At Loma Linda University Health, we are committed to excellence in education, research, and patient care. If you are passionate about excellence and innovation, apply and discover the many possibilities for your future.
The Director-Quality Management oversees the comprehensive Quality Management program for the medical group of the faculty practice plan.
Clinical background required.
Registered Nurse preferred.
Bachelor’s Degree in public health, nursing, pharmacy, or another health-related field or equivalent combination of education and experience.
Masters Degree in a health-related field preferred.
Minimum five years experience in a healthcare environment, in quality management or comparable field including two years experience in project management desired. Minimum of two years of clinical experience desirable.
CPHQ certification preferred.
Certification in process improvement (PI) methodologies preferred.
Certification or pending certification in IHI Improvement Advisor, Six Sigma, Lean preferred.
Understanding of medical group operations, state and federal/CMS regulations, health plan contractual requirements, and components of an ambulatory quality program, including value-based reporting, is preferred.
Demonstrated management experience with ability to lead and coach teams. Ability to work independently as well as with a team.
Planning and implementation of value-based reporting programs, including CMS-Medicare, senior and commercial capitated health plans, an ACO, Medi-Cal plans, and a clinically integrated network.
Compliance with physician reporting of clinical quality is a primary focus, along with population health, evidence-based practices, disease management, process improvement (PI), data management and analysis.
Oversight of department, management of staff, monitoring of performance on metrics, process improvement (PI), collaboration with IS-EMR team, and accreditation are key departmental functions.
Consistent application of process improvement (PI) principles to performance data. Experience with improvement methodologies (e.g. Lean, Six Sigma), data collection, analysis and reporting.
Requires ability to work effectively with physicians, nursing, ancillary and administrative team, and navigate and develop effective working relationships within the organization.
Ability to work independently as well as with a team. Ability to operate basic office equipment, work and communicate via electronic communications, and possess expertise in Microsoft Word, Excel, and PowerPoint. Strong ability with EPIC or similar E.H.R. required. Must have an excellent command of the English language, verbally and in writing. Ability to build positive relationships with members of the leadership team, and to engage and foster teamwork among staff. Must be a self-starter with a critical thinking, data-driven, results-oriented mentality. Ability to understand and explain regulatory and contractual standards, discuss value-based programs, and deliver professional presentations. Ability to manage multiple projects simultaneously to meet department objectives and deadlines. Excellent organizational skills. Must demonstrate strong management skills and oversight of day-to-day department operations, including staff evaluation and mentoring of employees. Aptitude to serve as a role model for professionalism and organizational values.
Our mission is to participate in Jesus Christ’s ministry, bringing health, healing, and wholeness to humanity by: creating a supportive faculty practice framework that allows Loma Linda University School of Medicine physicians and surgeons to educate, conduct research, and deliver quality health care with optimum efficiency, deploying a motivated and competent workforce trained in customer service and whole person care principles and providing safe, seamless and satisfying health care encounters for patients while upholding the highest standards of fiscal integrity and clinical ethics. Our core values are compassion, integrity, excellence, teamwork and wholeness.
Screener questions if available:
How many years of Quality Management experience do you have?
Do you have the following license or certification: CA RN or related?
Do you have the following license or certification: CPHQ?
Benefits offered: Paid time off, Health insurance, Dental insurance, Healthcare spending or reimbursement accounts such as HSAs or FSAs, Other types of insurance, Retirement benefits or accounts, Education assistance or tuition reimbursement, Employee discounts, Others
Please click "Continue to Application" button to email your resume and letter of interest directly.