Director Quality

Job Summary and Responsibilities

As our Director of Quality at Mercy San Juan Medical Center, you will lead ongoing quality improvement initiatives that include collaboration between many healthcare professionals.

Every day, you will make data-driven decisions to ensure our patients continuously receive high-quality care resulting in positive outcomes. In this cornerstone leadership role, you will analyze data and implement different strategies for performance improvements, quality outcomes, risk reduction/mitigation, patient safety, and infection control.

To be successful in this role, you will apply your experience in clinical practice, operations, data analysis, and technology in order to build on our culture of continuous improvement. Your project management skills will ensure our teams continue moving forward with current initiatives.

We are offering relocation assistance to all hires who meet relocation eligibility requirements, and we are offering a sign-on bonus up to 10% of salary to fully qualified external hires.

Additional incentives for this position include an annual performance-based bonus program, annual employer-funded retirement contribution (no employee contribution required), no-cost medical coverage for the employee, and a Flexible Time Away program.

Job Requirements

Required Education and Experience:

• Bachelor's degree in a healthcare-related field required, or five (5) years of related job or industry experience in lieu of degree.

• Minimum of five (5) years of progressive management responsibility in a health care setting, two (2) of which is related to managing an acute care organization's Quality Improvement Program, required.

• Minimum of two (2) years of clinical, patient care experience or equivalent required.

Required Licensure:

• Current State License in a clinical field required. Five (5) years' experience in Quality Management can be used in lieu of state license.

• Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.

Required Special Skills and Training:

• Knowledge of quality management methods, tools, and techniques and ability to create and support an environment that meets the quality goals of the organization.

• Knowledge of federal, state and local healthcare related laws and regulations; ability to comply with these in healthcare practices and activities.

• Experience developing and implementing clinical, service and operational process improvement initiatives, both small and large scale.

• Knowledge and expertise in specific performance improvement/CQI methodologies (e.g., Six Sigma, LEAN).

• Current knowledge of accreditation and regulatory requirements for acute and ambulatory care services (e.g. state, federal, local regulations; Joint Commission, etc.).

• Experience with the event reporting process, root cause analyses, and event investigation/review.

• Experience with patient compliant/grievance investigations and prompt resolution.

• Knowledge of the risks faced by patients in a healthcare environment, and the ability to take steps to reduce these risks.

• Familiar with all legal documents related to hospital liability, including management of subpoenas, Summaries and Complaints and other related activities.

• Knowledge of processes, tools and techniques for assessing and controlling an organization's exposure to risks of various kinds; ability to apply this knowledge appropriately to diverse situations.

• Ability to manage collaboratively and coaches others to achieve optimal performance; delegate effectively; praise/reward.

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Where You'll Work

Founded in 1967, Dignity Health - Mercy San Juan Medical Center is a 377-bed, acute care, nonprofit hospital located in Carmichael, California. Serving over 100,000 patients annually, the hospital offers a full complement of services including a Level II Trauma Center, Level III NICU, heart care, cancer care, women's health, and neurology. Additionally, Mercy San Juan Medical Center has been recognized as an LGBTQ+ Healthcare Equality Leader by the Human Rights Campaign Foundation. It is a Comprehensive Stroke Center, the highest level of stroke care certification awarded by The Joint Commission.

Mercy Home Health and Mercy Hospice is located at 3400 Data Drive in Rancho Cordova, CA. Both service lines are accredited agencies that have received outstanding recognition from The Joint Commission. We currently serve the greater El Dorado, Placer and Sacramento counties, bringing our patients the highest level of service available.

One Community. One Mission. One California (

Pay Range

$66.26 - $98.56 /hour

We are an equal opportunity/affirmative action employer.