Sutter Health

Sutter Health Network, Manager, Quality & Patient Safety, Ambulatory Clinician

Leads and establishes performance management and quality improvement systems, ensuring compliance with standards from NCQA, IHA, CMS, and health plan regulations. Responsible for implementing and maintaining quality management programs and facilitating clinical improvement initiatives to support quality patient care delivery.

Key Responsibilities
  • Lead and establish appropriate performance management/quality improvement systems
  • Implement and maintain quality management programs
  • Facilitate assigned programs with specified objectives
  • Ensure compliance to standards of NCQA, IHA, CMS, health plan regulations and contractual requirements
  • Support assessment and planning, performance measurement and monitoring, evaluation and quality improvement for quality patient care
Required
  • Bachelor's: Management, public health, nursing, business administration, organizational leadership or related field or equivalent education/experience
  • RN-Registered Nurse of California OR MD-Medical Doctor OR PharmD-Pharmacist OR PA-Physician Assistant OR NP-Nurse Practitioner
  • 8 years recent relevant experience
  • Operations, leadership, critical thinking, analysis, teaching, facilitation, coaching, mentoring and project management skills
  • Knowledge of population health management practices, policy, programs, initiatives and functions
  • Ability to train staff in various quality improvement and performance improvement methodologies
  • Exemplary written and oral communication skills; including presentations and comprehensive analysis reporting on performance improvement issues
  • Ability to partner and collaborate with physician leadership and work effectively with providers and physician site leadership
  • Ability to analyze problems, reach practical conclusions, and institute effective changes
  • Ability to evaluate staff performance, identify behavior and performance problems, and staff development needs, and take appropriate actions
  • Advanced computer skills in Microsoft Office (Word, Excel, Outlook, PowerPoint), Epic, Mida
  • Ability to implement department policies and procedures and ensure adherence
  • Organizational skills and ability to balance numerous priorities, be detail-oriented, self-directed and work with minimal supervision
  • Customer service skills
  • Ability to compile, organize, summarize, prepare in text or graphic form and proofread extensive spreadsheets and data from various sources; ability to write executive summaries
  • Ability to deal appropriately with confidential and sensitive information and demonstrate diplomacy, tact and professionalism
  • Ability to work on multiple projects under multiple deadlines; highly energetic, able to embrace challenges and change; team player
  • Experience leading safety/quality/clinical effectiveness initiatives with high level of independence
  • Experience facilitating collaborative, cross-functional projects including defining objectives, identifying stakeholders, planning steps, coordinating and allocating resources
  • In-depth knowledge of regulations and guidelines for governing areas of responsibility
  • Knowledge of and experience in process improvement (e.g., lean or process transformation)
  • Understands applicable quality measures as defined by HEDIS, IHA, CMS, ACOs and other ambulatory quality measurement programs
Benefits & Perks
  • Yes
  • Eligible positions include a comprehensive benefits package
We are so glad you are interested in joining Sutter Health!

Organization

SHSO-Sutter Health System Office-Bay

Position Overview

Works collaboratively to lead and establish appropriate performance management/ quality improvement systems. The Manager is responsible for overall implementation and maintenance of quality management programs and facilitates assigned programs with specified objectives. This includes compliance to standards of the National Committee on Quality Assurance (NCQA), Integrated Healthcare Association (IHA), Centers for Medicare and Medicaid Services (CMS), health plan regulations and contractual requirements, standards, and projects pertaining to quality management, standard work and clinical improvement initiatives. Assumes responsibility for ensuring or supporting assessment and planning, performance measurement and monitoring, evaluation and quality improvement for the delivery of quality patient care.

Education

Job Description:

  • Bachelor's: Management, public health, nursing, business administration, organizational leadership or related field. or equivalent education/experience

Certification & Licensure

  • RN-Registered Nurse of California OR MD-Medical Doctor OR PharmD-Pharmacist OR PA-Physician Assistant OR NP-Nurse Practitioner

Typical Experience

  • 8 years recent relevant experience

Skills And Knowledge

  • Operations, leadership, critical thinking, analysis, teaching, facilitation, coaching, mentoring and project management skills require
  • Knowledge of population health management practices, policy, programs, initiatives and functions
  • Ability to train staff in various quality improvement and performance improvement methodologies
  • Exemplary written and oral communication skills; to include presentations and comprehensive analysis reporting on performance improvement issues
  • Ability to partner and collaborate with physician leadership and work effectively with providers and physician site leadership
  • Ability to analyze problems, to reach practical conclusions, and institute effective changes
  • Ability to evaluate the performance of staff, identify behavior and performance problems, and staff development needs, and take appropriate actions as necessary
  • Advanced computer skills in microsoft office: [word, excel, outlook and powerpoint] epic, mida
  • Ability to implement department policies and procedures and ensure adherence
  • Must have organizational skills and the ability to balance numerous priorities at the same time, be detail-oriented, self directed and able to work with minimal supervision
  • Customer service skills
  • Ability to compile, organize, summarize, prepare in text or graphic form and proofread extensive spreadsheets and data from a variety of sources. ability to write executive summaries
  • Must be able to deal appropriately with confidential and sensitive information and to demonstrate diplomacy, tact and a high level of professionalism
  • Organizational skills, ability to work on multiple projects under multiple deadlines; must be highly energetic, and able to embrace challenges and change. must be a team player and work well with a variety of people in all levels of the organization
  • Experience leading safety/quality/clinical effectiveness initiatives with high level of independence
  • Experience in successfully facilitating collaborative, cross-functional projects, including the ability to define program project or process objective, identify stakeholders and their interests, plan steps, coordinate and allocate human, technological, and fiscal resources to accomplish goals and objectives in a resourceful and timely manner
  • An in-depth knowledge of regulations and guidelines for governing areas of responsibility
  • Knowledge of and experience in process improvement (e.g., lean or process transformation)
  • Understands applicable quality measures as defined by hedis, integrated healthcare association (iha), cms, accountable care organizations (acos) and other ambulatory quality measurement programs.

Job Shift

Days

Schedule

Full Time

Days Of The Week

Friday, Monday, Thursday, Tuesday, Wednesday

Weekend Requirements

None

Benefits

Yes

Unions

No

Position Status

Exempt

Weekly Hours

40

Employee Status

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $183,643.20 to $293,841.60 / annual salary. Sacramento Valley Pay Range is $161,616.00 to $258,585.00 / annual salary.

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
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