Hours :
Shift Start Time:
Variable Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
No
Hourly Pay Range (Minimum - Midpoint - Maximum):
$76.070 - $98.160 - $120.240
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
What You Will Do
The Director of Quality and Patient Safety provides strategic oversight, direction, and integration of clinical quality and patient safety initiatives for the entity. Reporting to the Chief Medical Officer, this role is a key architect of the hospital's Quality Pillar, driving the strategic planning and execution necessary to achieve the SHC vision of top-decile clinical outcomes. The Director partners with executive leadership to foster a culture of safety, reduce clinical risk, and oversee complex data management systems. The Director is also responsible for the effectiveness and efficiency of adverse event reporting, physician peer review, and report distribution. This individual ensures absolute compliance with state and federal reporting mandates (HCAI, TJC, CMS) and leads the organization in achieving high-reliability performance through advanced clinical analytics and performance improvement methodologies.
Required Qualifications
Master's Degree : MSN, MD or healthcare related field.
5 Years clinical experience to include experience with performance improvement.
2 Years management experience.
Preferred Qualifications
3 Years experience with physician services and clinical resource management (to include utilization review/case management/social services and discharge planning).
California Registered Nurse (RN) - CA Board of Registered Nursing -PREFERRED
Healthcare Accreditation Certification Program (HACP) - Center for Improvement in Healthcare Quality -PREFERRED
Essential Functions
Strategic Planning and Performance Improvement
Directs the entity’s Quality Assessment and Performance Improvement (QAPI) program and patient safety culture, ensuring the Quality Department serves as a central hub for strategic program development.
Collaborates with Clinical Effectiveness and executive teams to establish multi-year strategic roadmaps for quality, safety, and performance improvement.
Drives the adoption of Lean, Six Sigma, or similar methodologies to close performance gaps in external ratings and publicly reported measures.
Clinical Operations and Financial Stewardship
Manages the Quality Department’s operational and capital budgets, ensuring resource allocation aligns with strategic safety goals.
Directs proactive risk management activities to maximize patient outcomes and minimize organizational liability.
Coordinates the data collection analysis and reporting processes related to proactive risk reduction to the Quality
committee of the Board, Medical Executive Committee, Administration, Management and all appropriate staff to facilitate improvements in all key processes.
Collaborates with physician leaders to ensure quality of care and medical staff related issues.
Serves as the primary Administrator for the CMS QualityNet portal. Oversees the integrity, accuracy, and timely submission of all federal and state-mandated clinical data.
Leadership and Collaborative Governance
Serves as a core member of the Executive Leadership Team, including participating in the Administrator on Duty (AOD) rotation.
Partners with the Regulatory Director to ensure 'always-ready' compliance with TJC, CMS, and state licensing requirements.
Collaborates with physician leadership to oversee Peer Review processes and ensure timely resolution of system-related…