Director Quality & Performance Improvement

City of HopeDuarte, CA
$136,715 - $228,314Onsite

About The Position

Under the strategic leadership of the Vice President of Quality and Patient Safety, the Director of Quality and Performance Improvement leads hospital-wide initiatives that ensure high-quality, safe, and effective patient care. This leader drives clinical quality, peer review, and performance improvement programs while partnering with physicians, nursing, and administrative teams to foster a culture of safety, accountability, and continuous improvement across the organization.

Requirements

  • Bachelor’s degree in Nursing, Healthcare Administration, Public Health, or related field (RN required)
  • 5+ years of progressive leadership experience in hospital quality, performance improvement, or clinical operations
  • Expertise in peer review, OPPE/FPPE, and hospital regulatory compliance
  • Strong knowledge of quality metrics, data analytics, and performance improvement methodologies
  • Advanced analytical, communication, and leadership skills
  • Proven ability to influence physicians and senior stakeholders

Nice To Haves

  • Master’s degree (MHA, MPH, MSN, MBA, or related) preferred
  • Certification CPHQ or Six Sigma preferred

Responsibilities

  • Lead the hospital’s clinical quality program, ensuring alignment with organizational goals.
  • Monitor and improve key hospital quality indicators such as mortality, readmissions, and patient safety outcomes
  • Partner with physician and nursing leadership to implement evidence-based care practices
  • Oversee quality data collection, validation, and reporting to regulatory agencies
  • Direct medical staff peer review processes
  • Lead performance improvement initiatives using methodologies such as PDSA, Lean, Six Sigma
  • Develop and present quality dashboards, scorecards, and insights to executive leadership
  • Collaborate with risk and patient safety teams to support a culture of transparency and safety
  • Serve as a strategic advisor to senior leadership and drive organization-wide quality initiatives

Benefits

  • Comprehensive Benefits
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