Quality Improvement Coordinator - Custody Health Services

Salary : $203,130.72 - $259,326.08 Annually
Location : Throughout the County of Santa Clara, CA
Job Type: Full-Time/Part-Time
Job Number: 26-C87-A
Department: Santa Clara Valley HHS - Custody Health Services
Opening Date: 11/05/2026
Closing Date: 11/20/2026 11:59 PM Pacific
Bargaining Unit: 92

Description

Under direction, to plan, coordinate, and implement quality improvement activities as required by various regulatory bodies, such as State, Federal, and The Joint Commission (TJC) regulations and requirements for the County of Santa Clara Health System (CSCHS).
This recruitment is for one (1) Quality Improvement Coordinator position available in Custody Health Services.

• 1 0.5 FTE position; day shift

For more information, contact CHS-HR at

Custody Health Services (CHS) provides medical, mental health, and dental services to patients in custody at the four County detention facilities: Main Jail, Elmwood, Juvenile Hall, and James Ranch. On-site routine and urgent/emergent medical services are provided at both Main Jail and Elmwood adult jail facilities in Santa Clara County. Health care of incarcerated patients includes care of acute and chronic illness as well as preventative and specialty care. CHS also operates a 40-bed acute psychiatric inpatient housing unit at the Main Jail facility for incarcerated adults who require acute inpatient services for stabilization. Juvenile Custody Health Services provides integrated medical services including comprehensive pediatric medical, mental health, and dental care to justice-involved youth housed in Juvenile Hall and James Ranch.

Selected candidate(s) must be able to work in a correctional facility, which requires passing a background check for security clearance.

Typical Tasks
The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed.

• Monitors the County of Santa Clara Health System departments to ensure compliance with the Quality Improvement Plan;

• Coordinates division and department quality improvement activities, including surveys and audits;

• Ensures that standards, policies, and procedures are consistent with professional standards and requirements as defined by various regulatory bodies;

• Assesses quality improvement training needs; plans, implements, and/or coordinates training for staff;

• Participates in organizational and departmental committees and task forces;

• Participates in developing systems and procedures to meet the internal goals and objectives of the Quality Improvement Plan;

• Conducts and supports investigations with medical, nursing, and other staff; plans quality improvement activities to resolve identified problem areas;

• Maintains current knowledge of organizational goals and objectives;

• Promotes and facilitates process/quality improvement activities within the Health System;

• Collaborates with various stakeholders regarding organizational standards, policies, and procedures;

• Initiates changes in standards, policies, procedures, and practices based on quality improvement review;

• Interprets policies and regulations to medical, nursing, and professional support staff;

• Promotes compliance with legal and regulatory requirements;

• Plans accreditation and regulatory surveys; prepares responses/reports based on reports of findings;

• Works to mitigate organizational and patient safety risks and collaborates with Risk Management staff regarding risk/quality issues;

• Identifies local and national trends applicable to quality improvement standards;

• Evaluates the feasibility of new programs to enhance compliance with standards;

• Acts as a resource for quality improvement activities;

• Performs concurrent and retrospective chart reviews and analysis for selected department and organizational indicators;

• Collaborates with staff from medicine, nursing, and other professional support staff in the development, implementation, and evaluation of Patient Care Guidelines; may collaborate with medical staff for peer review and quality support, when indicated;

• Initiates and participates in research related to standards, quality improvement, and risk management; utilizes research to support changes of standards and practice;

• May be assigned as a Disaster Service Worker (DSW), as required*;

• Performs other related duties, as required.

Employment Standards
Training and Experience Note: The required knowledge and abilities are attained through four (4) years of full-time Registered Nursing (RN) experience in an accredited hospital, clinic, and/or healthcare setting.

Nursing management experience is desirable but not required.

Special Requirements

• Possess and maintain an active California Registered Nurse license, without restrictions, for the duration of employment in this classification.

• Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver's license prior to appointment and the ability to qualify for and maintain a County driver authorization.

Knowledge of:

• Hospital, outpatient, or location-specific healthcare organizations, operations, and procedures;

• Federal and State healthcare laws and regulations common to the operation of hospitals in California and/or laws applicable to the healthcare setting;

• Regulations of intermediary agencies pertaining to hospital stay coverage (e.g., Medicare and MediCal);

• Quality improvement and risk management standards, policy, procedures, and protocols;

• Current trends, issues, and research in Quality Improvement in large medical services systems;

• Standards, policies, procedures, and medical protocols in a healthcare setting;

• The Joint Commission standards and Title XXII requirements and Federal regulations;

• Regulatory requirements for acute care hospital, ambulatory, or applicable healthcare settings;

• Medical terminology and related levels of care and treatment;

• Methods, regulations, and procedures for research within a healthcare setting;

• Evaluation and assessment techniques;

• Record keeping and reporting procedures;

• English usage, style, grammar, punctuation, and spelling;

• Common computer systems and applications.

