Role Description
In addition to the responsibilities listed below, this position is also responsible for providing consultation and education related to clinical quality and patient safety, accreditation, regulatory and licensing (AR&L), risk management, and infection prevention and control.
• Evaluating, designing, developing, and implementing evidence-based guidelines, principles, and/or programs related to area of work.
• Reducing variation in clinical practice and optimizing patient outcomes.
• Collecting, analyzing, reporting, and presenting clinical data for various users including state, federal, and local agencies.
• Facilitating education regarding compliance methods for regulatory reviews and regional project goals.
• Monitoring, reporting, and developing mitigation plans for occurrences that may lead to medical center liability.
• Supporting the medical center's continuous survey readiness program to maintain compliance with regulatory standards.
• Serving as a liaison with applicable government agencies, regulatory agencies, and other organizations.
Qualifications
• Minimum three (3) years of experience in a leadership role with or without direct reports.
• Minimum two (2) years of experience with databases and spreadsheets or continuous quality improvement (CQI) tools.
• Minimum four (4) years of experience in clinical setting, health care administration, or a directly related field.
• Bachelor's degree in Business Administration, Health Care Administration, Nursing, Public Health, or related field AND Minimum six (6) years of experience in quality, performance improvement, or a directly related field OR Minimum nine (9) years of experience in quality, performance improvement, or a directly related field.
• Registered Nurse License (California).
• Master's degree preferred.
• ICU experience preferred.
Requirements
• Promotes learning in others by communicating information and providing advice to drive projects forward.
• Builds relationships with cross-functional stakeholders.
• Listens, responds to, seeks, and addresses performance feedback.
• Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas.
• Adapts to competing demands and new responsibilities.
• Models team collaboration within and across teams.
• Conducts or oversees business-specific projects by applying deep expertise in subject area.
• Partners internally and externally to make effective business decisions.
• Develops work plans to meet business priorities and deadlines.
• Recognizes and capitalizes on improvement opportunities.
• Develops and implements data collection and analyses to support quality improvement efforts.
• Supports in-depth and advanced quality improvement and improvement risk management efforts.
• Investigates opportunities to develop new and improve current quality improvement performance metrics.
• Facilitates the development of quality improvement initiatives.
• Serves as the subject matter expert for quality improvement processes and regulations.
• Develops stakeholder development and quality performance review processes.
Benefits
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