Required Qualifications Bachelor's Degree in nursing or an appropriate healthcare‑related field.
5 Years acute care hospital operational experience.
5 Years experience in performance improvement, quality, patient safety, regulatory affairs, or risk management.
Experience with data analysis, case review, adverse event investigation, and regulatory compliance.
Preferred Qualifications Master's Degree in a related field.
Experience supporting multi‑hospital or system‑level initiatives.
Six Sigma Green Belt Certification - Various-No accreditation board -PREFERRED
Other Qualification Requirements If clinically licensed, the license must be current, valid and unencumbered in California - REQUIRED
Essential Functions
Data Analysis
Utilizes independent judgment, training, and experience to recognize variances in hospital performance, regulatory compliance, and patient safety performance and identifies opportunities for improvement.
Identifies statistical trends in data through analysis of key operational metrics, adverse events, case reviews, system reviews, and/or clinical data.
Conducts accurate, comprehensive, and systematic reviews of facility and service line performance using concurrent and retrospective data.
Manages data and expert analyses supporting hospital‑wide and multi‑hospital quality, safety, regulatory compliance, and performance initiatives.
Performance Improvement
Determines and applies appropriate performance improvement processes including Change Acceleration Process (CAP), Lean, Six Sigma, and DMAIC to support improvements in entity, department, and multi‑hospital performance.
Participates in and supports performance improvement projects, root cause analyses (RCAs), and failure mode and effects analyses (FMEAs) related to quality, safety, and regulatory compliance.
Collaborates with hospital and system leaders to support achievement of organizational, departmental, and multi‑hospital performance improvement objectives.
Uses ongoing monitoring techniques and data analysis to support sustainment of improved processes.
Regulatory Affairs, Licensing and Accreditation
Supports multi‑hospital regulatory readiness and ongoing compliance with Joint Commission, CDPH, CMS, and other applicable regulatory and accreditation agencies.
Participates in preparation for licensing, certification, and accreditation surveys across hospitals, including document development, coordination, and respo
Benefits
Health insurance
Additional Information
Hours :
Shift Start Time:
Variable Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
Yes
Hourly Pay Range (Minimum - Midpoint - Maximum):
$53.570 - $69.120 - $77.410
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
Sharp · Chula Vista, CA