Director of Quality & Clinical Excellence

Pinehurst Medical

$100K — $120K *
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Registered Nurse license in North Carolina; BSN or ongoing BSN enrollment preferred.
  • Minimum of 5-10 years in clinical management and healthcare leadership, emphasizing nursing education and regulatory compliance.
  • Experience in quality improvement and patient safety initiatives.
  • Strong understanding of clinical operations, regulatory frameworks, and accreditation standards.
  • Proficient in developing training programs and implementing evidence-based protocols.

Responsibilities

  • Lead the organization's quality improvement program and manage enterprise quality metrics.
  • Collaborate with clinical teams to enhance patient safety and operational efficiencies.
  • Execute performance improvement initiatives using evidence-based methodologies.
  • Conduct root cause analyses and develop corrective action plans post-safety events.
  • Oversee clinical team training related to workflows and policies.
  • Act as the primary clinical resource for operational leaders regarding standards and regulatory compliance.
  • Cultivate a culture of clinical excellence, accountability, and innovation across the organization.

Benefits

  • Comprehensive health insurance coverage.
  • Opportunity for professional development and continuing education programs.
  • Supportive work environment promoting teamwork and shared success.
  • Access to clinical training and certification programs.
  • Flexible scheduling with a Monday to Friday, day shift.
Full Job Description
What will you do as the Director of Quality and Clinical Excellence
The Director of Quality and Clinical Excellence provides strategic and operational leadership for enterprise quality improvement, patient safety, regulatory compliance, accreditation readiness, clinical education, and workforce development across the organization. This position is responsible for evaluating, developing, recommending, implementing, and monitoring clinical policies, procedures, standards, and educational programs that promote the delivery of safe, high-quality, efficient, and patient-centered care.

Serving as the organization's senior clinical resource for quality, education, and regulatory compliance, this leader partners closely with physicians, advanced practice providers, operational leaders, and clinical staff to standardize clinical practice, strengthen workforce competency, improve patient outcomes, ensure regulatory readiness, and foster a culture of continuous improvement and clinical excellence.

A day in the life of a the Director of Quality and Clinical Excellence

  • Provide strategic leadership for the organization's quality improvement program, including the development, monitoring, and reporting of enterprise quality metrics and performance dashboards.
  • Partner with clinicians to improve quality, patient safety, patient experience, and operational efficiency.
  • Lead performance improvement initiatives utilizing evidence-based quality improvement methodologies.
  • Facilitate root cause analyses, corrective action planning, and sustain performance improvement following quality or safety events.
  • Lead the development of and oversee clinical team member training related to clinical workflows, policies, and evidence-based protocols.
  • Serve as the senior clinical resource for operational leaders and providers regarding clinical practice standards and regulatory requirements.
  • Foster a culture of clinical excellence, accountability, innovation, collaboration, and continuous learning while serving as a role model for the organization's Winning Team Mindset through leadership, teamwork, and a commitment to shared success.
  • Recommend operational improvements that enhance patient care delivery, clinical efficiency, and regulatory compliance.
  • Carry out necessary policies and procedures to address provider and patient needs, education, goals, and standards of performance.
  • Participate in strategic planning initiatives supporting organizational growth, value-based care, quality improvement, and workforce development.
  • Provide executive direction for Clinical Education and Regulatory Compliance, encompassing clinical onboarding (including EMR training), the CCMA Academy, the LPN Scholarship Program, and the APP CME program.
  • Provide enterprise-wide leadership and administration of the Learning Management System (LMS), managing all clinical tracks, core competencies, certifications (ACLS/BLS/PALS), CEUs, and clinical compliance tracking.
  • Direct regulatory compliance, accreditation standards, the Corporate Compliance Plan, and the Medical Records Department through direct leadership of the Manager of Compliance and Accreditation.
  • Coordinate ongoing education and in-service programs.
  • Perform other related duties as required.


Required Qualifications
  • Licensed as Registered Nurse in the State of North Carolina. BSN or enrollment in BSN program preferred. Master's Degree a plus.
  • Minimum of 5 to 10 years of progressive clinical management and healthcare leadership experience, including oversight of nursing education, ambulatory care operations, and regulatory compliance.


Shift: Day Shift (Monday through Friday)

Pay Type: Salaried (Exempt)

Monday - Friday, Day Shift
40 hours per week

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