Program Manager, Quality, Safety & Regulatory

Stanford Health Care Tri-Valley • Dublin, CA

7d • $60 - $79 • Onsite

About The Position

The Quality, Safety & Regulatory Program Manager supports the Interventional and Procedural Services Platform by coordinating quality metrics, safety event follow-up, regulatory readiness, infection prevention partnership, radiation/contrast/sedation safety tracking, high-level disinfection oversight coordination, and procedural safety standards. Reporting to the Senior Director of Quality and PI, the Program Manager works closely with the VP of Interventional Services, Senior Director of Procedural Nursing and Clinical Operations, Platform Medical Director, specialty medical directors, managers, Quality, Patient Safety, Infection Prevention, Regulatory, Radiation Safety, Pharmacy, and other partners to ensure the platform has reliable quality infrastructure and visible accountability for improvement. This role is intended to be a central integration point for procedural quality, safety, and regulatory work. The Coordinator does not replace department-level accountability; rather, the role creates standard processes, dashboards, follow-up discipline, and escalation pathways across OR, Cath Lab, Interventional Radiology, Endoscopy, SPD, Pre/Post, and related procedural services.

Requirements

• Bachelor's Degree in nursing, healthcare administration, quality management, public health, clinical discipline, or related field required.
• Minimum of four (4) years of healthcare experience in quality, patient safety, regulatory readiness, perioperative/procedural services, infection prevention, nursing, or clinical operations.
• Knowledge of healthcare quality, patient safety, regulatory standards, performance improvement, audit methods, and event follow-up.
• Ability to work independently, organize complex cross-functional work, and influence without direct authority.
• Strong data management, dashboard coordination, written communication, facilitation, and action-tracking skills.
• Ability to maintain objectivity, confidentiality, and disciplined follow-through in sensitive quality and safety work.

Nice To Haves

• Master’s degree preferred.
• Experience with quality dashboards, safety event analysis, regulatory surveys, infection prevention, high-level disinfection, sedation safety, radiation or contrast safety, or procedural environments preferred.
• Clinical license preferred when applicable to candidate background.
• CPHQ, CPPS, CIC, or related quality/safety/regulatory certification preferred.

Responsibilities

• Develop, maintain, and coordinate platform quality and safety dashboards for OR, Cath Lab, Interventional Radiology, Endoscopy, SPD, Pre/Post/PACU/Procedural Recovery, and related procedural services.
• Track procedural quality indicators, infection prevention indicators, procedural complications, sedation events, radiation dose outliers, contrast events, unplanned transfers/admissions, retained item risks, specimen labeling defects, endoscope reprocessing compliance, sterilization biological indicator failures, and other agreed measures.
• Prepare routine reports for the Monthly Procedural Quality and Safety Committee, Interventional Services Executive Council, and leadership review.
• Coordinate review, classification, follow-up, and closure tracking for procedural safety events, near misses, regulatory findings, and improvement actions.
• Support root cause analysis, apparent cause analysis, action planning, audit design, and evidence collection in collaboration with Quality and Patient Safety partners.
• Ensure action plans have owners, timelines, evidence of completion, and sustainment measures.
• Coordinate procedural regulatory readiness activities, mock survey preparation, tracers, documentation audits, policy review, competency tracking evidence, and survey response support.
• Maintain readiness focus for surgical/procedural safety standards, sedation safety, high-level disinfection, infection prevention, radiation safety, contrast safety, medication safety, specimen handling, and SPD/sterilization processes.
• Partner with managers to identify gaps, escalate risks, and support timely corrective action.
• Support standardization of policies, procedures, checklists, audits, dashboards, and escalation pathways across procedural areas.
• Facilitate interdisciplinary improvement workgroups as assigned, including sedation safety, procedural verification, high-level disinfection, infection prevention, radiation/contrast safety, and SPD/OR reliability.
• Promote a Just Culture, high-reliability principles, C-I-CARE, and transparent learning from events.

Benefits

• Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families.
• Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other.
• C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions.
• Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
• You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination
• Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment.
• Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above.
• People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply.
• Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level