Full employer posting
Description Under the direction of the Quality Management Director, you will lead complex, organization-wide quality improvement initiatives at UCLA Health’s Resnick Neuropsychiatric Hospital (RNPH). You will partner with clinical and operational leaders to turn quality and patient safety data into evidence-based changes that improve patient safety, quality of care, regulatory compliance, and organizational performance.
In this role, you will: Apply advanced quality improvement methods, data analysis, performance measurement, and data management to guide hospital-wide initiatives. Analyze and interpret large volumes of quality and patient safety data to identify trends and opportunities for improvement. Work with clinical and operational leaders to standardize processes, implement evidence-based practices, and measure their impact.
Oversee event reporting and regulatory readiness activities. Support accreditation, infection prevention, grievance management, and the development of sustainable quality improvement programs across RNPH. Salary Range: $122,106 - $277,829/annually Qualifications We’re seeking a qualified licensed professional with: Required: Active, unrestricted California licensure as a Registered Nurse (RN), Occupational Therapist (OT), or Licensed Clinical Social Worker (LCSW) Bachelor’s degree or higher in a relevant discipline 3 or more years of experience in an acute care psychiatric hospital 3 or more years of experience in leading complex performance improvement initiatives, implementing sustainable process changes, and analyzing clinical and operational data to develop actionable recommendations that improve quality, safety, and organizational performance 3 or more years of experience supporting regulatory and accreditation surveys, including The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and/or Los Angeles County Department of Mental Health (LA CDMH) reviews Proficiency in supporting clinical departments with data management activities and projects involving complex clinical issues and broad organizational scope.
Skill in developing quality indicators, measurement frameworks, and performance measures for departments and services. Strong analytical skills, including interpreting complex data from across the organization, summarizing statistical findings, and identifying trends and potential issues in patient care and services. Strong written and verbal communication skills, including translating findings into reports, dashboards, presentations, and action plans, and preparing and delivering executive summaries.
Skill in leading or contributing to clinical project teams that investigate issues, develop and implement corrective action plans, and evaluate their effectiveness. Proficiency in preparing incident reports and conducting quality improvement (QI) reviews of complex mortality cases, sentinel events, readmissions, and other cases flagged by screening criteria. Sound judgment in identifying cases that require urgent review and working with management to develop and implement appropriate responses.
Proficiency in submitting or overseeing the timely and accurate submission of clinical quality and patient safety data to internal departments and external agencies. Skill in applying advanced QI methods to develop plans, criteria, and benchmarks while leading or contributing to large-scale projects with clinical and technical teams. Skill in researching best practices and applying findings to improve data collection and reporting processes and systems.
Technical expertise to advise teams on complex QI issues related to functionality, efficiency, performance improvement, and program development. Preferred: CPHQ preferred