Executive Director, Medical Staff Clinical Quality
November 10, 2017
Los Angeles, California
Full Time - Experienced
4 Year Degree
The Department of Medical Affairs is seeking a new administrative director. The position will report directly to the Vice President, Medical Affairs (VPMA) and Associate Chief Medical Officer (ACMO). The Director provides leadership for the management and operations of the Medical Affairs programs supporting quality, patient safety and medical staff leadership. In this capacity, the Director is responsible for the development and implementation of appropriate plans and processes, accountable for quality of service, expense control and effective management of capital and human resources and acts as a resource to hospital administration, Medical Staff, and other health system personnel. The Director is a key resource to hospital administration, Medical Staff, and other health system personnel for addressing issues related to clinical quality and safety.
Oversees the management and operations of departments reporting to the VPMA/ACMO (Hospital Epidemiology, Patient Safety, Peer Review, Clinical Quality Measurement), including achievement of goals and This includes responsibility for budget managemens, special projects and assuring that appropriate medical staff standards and regulations are maintained.
Assists VPMA/ACMO to support organized Medical Staff leadership by providing expert consultation and ensuring its members and leaders adhere to the Medical Staff Bylaws, Rules and Regulations, and all pertinent policies.
Works collaboratively in an interdisciplinary team approach to ensure physician concerns are addressed through established medical staff processes.
Oversees the management of VPMA/ACMO leadership This includes assuring oversight of meeting and agenda coordination, and appropriate follow-up from the meeting proceedings.
Facilitates activities supporting TJC or other regulatory activities, and assures that appropriate quality standards and regulations are
Supports VPMA in data management, reviewing and preparing reports, and other departmental initiatives.
Establishes systems for appropriate management controls in all areas of Ensures organizational compliance with legal and regulatory standards, internal policies and procedures, moral and ethical codes. Actively supports workforce diversity and takes initiative to attain Affirmative Action Plan objectives.
The successful candidate will be an experienced leader who readily promotes a customer-centric service environment, articulates organizational goals and vision and creates a high-performance culture with team members. Demonstrates and promotes leadership behaviors and cultural values and participates in staff engagement activity. Creates an environment of shared responsibility with collaborative teamwork and problem solving. Inspires trust and engages staff in achieving work deliverables. A strong understanding of quality service and the principles of Continuous Quality Improvement is essential as the director is a champion for quality and strives for measurable improvement in all assigned areas.
Bachelor's Degree in Healthcare or a Management related field required. Graduate Degree, MHA/MBA/MS, in hospital administration, healthcare administration, or specialty field preferred.
Current certification in any of the following preferred: Certified Professional in Healthcare Quality (CPHQ), Certified Professional Medical Staff Management (CPMSM) with the National Association of Medical Staff Services.
Five to seven years recent experience in a senior management position with experience in the following areas:
Management and supervisory responsibility for Quality and/or Medical Staff Services function.
Knowledge, experience, and understanding of quality management/improvement principles, tools, and implementation and operations.
Hospital-wide experience with The Joint Commission standards necessary.
Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.S. with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Clinical programs range from primary care for preventing, diagnosing, and treating common conditions to specialized treatments for rare, complex, and advanced illnesses. In addition, Cedars-Sinai serves t...he Los Angeles community through its Medical Network, which includes the highly rated Cedars-Sinai Medical Group and Cedars-Sinai Health Associates.
Cedars-Sinai has consistently been named one of America’s Best Hospitals by U.S. News & World Report and is ranked nationally in 12 specialties. It has been named to the "Honor Roll" in U.S. News & World Report's "Best Hospitals 2017-18."
The organization has received the National Research Corporation’s Consumer Choice Award 20 years in a row for providing the highest quality medical care in Los Angeles. Cedars-Sinai has received its fourth consecutive Magnet® designation for nursing excellence from the American Nurses Credentialing Center (ANCC), becoming the hospital with the longest-running Magnet designation in California.
Cedars-Sinai is a leader in the clinical care and research of heart disease, cancer, and brain disorders, among other areas. Pioneering research achievements include using cardiac stem cells to repair damaged hearts, developing minimally invasive surgical techniques and discovering new types of drugs to target cancer more precisely.
Through strong collaboration with UCLA, Cedars-Sinai also impacts the future of healthcare through education programs that encompass everything from highly competitive medical residency and fellowship programs to a biomedical science and translational medicine PhD program, advanced training for nurses and educational opportunities for allied health professionals. Most notably, Cedars-Sinai demonstrates a longstanding commitment to strengthening the Los Angeles community through wide-ranging programs that improve the health of its most vulnerable residents.
What began in 1902 as a 12-bed hospital in the Angelino Heights neighborhood of Los Angeles, today, Cedars-Sinai serves more than 1 million people each year in over 40 locations, with more than 4,500 physicians and nurses and 1,500 research projects in motion.