Director of Quality & Clinical Excellence

Pinehurst Medical • Pinehurst, NC

4d • Onsite

About The Position

The Director of Quality and Clinical Excellence provides strategic and operational leadership for enterprise quality improvement, patient safety, regulatory compliance, accreditation readiness, clinical education, and workforce development across the organization. This position is responsible for evaluating, developing, recommending, implementing, and monitoring clinical policies, procedures, standards, and educational programs that promote the delivery of safe, high-quality, efficient, and patient-centered care. Serving as the organization’s senior clinical resource for quality, education, and regulatory compliance, this leader partners closely with physicians, advanced practice providers, operational leaders, and clinical staff to standardize clinical practice, strengthen workforce competency, improve patient outcomes, ensure regulatory readiness, and foster a culture of continuous improvement and clinical excellence.

Requirements

• Licensed as Registered Nurse in the State of North Carolina.
• Minimum of 5 to 10 years of progressive clinical management and healthcare leadership experience, including oversight of nursing education, ambulatory care operations, and regulatory compliance.

Nice To Haves

• BSN or enrollment in BSN program preferred.
• Master's Degree a plus.

Responsibilities

• Provide strategic leadership for the organization’s quality improvement program, including the development, monitoring, and reporting of enterprise quality metrics and performance dashboards.
• Partner with clinicians to improve quality, patient safety, patient experience, and operational efficiency.
• Lead performance improvement initiatives utilizing evidence-based quality improvement methodologies.
• Facilitate root cause analyses, corrective action planning, and sustain performance improvement following quality or safety events.
• Lead the development of and oversee clinical team member training related to clinical workflows, policies, and evidence-based protocols.
• Serve as the senior clinical resource for operational leaders and providers regarding clinical practice standards and regulatory requirements.
• Foster a culture of clinical excellence, accountability, innovation, collaboration, and continuous learning while serving as a role model for the organization’s Winning Team Mindset through leadership, teamwork, and a commitment to shared success.
• Recommend operational improvements that enhance patient care delivery, clinical efficiency, and regulatory compliance.
• Carry out necessary policies and procedures to address provider and patient needs, education, goals, and standards of performance.
• Participate in strategic planning initiatives supporting organizational growth, value-based care, quality improvement, and workforce development.
• Provide executive direction for Clinical Education and Regulatory Compliance, encompassing clinical onboarding (including EMR training), the CCMA Academy, the LPN Scholarship Program, and the APP CME program.
• Provide enterprise-wide leadership and administration of the Learning Management System (LMS), managing all clinical tracks, core competencies, certifications (ACLS/BLS/PALS), CEUs, and clinical compliance tracking.
• Direct regulatory compliance, accreditation standards, the Corporate Compliance Plan, and the Medical Records Department through direct leadership of the Manager of Compliance and Accreditation.
• Coordinate ongoing education and in-service programs.
• Perform other related duties as required.

Benefits

• The Pinehurst Medical Clinic is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations and provides equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: Associate degree