Director Quality and Safety

Sutter Health   •  

Modesto, CA

Industry: Healthcare


5 - 7 years

Posted 42 days ago


To provide leadership and oversight of the IQS functions including the activities of planning, coordinating, and guiding for the integrated functions of quality assessment and improvement, accreditation and licensure, infection control, medical staff services, and safety within Quality and Medical Staff Services Departments.  Provides assistance to the Sutter Health Valley Area Director IQS Operations - acute care, inIQS integrated functions to assure alignment to Valley Area IQS processes, systems, and priorities. Assimilates information to proactively develop quality activities aligned with MMC's strategies and values. Proactively builds strong teams and business relationships, both internally and externally. Serves as a resource and subject matter expert (SME) on aspects of the quality program to develop and influence improvement strategies. Has significant responsibility for working with the organization to pursue operational improvements and efficiencies; supporting the development and implementation of clinical assessment/process improvement and redesign.  The director participates on a team that works toward identifying the best clinical and operational improvement practices for the organization.  Pursues opportunities for work that adds value and eliminates waste and redundancy for the organization to help achieve and retain optimal quality outcomes.  Serving the greater Stanislaus County with 423 acute care beds,Memorial Medical Center MMCprovides a full continuum of care, including:

  • 24-hour emergency care
  • inpatient and outpatient  surgery
  • specialty services in obstetrics, pediatrics, nuclear medicine, dialysis therapy, diagnostic imaging, intensive care, sleep disorders and physical therapy
  • a Level II Trauma Center

Memorial Medical Center is an accredited Chest Pain Center and STEMI (heart attack) Receiving Center. MMC is part ofSutter Health, one of thenation’s top five large health systems thanks to its integrated network of physician, employee and volunteer pioneers—more than 60,000 people strong. Rooted in Sutter Health’s not-for-profit mission, these team members partner to deliver exceptional care that feels personal. From physician offices to hospitals to outpatient care centers and home services, they proudly support and learn from the more than 3 million people in their care—nearly 1 percent of the U.S. population, in one of the most diverse and innovative regions in the world. 



  • Bachelor’s in Nursing (BSN) required
  • CA RN license required
  • A minimum of 5 years recent acute hospital experience which includes experience in a role with leadership/supervisory responsibility, and experience in quality assessment, performance improvement, or continuous quality improvement.
  • Minimum of five (5) years’ experience directly related to healthcare.  Experience must include healthcare operations, project management roles, healthcare consulting, and strong healthcare analytic responsibilities with hospitals or hospital systems.
  • Experience in use of Excel, Access, Word, and PowerPoint applications with proven ability to work within and generate statistical reports.
  • Ability to read, write, hear, and verbally communicate in English to the degree required by the job.
  • Must possess excellent written and verbal interpersonal communication skills, including a strong ability to make presentations to a variety of professional and lay audiences.
  • Ability to communicate effectively with a wide variety of personalities and departments, including medical staff members.
  • Possess a valid California driver’s license.  Able to travel locally and occasionally out of area.  Able to travel either alone or in a group.
  • Ability to function independently with minimal management required.
  • Willingness to dress and act in a professional manner at all times.
  • See Attached statement of Physical, Mental and Environmental Factors Form.


  • Master’s degree in a healthcare or leadership related field.
  • Current status as a Certified Professional in Healthcare Quality.
  • Recent Project Management experience in a healthcare setting.  Project management training or certification.
  • Recent experience directly related to creation, manipulation, and management of complex data sets, analytical tools, and database applications for healthcare organizations. 
  • Lean and/or Lean Six Sigma Black Belt Certification or significant experience in use of lean concepts and willing to become certified
  • .