Procedural Quality, Safety & Regulatory Program Manager

LE0030 Stanford Health Care Tri-Valley; Dublin (CA); On-site; USD 124,000 - 165,000; Full time

Job summary

Stanford Health Care Tri-Valley is seeking a Quality, Safety & Regulatory Program Manager to coordinate quality metrics, safety event follow-up, regulatory readiness, and infection prevention partnerships across OR, Cath Lab, Interventional Radiology, Endoscopy, SPD, Pre/Post, and related procedural services.

You will develop dashboards, track indicators, support corrective actions, and partner with leaders to sustain improvement and ensure compliance in a fast-paced procedural environment.

Qualifications

• Bachelor’s Degree required in nursing, healthcare administration, quality management, public health, clinical discipline, or related field.
• Master’s degree preferred.
• Minimum of four years of healthcare experience in quality, patient safety, regulatory readiness, perioperative/procedural services, infection prevention, nursing, or clinical operations.
• CPHQ, CPPS, CIC, or related quality/safety/regulatory certification preferred.
• Knowledge of healthcare quality, patient safety, regulatory standards, performance improvement, audit methods, and event follow-up.
• Ability to work independently, organize complex cross-functional work, and influence without direct authority.
• Strong data management, dashboard coordination, written communication, facilitation, and action-tracking skills.

Responsibilities

• Develop, maintain, and coordinate platform quality and safety dashboards for procedural areas.
• Track procedural quality indicators, infection prevention indicators, procedural complications, sedation events, radiation dose outliers, contrast events, unplanned transfers/admissions, retained item risks, specimen labeling defects, endoscope reprocessing compliance, sterilization indicators, and other measures.
• Prepare routine reports for the Monthly Procedural Quality and Safety Committee, Interventional Services Executive Council, and leadership review.
• Coordinate review, classification, follow-up, and closure tracking for procedural safety events, near misses, regulatory findings, and improvement actions.
• Support root cause analysis, apparent cause analysis, action planning, audit design, and evidence collection with Quality and Patient Safety partners.
• Ensure action plans have owners, timelines, evidence of completion, and sustainment measures.
• Coordinate procedural regulatory readiness activities, mock survey preparation, tracers, documentation audits, policy review, competency tracking evidence, and survey response support.
• Maintain readiness for surgical/procedural safety standards, sedation safety, high-level disinfection, infection prevention, radiation safety, contrast safety, medication safety, specimen handling, and SPD/sterilization processes.
• Partner with managers to identify gaps, elevate risks, and support timely corrective action.
• Support standardization of policies, procedures, checklists, audits, dashboards, and escalation pathways across procedural areas.
• Facilitate interdisciplinary improvement workgroups (sedation safety, verification, disinfection, infection prevention, radiation safety, SPD/OR).
• Promote a Just Culture, high-reliability principles, and transparent learning from events.

Skills

Healthcare quality

Patient safety

Regulatory standards

Performance improvement

Audit methods

Event follow-up

Data management

Dashboards

Written communication

Facilitation

Action tracking

Education

Bachelor's Degree in nursing, healthcare administration, quality management, public health, clinical discipline, or related field

Master’s degree preferred

Job description

Stanford Health Care Tri-Valley is seeking a Quality, Safety & Regulatory Program Manager to coordinate quality metrics, safety event follow-up, regulatory readiness, and infection prevention partnerships across OR, Cath Lab, Interventional Radiology, Endoscopy, SPD, Pre/Post, and related procedural services.

You will develop dashboards, track indicators, support corrective actions, and partner with leaders to sustain improvement and ensure compliance in a fast-paced procedural environment.