The hospital complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Minimum Education/Minimum Experience:

Degree (Bachelors, Masters or Doctorate) in a health related field, with 5 years of relevant hospital management experience or other allied health professionals who have extensive hospital experience (>7 years, or other pertinent credentials) in the areas of responsibility will be considered. Related Skills:

Experience in quality/performance improvement, and as applicable in case management and other related areas of responsibility. Demonstrated knowledge of Performance Improvement, Outcomes and Quality Management. As applicable, DCQI candidate also has demonstrated knowledge in the areas of Peer Review, Risk Management, Patient Safety, Infection Control Prevention and Reporting. Ability to interpret and process data in an analytical manner. Excellent communication (written and verbal) and presentation skills. Computer operational skills, understanding of statistics, spreadsheets and database systems. Current understanding of regulations as it relates to Joint Commission, State specific requirements, and Centers for Medicare & Medicaid Services (CMS). Demonstrated understanding of Quality Improvement Organization (QIO) guidelines/required processes and understanding of current trends in quality and other areas of responsibility as applicable. Ability to lead and coordinate activities of a diverse group of people. Ability to work with hospital team to motivate relevant constituencies to embrace change as required by the hospital's Commitment to Quality and other clinical initiatives.

Responsibilities

This individual's responsibilities include the following activities:

a) Responsible for leading the Quality / Performance Improvement activities across the hospital.

b) Integration of the Quality / Performance Improvement Program activities for the Medical and Hospital-wide Staff.

c) Data management and reporting for Quality / Performance Improvement initiatives.

d) Oversight of Quality / Performance Improvement department and staff.

e) Responsible for complying with all policies and procedures that pertain to HIPAA including the minimum requirements for the DCQI position.

f) other duties as assigned.

Qualifications

Education:

Required: Registered Professional Nurse (RN) with Bachelor, Master, or Doctorate degree inpatient care related field

Experience:

Required: 5 years experience in QA/PI

Licenses/Certificates/Credentials:

Registered Nurse Preferred, Certified Professional Risk Management Certification and/or Certified Professional Healthcare Quality Certification within three years of hire.

Summary
The Director of Clinical Quality Improvement will play a crucial role in ensuring compliance with healthcare regulations and standards. The ideal candidate will possess a strong background in compliance management, along with premium skills in HIPAA, CPT coding, ICD-9, Medicare, FDA regulations, ICD-10, and ICD coding. Additionally, the candidate should hold an RN License, demonstrate proficiency in statistics, possess a CPHQ certification, exhibit strong computer and organizational skills, and hold a doctoral or master's degree in a relevant field. This position will involve overseeing quality improvement initiatives in an inpatient setting, requiring strong management capabilities and a commitment to driving continuous improvement in clinical outcomes.

Job Type: Full-time

Pay: $164,595.00 - $174,709.00 per year

Benefits:

• 401(k) matching
• AD&D insurance
• Dental insurance
• Health insurance
• Life insurance
• Parental leave
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• Compliance management: 1 year (Required)

Ability to Commute:

• San Ramon, CA (Required)

Ability to Relocate:

• San Ramon, CA: Relocate before starting work (Required)

Work Location: In person