Director, Clinical Quality and Patient Safety

KnowHireMatch; Manteca (CA); On-site; USD 225,000 - 275,000; Full time

Benefits offered by this job

Signing bonus

Paid relocation

Full benefits

20% performance bonus

Job summary

A leading healthcare organization in Manteca is seeking a Director, Clinical Quality and Patient Safety to provide strategic oversight and clinical guidance across multiple facilities. The role requires a Master's degree, extensive experience in clinical quality management, and proven leadership abilities. Competitive compensation package includes $225K-$275K salary, signing bonus, and full benefits.

Qualifications

• Minimum ten (10) years of experience in clinical or quality settings.
• Extensive experience in Clinical Quality management.
• Minimum nine (9) years of experience in a leadership role.

Responsibilities

• Provide strategic oversight for clinical quality and patient safety.
• Direct the development of clinical quality programs.
• Oversee risk management and infection prevention efforts.

Skills

Regulatory compliance management

Team leadership

Operational efficiency

Healthcare data analytics

Education

Master's degree in Business, Health Care, or Public Administration

Job description

Director, Clinical Quality and Patient Safety

The 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. This role requires a highly experienced leader dedicated to achieving High Reliability Organization (HRO) status and maintaining continuous regulatory compliance.

225‑275K + Signing Bonus + Paid Relocation + Full Benefits + 20% Performance Bonus

Strategic Accountabilities & Essential Functions

Regulatory Compliance & Accreditation

• 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

• High Reliability Organization (HRO): 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

• Performance Improvement (PI): 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

Requirements

Minimum Qualifications & Mandatory Requirements

Education And Experience

• Education: Master's degree in Business, Health Care, Public Administration, or a directly related field is Required
• Experience: Minimum ten (10) years of experience in clinical or quality settings, with extensive experience in Clinical Quality management
• Leadership Experience: Minimum nine (9) years of experience in a leadership role

Mandatory Certifications (Non‑Negotiable)

• RN (Registered Nurse) license is Required (reflecting the clinical background)
• CPHQ (Certified Professional in Healthcare Quality) or other equivalent Quality Certification is Required
• HRO Training (High Reliability Organization Training) is Required
• Must obtain a Professional Healthcare Quality Certificate within 24 months of hire

Required Skills and Expertise

• Regulatory: Expertise in managing compliance with Joint Commission (TJC), CMS, and CDPH
• Operational: Experience leading teams, high reliability experience, and proficiency with Daily Management Systems
• Leadership: Demonstrated ability to lead teams, drive organizational change, and provide expert consultation to executive stakeholders

Preferred Skills

• Formal Performance Improvement (PI) training or certifications (e.g., Lean, Six Sigma)
• Strong experience in Business Process Improvement and Health Care Data Analytics