Centered in beautiful Southern California, Adventist Health Simi Valley has been one of the area's leading healthcare providers since 1965. We are comprised of a 144-bed hospital, home care services and a vast scope of award-winning services located throughout Ventura County. Simi Valley is a suburban area nestled between an urban oasis and the stunning shores of the Pacific Ocean. Bordering Los Angeles allows hiking in the morning and attending film premieres in the evening.
Job Summary:
Maintains responsibility for Clinical Quality initiatives. Is responsible to provide overall direction, development, implementation and integration of the Clinical Quality program which includes compliance with the Joint Commission, Federal, State and local reporting requirements. Supervises and directs the activities of various levels of assigned personnel using both professional and supervisory discretion and independent judgment.
Job Requirements:
Education and Work Experience:
Bachelor's Degree or equivalent combination of education/related experience: Required
Master's Degree: Preferred
Seven years related experience: Preferred
Five years leadership experience: Preferred
Healthcare related field: Preferred
Licenses/Certifications:
Certified Professional Healthcare Quality (CPHQ) certification: Preferred
Essential Functions:
Directs the development of programs/processes related to Clinical Quality, Care Transformation and Patient Safety. . Provides education to Hospital staff related on the functions of the Clinical Quality Department as well as their role in quality as employees. Facilitates organization wide transition to Clinical Quality Improvement through development of standards, indicators and evaluation techniques.
Controls all elements of areas of responsibility by developing policy/procedure, monitoring performance, developing/reviewing metrics, assessing/prioritizing risk, performing audits and reporting results to the appropriate committees.
Evaluates various attributes of health care, such as cost, place, accessibility, treatment, and benefits are compared with standard results; then, any deficiencies noted or identified serves to prompt recommendations for improvement.
Maintains responsibility for the timely review of clinical records, health plan grievances, physician peer review using established and approved criteria, ensuring the evaluation of identified condition and implementation of follow-up measure for Quality and Risk related issues. Directs collection, analysis and dissemination of clinical metrics, and information on quality and customer related information and issues.
Collaborates and assist Risk Management in the investigation, focused reviews, root cause analysis and other provider related Risk and Quality Issues.
Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.
About Us
Adventist Health is a faith-based, nonprofit, integrated health system serving more than 90 communities on the West Coast and Hawaii with over 400 sites of care, including 26 acute care facilities, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of 37,000 includes employees, physicians and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.