Job Description

Payroll Title:
Salary Range
Commensurate with Experience
Towne Centre Drive
Appointment Type:
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Work Schedule:
Days, 8 hrs/day, Monday-Friday

As a federally-funded institution, UC San Diego Health maintains a marijuana and drug free campus. New employees are subject to drug screening.

#112912 Director, Clinical Quality Improvement

Extended Review Date: Tue 1/18/2022

For the safety and well-being of the entire university community, the University of California requires, with few exceptions, that all students, faculty and staff be vaccinated against the COVID-19 virus and influenza before they will be allowed on campus or in a facility or office. For more information visit: Flu Vaccine Mandate / COVID Vaccine Policy

Special Selection Applicants: Apply by 12/10/2021. Eligible Special Selection clients should contact their Disability Counselor for assistance.


The Director of Clinical Quality Improvement will lead the development of best practices and drive process change to achieve optimal results and high reliability in the care delivered to patients. Will support clinical departments and divisions in evaluating outcomes and processes to support improvements in objectives around standardization and utilization. Provides for internal strategic planning efforts and implementing continuous quality improvement programs. Data management and submission of public data to CMS and other licensing and regulatory bodies.

Responsible to lead and drive change via use of lean methodology both within team and throughout organization. Establishes departmental goals and objectives, functions with autonomy. Manages the accountability and stewardship of human, financial, and often physical resources in compliance with departmental and organizational goals and objectives. Determines department objectives in accordance with overall strategic plan. Position reports to the Chief Quality and Patient Safety Officer.

Key Responsibilities:
* Manages the development, implementation, and monitoring of clinical QI programs. Generates budgets, timelines, work plans, and ensures successful execution of them.
* Manages the development and utilization of advanced metrics and analytics for use in QI processes.
* Implements operational processes that contribute to highly reliable results across all departments and/or facilities.
* Responsible for employee recruitment, performance evaluation and management, and staff development. Develops a strong culture of teamwork to ensure the quality of daily operations, effective interdepartmental collaborations, and the timely achievement of objectives.
* Advises and influences senior management on regulatory changes and state-of-the-art advances in systems, technologies, data management, methodologies, the latest industry trends, developments, and best practices.
* Develops relationships with clinical departments and provides training to facilitate the integration of quality and safety to benefit the overall clinical enterprise.
* Responsible for the extraction, validation, and submission of publicly reported data (ie: TJC, CMQCC, CPQCC, IQR, OQR, and other "core measures").


  • Bachelor's Degree in nursing or other healthcare profession; or a combination of comparable clinical education and/or experience.

  • Seven (7+) or more years of relevant experience.

  • Experience and proven success with in-depth knowledge of QI standards, clinical chart review and abstraction, and regulatory requirements.

  • Evidence of the use of lean principles to improve reliability of clinical processes and outcomes.

  • Five (5+) or more years of managerial or leadership experience in healthcare setting. Demonstrated ability to hire, manage, develop and coach team members.


  • Advanced degree in a relevant field.
  • Ten (10+) or more years of relevant experience.
  • Lean six sigma black belt (or similar) certification.
  • Experience in academic medicine.
  • Experience within a large, complex health system.


  • Must be able to work various hours and locations based on business needs.
  • Employment is subject to a criminal background check and pre-employment physical.

Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable.

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, the only Burn Center in the county, and and dozens of outpatient clinics. We invite you to join our team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community.

UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see:

UC San Diego is a smoke and tobacco free environment. Please visit for more information.

Application Instructions

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