience and success with development and implementation of performance
improvement, accreditation, safety, and outcome programs
– Experience leading local engagement large national quality and safety collaborative efforts (e.g.
Children’s Hospital’s Solutions for Patient Safety [SPS], Institute for Healthcare Improvement [IHI],
Leapfrog, TIPQC, Patient Safety Organizations)
– Data analytics experience
– Experience presenting at the regional level

– Current licensure to practice nursing in the state of Tennessee.
The Nurse Licensure Compact will not change how to obtain or renew a Tennessee license. However,
the Tennessee nursing license will be a single state license for Tennessee Residents or non-compact
state residents. Tennessee licensure or multistate licensure from a compact state must be obtained
within three months of hire for non-Tennessee residents.
– Certified Professional in Healthcare Quality (CPHQ)
– Certification in Process Improvement or LEAN
Special Skills: Proven leadership, people and communication skills

Like what you've seen?

Would you like to
proceed with presentation?


Most frequent questions and answers

Yes. All of our open positions come with some sort of relocation allowance to help with the expenses of relocating. 

Yes. We will prep you for every interview you take. We know what our clients are looking for, so we will let you know what to expect and what experiences and accomplishments you should be sure to communicate to them in an interview.

Yes. If you connect us with another Infection Prevention professional that is interested in this position, and ultimately gets hired – we will send you a $500 referral bonus. 

Of course. We work to get you the highest possibly financial package – and communicate our progress throughout the process. We are financially incentivized to get you the most lucrative offer possible. 

Absolutely. We will review your resume before we submit it to the client to make sure it communicates everything it needs to.

First, everything we offer to our candidates is completely FREE. 

We operate as advisors and consultants for your Infection Prevention career. We’ve recruited in this industry for a long time and understand the profession as well as anyone.

If you decide you’d like us to represent you and apply for a position, the first thing our team will do is examine your resumé closely. We will fix up your resumé to ensure it communicates exactly what our client is looking for – demonstrating not only what you’ve been responsible for in previous Infection Prevention positions, but also how effective you’ve been in those roles. 

We have direct access to the hiring managers in the positions we search on which allows us to present your resumé directly to them, knowing exactly what they want to see in a candidate. We will keep you in the loop when this happens and what their initial feedback is. No more waiting in the dark hoping to hear back from HR.

Because of our relationships with the hiring manager, we have the ability to make a case for them to speak with you. It also allows us to get quick, honest feedback following each interview you have. And we will provide that feedback to you, good or bad.

In addition to preparing your resumé and presenting directly to the hiring manager, we also will prep you for each and every interview. Again, we know what our clients are looking for, so we will let you know what to expect and what experiences and accomplishments you should be sure to communicate to them in an interview.

In terms of the interview process, we’ll work with you and the client to get those scheduled during a time that makes sense for you.

Perhaps the most beneficial piece of being represented by Clutch Recruitment is that we’ll negotiate an offer for you – securing the highest possible offer the client can make. Don’t worry about your salary demands rubbing your future employer the wrong way;  we do all of that for you, ensuring a completely fair offer, without the awkwardness that potentially comes with it. We are financially incentivized to get you the highest possible offer, and we will ensure that happens.

Once you accept an offer, our work doesn’t stop. We’ll be there to talk you through your resignation and prepare you for how to handle a counter offer, along with all other complications that may arise. 

We have a large in house sourcing team that collects information from various databases online including LinkedIn, certification boards, and professional associations. 

our team

meet our recruitment team

Scroll to Top