Job Description

Extended Job Title
Director Quality Improvement Elp

Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso

Position Description
Leads the Quality Improvement program of the Texas Tech Physicians of El Paso Ambulatory Clinics. Directs, plans, coordinates and supervises the operation and activities of a specialized unit or small department; develops and implements policies and procedures, administers the budget, organizes tasks and sets priorities. Serves as liaison with university personnel and community at large. Works under general supervision with broad latitude for initiative and independent judgment.

Requisition ID

Optional Attachments
Transcript, Other Documents Supporting Qualifications

Travel Required
Up to 25%

Major/Essential Functions
-Lead the Clinics in the process of continuous accreditation by The Joint Commission and/other similar agencies that the Clinics select or need to pursue by articulating standards and criteria to physicians, nurses and administration.
-Review and propose revisions to policies related to the Clinics Performance Improvement program.
-Perform a continuous evaluation and provide recommendations to Clinics Operations in order to assure the Clinics consistently meet high standards of safety in patient care, including infection control.
-Collect and report measurements related to Clinics operational quality related to the Clinics interaction with patients and other healthcare facilities.
-Develop and report, in collaboration with individual specialties, measurements of clinical practice quality that reflect and promote adherence to best nationally recognized clinical practice guidelines and standards.
-Coordinate and drive a peer review process that evaluates, identifies deficiencies and recommends actions related to occurrences, complaints or reports concerning the clinical performance in the Clinics of providers or nursing staff.
-Maintain an ongoing system of clinic performance evaluation and improvement of individual providers, including elements of operational and clinical performance, compliance with Clinics policies and professionalism.
-Participate and provide input in matters that outside the Clinics may be related to clinical activity, patient safety or infection control.
Work in close coordination with the Office of Occupational Health in areas that overlap with Clinics Infection Control, and assist that office with its functions when needed and required by Clinical Affairs leadership.

Position Specific Qualifications
Bachelor's degree required, master's preferred; Six years progressively responsible management experience . Additional
education beyond Bachelor's may substitute for experience on a year for year basis. Graduate from an accredited School
of Nursing. Current Nursing License in the State of Texas . Three years experience in hospital/clinic Quality
Improvement activities/programs.

Grant Funded?

Minimum Hire Rate
Salary is commensurate upon the qualifications

Pay Basis

Schedule Details
M-F 8-5

Work Location
El Paso

Preferred Qualifications
The Joint Commission certification as an Ambulatory Care Facility. Development and interpretation of performance metrics using combination of databases.

HSC - El Paso

Quality Improvement Elp

Required Attachments
Cover Letter, Resume / CV

Job Type
Full Time

Pay Statement
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage.

Job Group
First line Managers


EEO Statement

As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran.

Required Qualifications

Bachelor's degree in related area required plus five years progressively responsible management experience. Additional education may substitute for experience on a year for year basis.

Does this position work in a research laboratory?

Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at:

Application Instructions

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