Senior Director-Health System Quality

eisenhower; United States; On-site; USD 117,000 - 178,000; Full time

Job summary

Eisenhower Health seeks a senior leader to set the strategic direction for quality management and lead initiatives that advance patient safety and high reliability across the health system.

The role oversees regulatory readiness, data analytics, population health, and value-based care while collaborating with CQO and clinical leadership to drive converged improvements.

Qualifications

• Requires Master's Degree in Nursing and California RN license.
• Experience in hospital management with knowledge of regulatory standards (TJC, CMS).
• Preferred: CPHQ or Patient Safety, PM, Lean/Six Sigma certifications.

Responsibilities

• Collaborate with Chief Quality Officer to set strategic quality direction.
• Lead initiatives aligning with health system mission and goals.
• Oversee regulatory preparedness, patient safety, infection prevention and performance improvement.
• Guide IT tools (EHRs, dashboards, registries) to support quality data.

Skills

Data analysis

Leadership

Project management

Communication

Performance improvement

Influence relationships

Team management

Education

Master's Degree in Nursing

Job description

Default Work Shift:

Day (United States of America)

Hours: 40

Salary range: $85.24 - $129.48

Schedule: Full Time

Shift Hours: 8 Hour employee

Department: Quality Improvement

Job Objective:

Works in a dyad role, in collaboration with the Chief Quality Officer (CQO), to set the strategic direction for quality management, ensuring the highest standards of patient care, and fostering a culture of continuous improvement. Acts as the operational leader responsible for directing, implementing and overseeing initiatives to enhance all facets of quality improvement so that they align with the health system's mission, vision, and goals. Under the leadership and support of the CQO is responsible for the development of an integrated approach to quality core functions including regulatory & accreditation preparedness, patient safety, infection prevention, quality review and accountability, performance & process improvement, population health management, value-based care, care transitions, health data analytics, and case management for the health care system.

Education:

Required: Master's Degree in Nursing

Licensure/Certification:

Required: California Registered Nurse (RN) License

Preferred: CPHQ and/or Patient Safety, Project Management, and Lean/Six Sigma Certification

Experience:

Required: Seven (7) years of hospital management or equivalent management experience with current knowledge of regulations and standards as related to TJC, CMS Programs, California Department of Public Health, and other State and Federal agencies

Preferred: Training in project management/lean or Lean/Six Sigma; experience working with clinical outcomes data systems and resource management

Reports To:

Chief Quality Officer

Supervises:

Director of Quality Improvement/Patient Safety Officer; Director of Process Improvement; Director of Quality Analytics; Manager-Case Management; Manager - Social Work; Infection Preventionists; RN Outcomes Analysts for Physician Peer Review

Ages of Patients:

N/A

Blood Borne Pathogens:

Minimal/ No Potential

Skills, Knowledge, Abilities:

Ability to collect, analyze and disseminate data, including financial and statistical data, Ability to influence results and tactfully manage complex relationships and influences within and across the organization and system, Ability to prioritize fluctuating workload and times to meet position demands, Ability to set goals and work independently and efficiently with minimal supervision, Ability to work in a fast-paced environment and manage multiple meetings and projects, Interpersonal and relationship management skills to develop effective, collaborative and productive working relationships and partnerships with all levels of management and staff in the organization, Knowledge of performance improvement tools with the ability to use them effectively, Leadership and project management skills, Well-developed management skills, including the ability to recruit, retain, coach, mentor and direct a high performing team, Written and verbal communications skills

Essential Responsibilities:

1. Works in collaboration with the Chief Quality Officer, Administrative Leadership, Nursing, and Medical Staff to implement programs and standards in identified quality and process improvement areas to include: Health System-wide performance improvement, infection prevention programs.
2. Supports development and maintenance of a culture of quality, safety and high reliability at all levels of the health system.
3. Advances quality and performance improvement throughout the health system by inspiring an environment of teamwork, trust, and transparency across the continuum of patient care.
4. Assists Quality, Process Improvement, Quality Analytics, and Case Management key stakeholders with opportunity analysis and development of strategic plans supporting quality & safety opportunities for the health system infrastructure that includes strategy, tactics, initiatives and deliverables.
5. Case Management resource stewardship, to ensure optimal allocation and utilization of resources.
6. Works with clinical stakeholders to ensure that Information Technology (IT) tools, including, but not limited to Electronic Health Records (EHRs), dashboards, reports, registries, and Health Information Exchanges (HIEs) serve both the documentation needs of clinicians while incorporating the need to provide data and feedback to support and demonstrate quality improvement in patient populations.
7. Ensures comprehensive and accurate data analysis and interpretation to support senior level decision-making regarding quality & safety opportunities.
8. Guides the Infection Prevention Program team for the health system ensuring coordination of infection surveillance, education, administrative, reporting, and control measures, including pandemic response.
9. Ensures that improvement science drives work within the Quality and Safety Division through analysis, research, and proper recommendations serving as an int