At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

• The Director of Quality Management is responsible for the strategic leadership, coordination, and oversight of quality-related functions that may include Accreditation, Infection Prevention, Employee Health, Service Quality, and Clinical Outcomes
• This position works collaboratively with hospital leadership, physicians, staff, and external agencies to ensure high-quality, cost-effective, and safe healthcare delivery
• The Director manages and interprets clinical data, supports compliance with regulatory standards, and drives continuous performance improvement throughout the facility

Essential Functions

• Leads development and implementation of departmental goals, plans, and standards in alignment with organizational strategy 
• Directs departmental operations including staffing, budget, and performance improvement 
• Oversees internal and external audits and regulatory readiness 
• Coordinates complaint management and service recovery efforts 
• Collaborates with executive leadership and medical staff on strategic quality initiatives 
• Serves as subject matter expert to the Board of Trustees and other stakeholders 
• Uses benchmarking and evidence-based practices to guide improvements in patient care 
• Prepares professional reports and communicates findings to all levels of the organization 
• Integrates data and analytics into clinical and administrative decision-making 
• Leads committees and workgroups focused on patient safety and quality

Knowledge/Skills/Abilities/Expectations

• Strong analytical, organizational, and leadership skills 
• Advanced knowledge of accreditation standards and quality methodologies 
• Effective interpersonal and communication skills 
• Ability to manage multiple priorities and work independently 
• Competence in statistical analysis, systems thinking, and change management
• Frequent sitting, keyboarding, and data analysis 
• Occasional walking, standing, and lifting up to 25 lbs 
• Manual dexterity required for operating office equipment
• Hospital environment with exposure to clinical areas 
• May involve occasional exposure to infectious or hazardous materials with proper precautions 
• Frequent interaction with internal staff and external agencies

Education

• High school diploma or equivalent required 
• Master’s degree in a health-related field preferred

Licenses/Certifications 

• Current Registered Nurse license required 
• Must meet licensure requirements within time frame required by facility policy 
• Basic Life Support (BCLS) required 
• Advanced Cardiac Life Support (ACLS) preferred 
• Certified Professional in Healthcare Quality (CPHQ) preferred 
• Certification in specialty area of practice highly recommended

Experience

• Minimum of five years of healthcare experience with at least three years in progressive management 
• Experience in quality, case management, infection prevention, risk management, or accreditation required Experience in leading hospital or system-level accreditation processes strongly preferred