Management & Supervision
Quality Improvement
Full Time
8 Hour Shift
Rancho Mirage, CA 92270
Job #
  • Job Description: A brief statement of the position, including the general job duties.
    • Responsible for the strategic planning, program development and operations for clinical quality, patient experience, and safety programs and initiatives that support patient populations/service lines throughout Eisenhower Health Medical Practices in collaboration with/under the direction of the Vice President of Quality and Process Improvement.  Provides leadership in the development of a culture of safety and the measurement of the quality of care identifying opportunities and strategies for performance improvement. This position supports/directs the provision of high value patient care and effective utilization and allocation of resources.  The Director ensures the development, implementation, and evaluation of quality related policies, practices, programs and is accountable for management and implementation of the quality program including: measurement and reporting of quality and patient experience metrics,  reporting of clinical and outcome data on contract measures, education and training on best practices, and improvement techniques in clinical quality. The Director of Quality and Patient Safety collaborates closely with the service line leaders for Eisenhower Medical Associates.  This individual will oversee Pay for Performance/Reporting requirements in collaboration with Eisenhower Health for Medicare and other payer contracts.  Key working relationships include the Medical Directors for Quality and Population Health, other quality and operational leaders across Eisenhower Health. The Director reviews/recommends and implements systems and strategies that will be responsive to the ever evolving needs of the clinical areas within Eisenhower Health which shall result in high quality and safe clinical performance all while delivering an excellent patient experience.
  • Reports to
    • VP, Quality and Process Improvement
  • Supervises
    • Quality Analysts, Quality Program Managers
  • Ages of Patients
    • N/A
  • Blood Borne Pathogens
    • Minimal/ No Potential
  • Qualifications
    • Education
      • Required: Masters Degree in Nursing or other healthcare related field
    • Licensure/Certification
      • For Registered Nurses – Required: California RN License, Certified Professional in Healthcare Quality (CPHQ)
      • For Pharmacists – Preferred: California License, Lean Six Sigma or other PI model certification
    • Experience
      • Required: Minimum five years working in healthcare Quality Improvement or related field.
  • Specific Skills, Knowledge, Abilities Required
    • Computer skills, to include data entry, spreadsheets, graphics, information systems. Ability to collect, analyze and disseminate data, including financial and statistical data
    • Knowledge of performance improvement tools, and the ability to use them effectively
    • Excellent verbal and written communication and interpersonal skills; experience presenting data and information to physicians and other clinical staff as directed
    • Experience working with clinical outcomes data systems and resource management
    • Ability to set goals and work independently and efficiently with minimal supervision; ability to prioritize fluctuating workload and times to meet position demands
    • Ability to work in a fast-paced environment and manage multiple meetings and projects
    • Knowledge of regulatory standards including Joint Commission, Medicare (CMS) and Title 22 (state) requirements
    • Data collection and analysis
  • Essential Leadership Responsibilities
    • Demonstrates compliance with Code of Conduct and Compliance Policies and takes action to resolve compliance questions or concerns and reports suspected violations.
    • Develops and achieves departmental goals and objectives. Establishes, implements and maintains policies and procedures.
    • Coordinates care, treatment and services among the hospital system's different programs, service sites, and departments and physicians and integrates services within.
    • Collaborates across clinical and operational areas in maintaining emergency management procedures.
    • Provides for a sufficient number and mix of qualified and competent staff to support safe, quality care, treatment and services. Determines qualifications, competence levels and standards of performance.
    • Selects, trains/orients, directs, coaches, evaluates effectiveness and competence of staff either directly or through subordinate supervisor to promote safety and quality.
    • Designs work processes and changes existing processes to focus individuals on safety, quality, and improves performance of the hospital system and involves staff and patients in the process.
    • Provides for equipment, supplies, resources and space needed to support the safety and quality of care, treatment and services. Participates in selecting outside sources for needed services.
    • Ensures compliance with recommendations and requirements from external agencies such as accreditation, certification/licensing and other regulatory bodies.
    • Ensures that staff consistently provides safe and high quality patient care and/or other support services that are valued by patients, physicians and each other.
    • Achieves a high level of employee, patient and physician engagement/satisfaction.
    • Ensures efficiency, productivity and sufficient financial resources, including adequate reserves, to meet all current and projected financial requirements.
    • Role models the organization's mission, vision, values and True North. Complies with and ensures hospital-wide Supporting Commitments are adhered to.