Director of Quality and Risk Management

Doctors Medical Center of Modesto 

Doctors Medical Center Modesto is a full-service, comprehensive health care facility, dedicated to providing the finest medical care for the community. From preventative and diagnostic services to expertise in some of the world's leading technologies, DMC's multidisciplinary team of physicians and healthcare professionals is dedicated to your good health and well-being. Recognized for innovative cardiac and neonatal intensive care to advanced stroke and trauma treatment, the outstanding doctors at DMC represent most major medical specialties and are committed to being there for you, when you need them most. 

We offer competitive salaries and benefits including a matching 401(k), several health & dental plans to choose from, generous tuition assistance plans, and relocation assistance for select positions. 

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services 
• Wellbeing  support, including employee assistance program (EAP) 
• Time away from work programs for paid time off, long- and short-term plan coverage 
• Savings and retirement  including a 401(k) Plan with a 50% match up to 6% of pay, employee stock purchase plan, flexible spending accounts, retirement readiness tools, rollover support, and financial well-being counseling 
• Education  support through tuition assistance, student loan assistance, certification support, and online educational program 
• Additional benefits  life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection, and employee discount program 
• Registered nurses – Retirement medical benefit account (RMBA) – 2% of annual eligible income set aside in accordance with program guidelines 
• Benefits may vary by location and role 

www.dmc-modesto.com/teams 

Position Summary

Reporting to the Chief Nursing Officer, the Director of Clinical Quality is a key member of the hospital management team, and is responsible for overall hospital quality / performance improvement and monitoring of the organization.  The position ensures the provision of differentiated quality and safety, patient-focused, outcomes based, and cost-effective medicine in the hospital setting.  As such, the Clinical Quality Director’s responsibilities will include, but are not limited to the following activities:  Ensures processes are implemented to evaluate and identify opportunities for improvement in the provision of high quality, safe and resource effective medical care to its patients; implements Tenets Commitment to Quality initiative and assures goals are met; ensures processes are in place to ensure compliance with Quality and Performance Improvement and as applicable with Infection Control, Risk Management, Patient Safety, Peer Review, and Accreditation functions; monitors, in partnership with the medical staff, the measured outcomes of hospital clinical care activities, identifies opportunities for improvement, and leads clinical improvement activities to improve those measured outcomes; ensures documentation of the results of hospital wide, clinical quality activities; ensures hospital compliance with accreditation, licensing and regulatory agencies; assures that the Patient Safety Officer is responsible for providing the necessary leadership, training and support for performance of the plan by the employees’ assuring and observing compliance with the policies and procedures outlined with full regard for the identification and reporting of incidents, potential hazards and other relevant information in a timely manner.

Minimum Education: Degree (Bachelors, Masters or Doctorate) in a health related field, with 5 years of relevant hospital management experience or other allied health professionals who have extensive hospital experience (>7 years, or other pertinent credentials) in the areas of responsibility will be considered.       

Minimum Experience/Skills: 

• Experience in quality/performance improvement, and as applicable in case management and other related areas of responsibility.
• Demonstrated knowledge of Performance Improvement
• Outcomes and Quality Management. 
• As applicable, DCQI candidate also has demonstrated knowledge in the areas of Peer Review, Risk Management, Patient Safety, Infection Control Prevention and Reporting. 
• Ability to interpret and process data in an analytical manner. 
• Excellent communication (written and verbal) and presentation skills. 
• Computer operational skills, understanding of statistics, spreadsheets and database systems. 
• Current understanding of regulations as it relates to Joint Commission, State specific requirements, and Centers for Medicare & Medicaid Services (CMS). 
• Demonstrated understanding of Quality Improvement Organization (QIO) guidelines/required processes and understanding of current trends in quality and other areas of responsibility as applicable. 
• Ability to lead and coordinate activities of a diverse group of people. 
• Ability to work with hospital team to motivate relevant constituencies to embrace change as required by Tenet’s Commitment to Quality and other clinical initiatives.

License/Certificates/Credentials: None

Physical Demands: 

• Prolonged, extensive or considerable standing/walking
• Lifts, positions, pushes up to 50 pounds. 
• Manual dexterity and mobility. 

Vision Requirements: Ability to adjust vision sufficiently to perform position accountabilities.

Working Conditions: 

• Subject to varying and unpredictable situations.
• Exposure to unpleasant elements (accidents, injuries, illness). 
• Emergency and crisis situations.
• Subject to irregular hours. 
• Occasional pressure due to multiple calls and inquiries. 

#LI-AR2

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.