Legal & Compliance
Southern California Region
82578 Requisition #

Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God's love through health, wholeness and hope. From Oregon to Oahu, we have a calling to always do more. Now is your chance to apply your passion to our mission.

We're looking for someone to join our team as a Director, Quality Management who:

Maintains responsibility for Quality management initiatives. Is responsible to provide overall direction, development, implementation and integration of the Quality Management program which includes compliance with all 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.

Essential Functions:

  • Directs the development of programs/processes related to Quality Management. Provides education to all Hospital staff to clarify the role of Quality Management Department as well as their role in quality as employees. Facilitates organization wide transition to 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, conducting mock inspections and reporting results of same to senior management.
  • 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 medical records 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 utilization and Risk assessment data as well as information on quality and customer related information and issues.
  • Maintains responsibility for coordination all investigations, focused reviews, and root cause analysis in collaboration with Risk Management, including coordinating Medical Staff regarding Peer Review and other provider related Risk and Quality issues, keeping Regional and Network Directors informed at all times.
  • Performs other job-related duties as assigned.

You'll be successful with the following qualifications:


  • Bachelor's Degree in a healthcare-related field or equivalent combination of education/related experience: Required
  • Master's Degree: Preferred

Work Experience:

  • Seven years technical experience: Preferred
  • Five years leadership experience: Preferred

Required Licenses/Certifications:

  • Registered Nurse (RN) licensure in state of practice: Required

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.

The estimated base pay for this position is $126,080 to $189,121. Additional individual compensation may be available for this role through years of experience, differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.

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