Medical Director of Quality
Company: Sunset Health
Location: Yuma
Posted on: April 2, 2026
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Job Description:
Clinical Quality & Competence Participate in QAPI Programs,
including audits, peer review, patient satisfaction, protocol
development and in-service training. Provide reports and data
summaries relevant to QAPI activities. Additionally, provide ad-hoc
reports on quality metrics, when requested by the executive
management team. Ensure compliance and provide direction and
guidance on clinical quality improvement and management programs,
including HRSA, CMS, NCQA, The Joint Commission, and other
accreditation organizations. Monitor appropriateness of patient
care, using evidence-based medicine outcomes and clinical
guidelines. Prepare, review and audit collected clinical data,
using appropriate statistical tools, for accuracy and completeness.
Develop and recommend policies, procedures, and/or programs and
processes to improve or enhance the quality, efficiency, and
effectiveness of outcomes. Identify and remedy problems while
continuously searching for clinical quality and performance
improvement of systems and operations. Collaborate with the IT
Department to develop and implement meaningful systems to monitor,
manage, measure, and communicate clinical outcomes to providers,
supporting staff and management team members. Provide coaching and
counseling in clinical quality of care to providers when needed.
Analyze and document current and future workflows to assure
efficiency and high quality while assuring highest quality care
delivery. Work with health plans to identify gaps in care and work
collaboratively to break down barriers to improve care. Work with
hospitals and health plans to identify patients who had recent ER
and hospital visits and bring them in the office to close the gap
on transition of care issues. Design and implement strategies to
outreach to patients, who are high utilizers of the health care
systems, to reduce ER visits and hospital admissions and engage
them in regular consistent team-based primary care medical home
(PCMH) visits. Maximize the utility of Nextgen, Azara and other
reporting systems to identify gaps in care for chronic disease
management and preventative care, to proactively manage patients
through centralized outreach or on-site huddle reports. Assure all
deaths and clinical incidents involving clinical care are reviewed
for uncovering opportunities to improve care and process. Partner
with the Director of Quality on quality management processes being
conducted and utilized in strategic planning, quality assurance and
performance improvement, and clinical staff performance. Assist the
Director of Quality with the development of health center-wide QAPI
Plan and patient safety programs annually. Participate in the data
collection, validation, and analysis of UDS submission annually.
Serve as clinical quality consultant to training department when
making decisions on staff workflows and competency assessments.
Attend meetings and other service training, as established by the
Chief Medical Officer. Participate in utilization review and
management. Health Center Administration Partner with clinical
staff to promote efficient patient-centered flow and patient
satisfaction. Promote attitudes, environments and operational
systems directed toward patient satisfaction. Build high-function
work teams to promote effective health center operations. Perform
other duties as assigned by the CMO. Medical Service Management
Assist CMO in the oversight of medical staff policies, procedures,
and health care delivery to assure quality PCMH care. Assist in
identifying and participating in the resolution of medical service
delivery problems. Assist in the training and orientation of new
clinical staff in organizational policies, procedures, and QAPI
processes. Assist in the resolution of clinical patient grievances
and complaints. Assist in advising for the development, maintenance
and revision of medical protocols, policies, and procedures, in
conjunction with medical, nursing, and administrative staff and in
compliance with Sunset Health’s standards. Customer Relations
(Internal & External) Be part of a team and cooperate in
accomplishing organization’s goals and objectives. Maintain privacy
of all patient, employee, and volunteer information and access such
information only on a need-to-know basis for business purposes.
Organization & Community Interaction Participate in organizational
committees and task forces. Assist with representing the Center to
the public and medical community on medical care issues, such as
standards of practice, quality of care, and benefit policies.
Comply with all facility policies and procedures, including but not
limited to those addressing HIPAA and Compliance.
Keywords: Sunset Health, Calexico , Medical Director of Quality, Healthcare , Yuma, California
