Director of Clinical Quality

Inspire Health Medical Group is the largest, independent multispecialty physician group in the Central Valley of California. For more than 45 years, our patients and community have inspired us to address the unique healthcare needs of the populations we serve. Additionally, by teaching at the highest academic levels and conducting cutting-edge research, our physicians inspire the next generation of healthcare leaders.

About the Role

We are seeking a Director of Clinical Quality to oversee Inspire Health Medical Group’s quality assurance and risk mitigation activities, ensuring regulatory compliance for our private practice locations.

Responsibilities

• Regulatory Compliance
  • Manage licenses, certifications, and annual competencies for all clinical staff.
  • Maintain and manage specialty-specific accreditation standards/programs.
  • Ensure organizational compliance with all State, Federal, and local regulations, including OSHA, HIPAA, CLIA, license requirements, and guidelines.
  • Maintain current knowledge of regulatory standards and ensure timely dissemination to practice leadership.
  • Oversee infection prevention programs, implement quality improvement initiatives, ensure regulatory compliance, and lead staff education and risk assessments to ensure patient safety and optimal clinical care.
  • Identify infectious disease processes, assist in surveillance and epidemiologic investigations, and help prevent and control the transmission of infectious agents.
  • Serve as liaison between Inspire Health Medical Group and regulatory bodies, insurance plans, or external auditors for clinical and compliance matters.
• Quality Program Compliance
  • Develop, update, and manage Inspire Health Medical Group clinical policies and procedures in collaboration with medical leaders.
  • Lead the improvement and ongoing management of Quality and Risk Management processes for all practice sites.
  • Analyze clinical data to identify trends, measure performance, and generate reports for management and stakeholders; report potential quality issues to the Chief Compliance Officer.
  • Participate in and oversee site audits and inspections; implement and track corrective action plans.
  • Respond to, investigate, and report any adverse events to the Chief Operating Officer and Chief Compliance Officer.
  • Assist in evaluating and supporting the development of new clinical service lines.
• Clinical Training/Oversight and Electronic Medical Record (EMR) Support
  • Develop back-office protocols and procedures related to patient care; ensure consistency in implementation throughout all practice sites.
  • Plan and conduct training programs for new clinical personnel; manage ongoing in-service education and annual competency assessments.
  • Oversee employee immunization and clinical screening test requirements, collaborating with HR for documentation.
  • Provide support for clinical builds and clinical staff/provider training within the EMR environment.

Requirements

• Current California RN license required; NP preferred.
• Bachelor’s degree in Nursing or related field; Master’s preferred.
• Quality management experience, preferably in a medical practice setting.
• Minimum three (3) years of experience and knowledge of clinical practices, standard healthcare policies, and procedures.
• Current American Heart Association BLS certification.