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#98280 Director, Clinical Quality Improvement

Extended Review Date: Fri 10/18/2019

Special Selection Applicants: Apply by 03/18/2019. Eligible Special Selection clients should contact their Disability Counselor for assistance.


The Director of Clinical Quality Improvement will lead the development of best practices and drive process change to achieve optimal results and high reliability in the care delivered to patients. Will support clinical departments and divisions in evaluating outcomes and processes to support improvements in objectives around standardization and utilization. Provides for internal strategic planning efforts and implementing continuous quality improvement programs. Data management and submission of public data to CMS and other licensing and regulatory bodies.

Responsible to lead and drive change via use of lean methodology both within team and throughout organization. Establishes departmental goals and objectives, functions with autonomy. Manages the accountability and stewardship of human, financial, and often physical resources in compliance with departmental and organizational goals and objectives. Ensures subordinate supervisors and professionals adhere to defined internal controls. Manages systems and procedures to protect departmental assets. Determines department objectives in accordance with overall strategic plan. Position reports to the Chief Quality and Patient Safety Officer.

Key Responsibilities:
• Manages the development, implementation, and monitoring of clinical QI programs. Generates budgets, timelines, and work plans, and executes them through subordinates.
• Manages the development and utilization of advanced metrics and analytics for use in QI processes.
• Implements operational processes that contribute to cooperative, effective and efficient results across all departments and/ or facilities.
• Responsible for employee recruitment, performance evaluation and management, and staff development. Develops a strong culture of teamwork to ensure the quality of daily operations, effective interdepartmental collaborations, and the timely achievement of objectives.
• Advises and influences senior management on regulatory changes and state-of-the-art advances in systems, technologies, data management, methodologies, the latest industry trends, developments, and best practices.
• Develops relationships with clinical departments and provides training to facilitate the integration of quality and safety to benefit the overall clinical enterprise.
• Works with IT managers to promote and support patient safety and quality interests in organization-wide information technology initiatives, including business intelligence and the electronic medical record system.
• Implements and monitors the incident reporting processes, response, and performance improvement activities.
• Works with colleagues across the medical center to ensure compliance with accreditation and licensure requirements with the clinical services environment, including JCAHO, CMS, and State of California.


  • Bachelor's Degree in nursing or other healthcare profession; or a combination of comparable clinical education and/or experience.

  • A minimum of seven (7+) or more years of relevant experience.

  • Experience and proven success with in-depth knowledge of QI standards, clinical chart review and abstraction, and regulatory requirements.


  • Advanced degree in a relevant field.
  • Ten or more years of relevant experience.
  • Five or more years of managerial or leadership experience in healthcare setting. Demonstrated ability to hire, manage, develop and coach subordinates.
  • Lean six sigma (or similar) certification.
  • Experience in academic medicine.
  • Experience within a large, complex health system.


  • Must be able to work various hours and locations based on business needs.
  • Employment is subject to a criminal background check and pre-employment physical.

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, and several outpatient clinics. UC San Diego Medical Center in Hillcrest is a designated Level I Trauma Center and has the only Burn Center in the county. We invite you to join our dynamic team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see: http://www-hr.ucsd.edu/saa/nondiscr.html

UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.

UC San Diego Health Sys
Payroll Title:
Performance Improvement and Patient Safety
Salary Range
Commensurate with Experience
Appointment Type:
Appointment Percent:
Total Openings:
Work Schedule:
Days, 8 hrs/day, Monday - Friday


As a federally-funded institution, UC San Diego Health maintains a marijuana and drug free campus. New employees are subject to drug screening.