Director, Clinical Quality and Patient Safety
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Job Location:
Manteca, CA - USA
Monthly Salary:
$ 255000 - 275000
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
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.
Strategic Accountabilities & Essential Functions
I. 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.
II. Patient Safety & Risk Mitigation
High Reliability Organization (HRO): Lead and champion the service areas 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.
III. 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.
Minimum Qualifications & Mandatory Requirements
Education and Experience
Education: Masters 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.
Required Experience:
Director
Key Skills
- Quality Assurance
- FDA Regulations
- ISO 9001
- Root cause Analysis
- Biotechnology
- Clinical Trials
- Quality Systems
- Food Processing
- Quality Control
- Quality Management
- cGMP
- HACCP
About Company
True North Consultants: Expert Technology Recruiters specializing in recruitment solutions in software, IT, and emerging tech sectors.