Ability to:

• Analyze data, write reports, identify trends and appropriate corrective action plans, and evaluate improvement programs and activities;

• Evaluate and interpret complex medical regimens pertaining to quality-of-care standards;

• Plan, develop, and organize work;

• Communicate effectively, both orally and in writing, with people of diverse backgrounds and cultures;

• Develop personal and professional quality improvement goals;

• Facilitate quality improvement teams to implement quality improvement goals and standards;

• Work effectively and manage multiple projects with minimal supervision;

• Manage multiple conflicting priorities while demonstrating strong organizational and leadership skills;

• Plan and implement quality improvement educational activities for medical, nursing, and professional support staff;

• Maintain current knowledge of trends/practices in quality management;

• Establish and maintain effective working relationships with those contacted in the course of work, at all levels, including colleagues, the public, and representatives of other agencies.

The County offers comprehensive first-class medical, dental, and vision benefits plans for County employees and their dependents, including plans with no deductibles, no co-pays, no co-insurance, and no prescription drug co-pays. Learn more

The County also offers generous paid time off with significant vacation, sick time, and 13 paid County holidays annually! Details are included in the with the bargaining unit applicable to the job classification.

In addition to the amazing perks above, the County also offers the additional benefits below.

Retirement Benefits
The County offers robust retirement plans including a (similar to the private sector's 401(k) plan) and the In addition to lifetime retirement income available through the CalPERS pension plan, the 457(b) Deferred Compensation plan provides a great way to save for retirement and supplement the defined benefit pension available to employees. These plans help our employees build a plan for their future and contribute to their family's long-term financial well-being.

Health Flexible Spending Account
The empowers employees to manage healthcare expenses efficiently with tax-free contributions (up to $3,200 for the 2024 calendar year). Secure tax-free solutions for your healthcare expenses and enjoy the flexibility to manage your healthcare finances effectively with the HFSA.

Dependent Care Assistance Program (DCAP)
The enables employees to utilize tax-free funds for dependent care services, facilitating a convenient and cost-effective approach for managing your dependent care expenses. The County also offers the , an employer-funded DCAP, for employees with annual income under $120,000.

Life and AD&D
The County offers life and disability benefits including , Insurance, These benefits ensure financial security and income support when you and your family need it most.

Employee Assistance Program (EAP)
The County prioritizes employee mental health and well-being and offers a top-tier through Concern providing confidential counseling sessions covering stress, anxiety, relationships, grief, as well as financial/legal services, personal coaching, child and elder care referrals, and comprehensive crisis support.

Employee Wellness
The offers free wellness programing, fitness classes and resources; including Elevate My Wellness an all-in-one platform designed to elevate your well-being journey.

Education Reimbursement
A generous program is available, including Education Reimbursement for employees seeking additional training and professional development.

NOTE: Benefit and Retirement information may vary from bargaining unit to bargaining unit. Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts.

Click here to access all Memoranda of Understanding and most recent Summary of Changes.
01

Please answer the following questions. Completion of the following supplemental questions is REQUIRED for your application and is an integral part of the evaluation process. Initially, it will be used to evaluate against the employment standards. For those applicants meeting the employment standards, this information will be critical in the subsequent competitive assessment to identify those candidates to be invited to continue in the examination process. Your responses to the questions may also be reviewed and scored in a Competitive Rating evaluation process based on pre-determined rating criteria. Your answers should be as complete as possible, as no additional information will be accepted from applicants once the Competitive Rating evaluation has begun. Please include the name of the employer, job title, job duties, dates of employment and number of hours worked per week for questions asking about your experience. A response of "see resume" or "see application" will deem your application incomplete. Vague, incomplete or non-responsive answers could result in no or low scores in a competitive rating process. Do you understand this requirement?

• Yes
• No

02

Do you have an active California Registered Nurse (RN) License without restrictions?

• Yes
• No

03

Please list your California Registered Nursing license and the expiration date. If you do not have any type n/a.
04

What is your highest level of Nursing Education?

• AA/ AS/ Diploma, Clinical Practicum concurrent with theory in a non-accredited Joint Commission acute care hospital
• BSN, Clinical Practicum concurrent with theory in a non-accredited Joint Commission acute care hospital
• AA/ AS/ Diploma, Clinical Practicum concurrent with theory in an accredited Joint Commission acute care hospital
• MEPN with RN license pursuing MS
• BSN, Clinical Practicum concurrent with theory in an accredited Joint Commission acute care hospital
• MSN
• PhD
• DNP
• None of the above

05

Please list the name of your degree, the level, and where it was obtained. If you do not have any write N/A.
06

Indicate how many years of full-time Registered Nursing (RN) experience in an accredited hospital, clinic, and/or healt