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Vice President, Clinical Quality Management

Trinity Health
United Statesfull_timeVerifiedPosted 10 Jul 2025

About the role

Employment Type:

Full time

Shift:

Description:

Vice President of Quality Management

Position Purpose:

The Vice President of Clinical Quality Operations is responsible for overall leadership and accountability for multiple disciplines creating a proactive focus on Medical Staff Services, quality outcomes, patient safety, risk prevention and management of clinical information systems to achieve outstanding performance in all internal and external metrics. The position is an essential leadership role guiding practices and clinical programs of Mount Carmel Health System. This position is responsible for providing leadership and development for high potentials leaders within clinical operations.

Minimum Requirements:

  • Education: Master's degree in a health care field such as MHA, MPH, or MSN and Clinical degree such as a BSN or MD.
  • License / Certification: Licensed healthcare professional (nurse, advanced practice provider, or physician) with clinical background.
  • Experience: Seven (7) to ten (10) years experience in healthcare administration, clinical quality & risk, safety, accreditation, and/or patient experience.
  • Thorough understanding of external, regulatory, legal, compliance, and other forces impacting Mount Carmel's environment as it relates to healthcare.
  • Ability to understand and interpret complex issues and recommend actions/remedial actions resulting in increased clinical quality and safety and stronger relationships with physician staff.
  • Ability to prioritize and manage multiple functions and responsibilities simultaneously.
  • Ability to organize work independently with a high level of motivation and initiative and to maintain confidentiality.
  • Ability to coordinate related functions, to provide leadership in team building and to enhance cooperation among functionally related activities.
  • Ability to establish and grow effective working relationships with medical staff and administration.
  • Proven management skills with demonstrated experience mentoring and developing staff.
  • Proven ability to drive change culminating in desired outcomes within a broad strategic framework with multiple internal and external constituencies.
  • Demonstrated ability to effectively integrate clinical quality and service outcomes, patient safety and risk management processes.
  • Ability to organize, plan and direct staff and activities of several large and diverse and complex departments.

Essential Responsibilities:

  • Works with Mount Carmel Executive Leadership and care site leadership to align with requirements set forth by CMS, TJC and other regulatory agencies
    • Functional competencies in the following areas:
    • Medical Staff Services
    • Quality outcomes
    • Patient safety
    • Risk prevention
    • Regulatory
  • Directs, develops, and supervises team to become subject matter experts in partnering for the achievement of Clinical Operations objectives.
  • Provides leadership in fostering a performance improvement approach that includes both intradepartmental and interdepartmental activities.
  • Oversees the identification, implementation, and measuring of operational improvement plans to bring about a positive clinical quality impact.
  • Oversees Mount Carmel Health System’s key quality performance indicators and works with leadership in improving operations using such indicators.
  • Serves as a liaison between Clinical Operations, Executive Leadership and the Mount Carmel Board to facilitate mutual understanding of matters impacting the clinical operations of Mount Carmel Health System.
  • Directs System level compliance with The Joint Commission Medical Staff Standards and other accreditation, state and federal government agencies by serving as a consultant to the Administration, Medical Staff Leaders and Regulatory Support Team.
  • Regularly involved in the development, integration, and execution of cross-functional strategies and plans.

Essential Leadership Competencies:

  • Expect, Embrace and Initiate Change: Spearhead healthcare innovation and create strategies to deliver high-quality, safe, and cost-effective care, fostering a shared sense of purpose within a mission-driven healthcare enterprise.
  • Advance the Health Care Environment: Engage in substantial coordination of care in the inpatient environment, overseeing quality, patient safety, program growth, physician leadership development, and community health.
  • Strategic Partner: Work closely with hospital, medical group, population health, and ambulatory operations leaders to enhance affordability, access, qualit

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Company

Trinity Health

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