MarinHealth · 1 week ago
Director Of Outpatient Quality, Network Administration, Full-Time, Days
Novato, CA
Full-time
Onsite
Lead/Staff, Director/Executive
$87.85/hr - $105.42/hr
5+ years expMarinHealth is an integrated, independent healthcare system seeking a Director of Outpatient Quality to provide strategic and operational leadership in clinical quality and patient safety. This role involves developing quality strategies, overseeing data analytics, ensuring regulatory compliance, and fostering partnerships to enhance patient-centered care across the network.
Emergency MedicineHealth CareHospitalHospitalityMedicalNon ProfitService IndustryWellness
Responsibilities
Design and execute strategies to elevate clinical quality, patient safety, and care outcomes across all network sites and affiliates
Align quality initiatives with organizational goals, value-based care models, and population health strategies
Responsible for annual Network clinical quality, patient safety/risk plans aligned with Medical Center plans and organization’s strategic goals
Lead and sustain network-wide performance improvement projects using evidence-based methodologies
Provide consultation for Network leaders and Performance Improvement teams on Improvement strategies and best practices
Promote a proactive approach to identifying and resolving gaps in care processes and patient outcomes
Manage assigned clinical quality staff and cross functional improvement teams
Work collaboratively with Medical Center and UCSF data analytics and Population Health teams to drive successful performance improvement and metrics development
Ensure continuous compliance with all relevant state and federal healthcare regulations, payer standards, and risk-based program requirements
Maintain organizational readiness for audits and reporting, with a focus on quality integrity and transparency
Collaborate with Medical Center Accreditation, Regulatory License Manager to ensure Outpatient sites under the Medical Center license sustain compliance with Medical Center policies and compliance standards
Leads compliance complaint investigations and coordinates/ develops corrective action plans, responses and monitors through resolution
Oversee clinical quality data collection, validation, and interpretation to guide operational and strategic decisions
Drive adoption of actionable insights through user-friendly dashboards and reports for medical staff and leadership
Liaison to Medical Center QMS data analytics team
Foster deep partnerships with UCSF Health, enhancing integration of academic-level clinical excellence into community practice
Serve as a strategic partner to Partnership HealthPlan and other IPAs, supporting value-based performance metrics and collaborative improvement initiatives
Facilitate shared learning, peer benchmarking, and coordinated quality programs across the network
Consult with Informatics leads regarding the use of APEX (Epic-based EHR platform) to optimize clinical workflows, track key performance indicators, and support data-driven decision-making
Lead the use of APEX (Epic-based EHR platform) to optimize clinical workflows, track key performance indicators, and support data-driven decision-making
Collaborate with IT and clinical informatics teams to ensure accurate reporting, system optimization, and provider engagement
Develop and manage organizational strategy for Merit-Based Incentive Payment System (MIPS) reporting
Ensure accuracy, compliance, and continuous improvement in CMS quality program participation to maximize organizational performance and reimbursement
Serves as Outpatient Quality representative to enterprise Patient complaints/Grievances Committee
Responsible for investigation and response to Outpatient Patient Grievances reported through insurers and external regulatory agencies
Collaborates with Patient Experience and Relations staff to address patient grievances evolving to consideration of patient terminations
Ensures patient terminations follow regulatory, accreditation standards
Responsible for Network Patient Safety Event System (PSES) fostering safety event reporting, investigation and response using Just Culture philosophy and strategies
Partner with Risk Manager on Serious Safety Event investigation, communication and response following BETA HEART strategies
Manage assigned staff and support Network Quality and Medical Staff Peer Review committees and processes
Represent Network on enterprise QMS teams developing quality and risk data systems
Serves on Outpatient Threat Management Team
Champion a culture of continuous learning and accountability through, clinical quality and patient safety training programs, and leadership development
Responsible for Network participation in BETA Health: HEART training programs, SCORE safety culture survey and BETA Health: HEART event response team
Serve as a mentor and coach to teams across the network, promoting alignment and best practice adoption
Liaison to Medical Center Infection Control Program Manager for Network Infection Control
Manages outpatient Infection Control program and outpatient Infection Control staff including staff IC education, routine environment of Care rounds, disease outbreak response, hand hygiene program, infection prevention to ensure compliance with Infection Control standards and regulatory requirements
Liaison to local IRB coordinator for new research protocol review or renewals
Supports clinical research participation and compliance through collaboration with MHMC QMS research staff
Qualification
Required
Master's degree in Nursing (MSN), Pharmacy (PharmD), Healthcare Administration (MHA), Public Health (MPH), or a related field required
Current Registered Nurse California license or PharmD
Certified Professional in Healthcare Quality (CPHQ) required
Minimum of 5 years of progressive leadership in clinical quality, performance improvement, or patient safety within an acute care or ambulatory setting
At least 3 years in a management or director-level position within a clinically integrated or value-based care environment
Demonstrated success in leading cross-functional initiatives, leveraging data analytics, and engaging physician leadership in quality programs
Experience with EPIC/APEX systems and MIPS reporting platforms
Strong analytical and critical thinking capabilities
Exceptional written and verbal communication skills
Advanced proficiency in quality measurement, reporting tools, and health informatics
Proven ability to drive cultural transformation and lead multi-site quality programs
Effective at managing complex projects with competing priorities and deadlines
Preferred
Certified Professional in Patient Safety (CPPS)
Certified Infection Control (CIC)
Company
MarinHealth
MarinHealth includes three major entities – a hospital, foundation, and network of expert clinicians – and our combined offering provides North Bay residents with a wide spectrum of high quality services from health and wellness education to diagnosis to advanced treatment and beyond for injuries and illness of all kinds.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
David Klein
Chief Executive Officer
Recent News
2025-10-15
Company data provided by crunchbase