Dignity Health Director, Quality/Regulatory and Risk Mgt in LOS ANGELES, California


Founded in 1887, Dignity Health - California Hospital Medical Center is a 318-bed, acute care, nonprofit hospital located in downtown Los Angeles. The hospital offers a full complement of services including a Level II trauma center, the Los Angeles Center for Women’s Health, obstetrics and pediatric services, and comprehensive cardiac and surgical services. The hospital shares a legacy of humankindness with Dignity Health, one of the nation’s five largest health care systems. Visitfor more information.


Position Summary:

Responsible for the design, coordination, implementation and management of the Performance Improvement (PI) plan and identify opportunities for improved patient care, incorporate evidence-based practices, and improve patient outcomes. Provides leadership in defining, implementing and integrating quality, safety, service and efficiency strategies into the plans, policies, and organizational processes that affect the organization’s operations and strategic direction.

Principal Duties and Accountabilities:

  • Establishes performance improvement goals annually with relevant stakeholders, ensures that the PI plan and the hospital-focused projects for the year are implemented and effectiveness evaluated annually.

  • Provides leadership in developing quality improvement training programs and coaches organizational clinical/service lines and operational/support departments in quality improvement principles.

  • Develops and implements processes and formats that support data collection, aggregation, analysis, and action planning. Assures data is managed appropriately and disseminated to appropriate leadership staff.

  • Collaborates with the Medical Staff and Organizational Leadership to develop and enhance safe patient care while achieving optimal outcomes, including the organization’s peer review program and ongoing and focused practitioner evaluation.


Certification, CPHQ, CQI Methodologies, accreditation and regulatory requirements for acute and ambulatory care services (e.g. state, federal, local regulations; Joint Commission, etc.)., clinical, patient care experience , Medical Staff and Organizational Leadership ,management, FDA, ISO, clinical, Quality improvement, proactive regulatory


Education and Experience:

  • Bachelor's degree in a healthcare-related field or an equivalent combination of education and experience.

  • Minimum of five (5) years of progressive management responsibility in an acute care setting, three (3) of which is related to managing an organization’s Quality Improvement Program preferred.

  • Minimum of two (2) years of clinical, patient care experience or equivalent.

  • Experience developing and implementing clinical, service and operational process improvement initiatives, both small and large scale.

  • Knowledge and expertise in specific performance improvement/CQI methodologies (e.g. Six Sigma, LEAN).

  • Current knowledge of accreditation and regulatory requirements for acute and ambulatory care services (e.g. state, federal, local regulations; Joint Commission, etc.).

  • Intermediate word processing (e.g. MS Word), presentation (e.g. MS PowerPoint), spreadsheet (e.g. MS Excel) and database knowledge.


  • Current State License in a clinical field (Five years experience in Quality Management can be used in lieu of state license) and Certification as a Certified Professional in Healthcare Quality (CPHQ). Certification within 2 years of employment is required.

Keywords: risk management, quality management, hospital risk, patient safety, accredidation, regulatory compliance, compliance, regulatory

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Equal Opportunity

Dignity Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected Veteran status or any other characteristic protected by law. For more information about your EEO rights as an applicant, please

If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this telephone number.

Job ID 2018-55241

Employment Type Full Time

Department Quality Management

Hours / Pay Period 80

Facility California Hospital Medical Center

Shift Day


State/Province CA

Standard Hours 8:00am - 5:00pm

Work Schedule 8 Hour