Director, Clinical Quality and Patient Safety

Director, Clinical Quality and Patient Safety provides strategic executive oversight and clinical guidance to a defined Service Area, encompassing multiple acute care facilities. This high-impact role is the accountable leader for the overall development, implementation, and rigorous enforcement of all Clinical Quality Management, Patient Safety, Infection Prevention, and Risk Mitigation programs.

Requirements

• Regulatory Leadership: Serve as the chief expert and liaison for all regulatory bodies, ensuring continuous readiness and full compliance with Joint Commission (TJC), CMS, and CDPH standards across the service area.
• Quality Program Management: Direct the development and implementation of all clinical quality and patient safety programs, utilizing Daily Management Systems and data to monitor, analyze, and improve performance.
• Medical Staff Partnership: Partner with and direct medical staff leadership to manage peer review, practitioner performance review, and professional oversight processes.
• Patient Safety & Risk Mitigation: Lead and champion the service area's journey toward High Reliability, driving cultural and process changes to minimize risk and medical errors.
• Risk Mitigation: Define and oversee risk management efforts, utilizing Root Cause Analysis (RCA) and other assessment tools to establish effective corrective action plans for all significant events and near misses.
• Infection Control: Oversee the Infection Prevention and Control Programs, serving as the primary contact during outbreak management and ensuring compliance related to architectural design and operations.
• Performance Improvement & Data Analytics: Utilize advanced PI methodologies (e.g., Lean, Six Sigma) to identify systematic barriers and drive the standardization of evidence-based guidelines across clinical departments.
• Data Strategy: Oversee the systems for data management, interpreting complex health data analytics and trends to advise executive leadership on long-term strategy and population health needs.

Benefits

• Signing Bonus
• Paid Relocation
• Full Benefits
• 20% Performance Bonus