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Director, Clinical Quality Improvement at Saddleback Memorial Medical Center

Posted in General Business 30+ days ago.

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Type: Full-Time
Location: Laguna Hills, California

Job Description:

The Director of Clinical Quality Improvement is responsible for supporting the MemorialCare commitment to best practices and establishing an overall strategy for Saddleback Memoria Medical Center (SMMC) in collaboration with MemorialCare Health System (MHS) that will result in quantifiable improvements i n clinical outcomes and external ratings. This will include having direct leadership responsibility for the application of evidence based-best practices and clinical decision support initiatives while serving in the capacity of expert and influencer with SMMC strategic leadership and MHS as an executive quality leader (EQL).

Principal Duties and Responsibilities:

  • Promote a culture of patient safety. Develop and oversee SMMC strategy for risk reduction, quality assurance, performance improvement, infection prevention and control, Physician peer review, regulatory and licensure compliance, continuous accreditation readiness, and implementation of evidence-based best principles.

  • Promote Patient/Family Centered Care. Develop and oversee SMMC strategy for service excellence.

  • Establish a collaborative process and outcome improvement structure and locus and support all strategic initiatives across MHS, including Physician Society, and SMMC through leadership, expertise and influence.

  • Accountable for internal and external clinical metrics and oversee the analysis of clinical data to identify, in conjunction with MHS performance improvement leadership, opportunities to improve clinical outcomes that will be reflected in external ratings.

  • Provide analytic support to the Board, Administration, Medical staff leadership, and SMMC key operation leaders that will allow them to identity the most critical and strategic opportunities for improvement.

  • Grow leadership by building a team of improvement experts who, utilizing Lean mindset and methodologies, exemplifies the mission, vision, and values of the organization while supporting the Board, Administration, Medical staff leadership, and SMMC key operation leaders toward strategic improvement.

  • Collaborate with MHS leadership to develop an annual performance improvement plan and promote as a market leader related to disease specific certifications.

  • Coordinate the efforts of performance improvement, clinical decision support, and operations so that strategic focus is given to those areas where clinical improvement is most needed and will yield the greatest possible benefit for patients and providers at SMMC.

  • Insure the timely and accurate preparation of clinical data analyses regarding clinical operations and product lines, collaborating with the financial decision support team so that opportunities for clinical and financial improvement are coordinated and focused.



  • Management position within an acute care setting for 3 years or greater

  • 5 years plus proven track record in acute care healthcare quality arena 

  • Microsoft Office experience (Word, Excel, PowerPoint)

  • Other certificates or credentials in this related field a plus

  • Pleasant outgoing personality builds on collaboration and teamwork

  • Registered Nurse license preferred


Masters degree required, i.e. Nursing Administration, Healthcare Administration or Business Administration.