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Director Quality SJMC-SCH
Company : Catholic Health Initiatives
Location : Tacoma, WA, 98405
Job Type : Full Time
Salary : 60.24-89.6 HOUR
Date Posted : 3 January 2026
Job Summary and Responsibilities
This position is responsible for the design, coordination, implementation and management of the Performance Improvement (PI) plan and identifies opportunities for improved patient care, incorporate evidence-based practices, and improved patient outcomes. Provides leadership in defining, implementing and integrating quality, safety, service and efficiency strategies into the plans, policies, and organizational processes that affect the organization’s operations and strategic direction.
Key Job Responsibilities:
Establishes performance improvement goals annually with relevant stakeholders, ensures that the PI plan and the hospital-focused projects for the year are implemented and effectiveness evaluated annually. Facilitates a multidisciplinary approach to performance improvement and fosters participation in all performance improvement initiatives to share and learn best practices. Develops and implements processes and formats that support data collection, aggregation, analysis, and action planning. Assures data is managed appropriately and disseminated to appropriate leadership staff.
Provides leadership in developing quality improvement training programs and coaches organizational clinical/service lines and operational/support departments in quality improvement principles.
Collaborates with the Medical Staff and Organizational Leadership to develop and enhance safe patient care while achieving optimal outcomes, including the organization’s peer review program and ongoing and focused practitioner evaluation.
Ensures compliance and provides leadership and oversight for accreditation, licensure and regulatory survey readiness. This includes mock survey tracers to assess survey readiness, education to staff and providers on regulatory compliance and identification for areas of opportunities and the corresponding actions for compliance at the facility level. Organizes
required staff to develop responses to survey deficiencies and oversees response submissions to the appropriate accreditation or regulatory agency.
Has overall accountability for assigned work group relative to operational goals, personnel requirements, and budgetary constraints.
Job Requirements
Education and Experience Requirements:
- Bachelor's degree in a healthcare-related field or five (5) years of related job or industry experience in lieu of a degree.
- Minimum of five (5) years of progressive management responsibility in a health care setting, two (2) of which is related to managing an acute care organization’s Quality Improvement Program.
- Minimum of two (2) years of clinical, patient care experience or equivalent.
Required Licensure and Certifications:
Current State License in a clinical field.
Five (5) years’ experience in Quality Management can be used in lieu of state license.
Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.
Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.
Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.
Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.
We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.
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Frequently asked questions
In Tacoma healthcare settings, this position shapes patient safety by leading quality improvement strategies, fostering multidisciplinary collaboration, and ensuring compliance with regulatory standards. The role directly influences care protocols, enhancing outcomes through evidence-based safety practices specific to the local hospital environment.
This director position requires a unique blend of clinical experience and advanced quality management certifications like CPHQ or CPQPS. The role demands expertise in acute care quality programs combined with proven leadership in performance improvement, setting it apart from standard quality assurance jobs.
Key competencies include strategic planning for performance improvement, regulatory survey readiness, data-driven decision-making, and effective coaching across clinical and support teams. Mastery in integrating safety, efficiency, and service quality into organizational processes is vital for success in this role.
Tacoma healthcare employers often favor certifications like Certified Professional in Healthcare Quality (CPHQ) or equivalents such as HCQM and CPQPS. These credentials validate expertise in quality management and compliance, aligning with Washington state's regulatory environment and hospital standards.
Tacoma's robust healthcare market drives steady demand for experienced quality directors. While competition exists due to the region’s reputable medical centers, candidates with a mix of clinical background and advanced certifications typically stand out in securing leadership roles.
Directors of Quality in Tacoma generally earn between $110,000 and $140,000 annually, depending on experience and certifications. This reflects the seniority of overseeing quality improvement programs and regulatory compliance in a competitive Puget Sound healthcare market.
Catholic Health Initiatives emphasizes compassionate care and organizational collaboration, which translates into the director role by fostering a culture of continuous improvement and shared accountability across teams. The position champions patient-centered quality goals consistent with the company’s mission.
Navigating diverse clinical departments while aligning quality metrics with the organization's strategic vision is a key challenge. The role requires balancing operational goals, staff coaching, and regulatory readiness within a complex healthcare system like Catholic Health Initiatives.
The director partners closely with physicians and clinical leaders to develop evidence-based protocols, lead peer reviews, and implement targeted practitioner evaluations. This collaboration ensures continuous improvement in patient outcomes aligned with Catholic Health Initiatives’ quality standards.
Daily tasks involve overseeing performance improvement plans, coordinating multidisciplinary teams, analyzing quality data, and preparing for regulatory surveys. The director also coaches staff on quality principles, ensuring the hospital meets both operational goals and compliance benchmarks.