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Director of Quality

Mercy General Hospital Sacramento, California
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The posted compensation range of $62.51 - $90.64 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2024-381986 Employment Type Full Time Department Quality Management Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday (8:00 AM - 5:00 PM) Remote No Category Risk and Compliance
Overview

Nestled in the heart of East Sacramento Dignity Health Mercy General Hospital is a 313 bed acute care facility that provides a wide range of services with special advocacy for the poor and underserved. Mercy General is home to the nationally ranked Alex G. Spanos Heart & Vascular Institute. Key achievements and recognitions include: from the Joint Commission; Advanced Joint Replacement Spine Center of Excellence Primary Stroke Center Ventricular Assist Device and Chest Pain Certification. Other accolades include CMS 5 stars Practice Green Health 2021 Leapfrog Hospital Safety Grade A Level 4 Epilepsy Center and Opioid Stewardship Honor Roll. Mercy General Hospital is proud to foster inclusion and diversity as part of our mission vision and values.


Responsibilities

This position is responsible for the design, coordination, implementation and management of the Performance  Improvement (PI) plan and identifies opportunities for improved patient care, incorporate evidence-based practices, and  improved patient outcomes. Provides leadership in defining, implementing and integrating quality, safety, service and  efficiency strategies into the plans, policies, and organizational processes that affect the organization’s operations and  strategic direction.

  • 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
  • Establishes performance improvement goals annually with relevant stakeholders, ensures that the PI plan and the  hospital-focused projects for the year are implemented and effectiveness evaluated annually
  • Develops and implements processes and formats that support data  collection, aggregation, analysis, and action planning

Qualifications

Education and Experience:

  • Bachelors degree in a healthcare-related field or five (5) years of related job or industry experience in lieu of degree.
  • Minimum of five (5) years of progressive management responsibility in an acute care setting two (2) of which is related to managing an organization’s Quality Improvement Program
  • Minimum of two (2) years of clinical patient care experience or equivalent.

Licensure:

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

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https://www.commonspirit.careers/benefits.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.