Exempt Salary Range: $65.86/h - $86.43/h

Pay rates are determined based on experience and internal equity.

Position Summary:  

Reports to the Chief Nursing Officer. Responsible for driving and managing quality performance strategy within the organization. Coordinates activities that support all aspects of quality assurance organization wide. Works to lead quality improvement initiatives, oversee regulatory compliance, and promote a culture of patient safety. Knowledge of Title 22, CMS, CDPH, and CIHQ regulatory guidelines and standards. Works with other directors and all hospital departments and staff to assure coordinated approaches to quality patient care. Demonstrates quality and effectiveness in work habits and clinical practice. Remains flexible to changing systems. Treats patients, families, visitors, peers and physicians with consideration and respect. Works well under stress or with tight deadlines. Documents all cases of misconduct and intervenes as appropriate. Demonstrates quality and effectiveness in work habits and clinical practice. Communicates concerns appropriately using the established chain of command. Must work well with supervisors, co-workers, patients, family members and visitors.

 District Responsibility: 

Support of the District Mission and Values Demonstrate Respect, Professionalism and Courtesy to all patients, visitors, other providers and coworkers, as delineated in the LVMC “Commitment to Care”. Constantly use C-I-CARE principles when communicating with others. Performance Improvement Activities. Professional Development. 

Position Duties/Responsibility:

Oversee the implementation of quality assurance and infection control processes and standards across the organization. Monitor and evaluate the performance of products, services, or processes against quality standards. Lead the development, implementation, and continuous improvement of quality control systems and procedures. Perform regular audits and inspections to ensure adherence to quality standards. Identify areas for improvement and collaborate with cross-functional teams to enhance overall quality. Provide training and support to staff to foster a quality-conscious culture. Work closely with other departments, including operations, finance, and compliance, to integrate risk management and quality improvement processes. Provide expertise and guidance on risk and quality matters to support decision-making at all levels of the organization. Facilitate workshops, meetings, and training sessions to promote awareness and understanding of risk and quality best practices. Collaborates with other professional disciplines to ensure effective and efficient patient care. Other duties as assigned.

Essential Functions: 

Knowledge of clinical policies and procedures. Knowledge of clinical practices and medical terminology. Knowledge of common safety hazards and precautions to establish a safe work environment.  Ability to communicate well with patients, families, co-workers, physicians, other members of the healthcare team, etc. Ability to adapt to varied, age-specific and/or specialized groups. Ability to understand use, function, interpret, document, and keep records. Ability to interpret, adapt and apply guidelines and procedures. Ability to react calmly and effectively in emergency situations. Ability to read, write and communicate effectively in English.  Ability to organize and prioritize work.  Ability to follow oral and written instructions.  Ability to reason and make sound judgments. Skill in identifying problems and recommending solutions. Skill in establishing and maintaining effective working relationships with co-workers, management, patients, medical staff, and the public. Skill in accepting constructive criticism and giving suggestions in a professional manner.

 Position Qualifications: 

Education: Current California license as an RN required. Bachelor (BSN) or Master’s of Science degree (MSN) preferred. Experience: Proven experience in healthcare quality assurance, 3+ years in quality improvement role preferred.Strong understanding of quality standards, and industry best practices.  Excellent analytical, problem-solving, and decision-making skills.Strong communication and interpersonal skills, with the ability to influence and collaborate with different teams and stakeholders.  Experience with performance management tools and software is ideal. Detail-oriented with a focus on continuous improvement. Cert/License:   Relevant certifications such as Six Sigma, or Healthcare Quality (CPHQ) preferred.