Director of Clinical Standards and Practices

Position Summary

The Director of Clinical Standards and Practices provides strategic leadership for the organization's clinical quality, professional development, and clinical governance programs. Working closely with executive leadership and medical directors, this role oversees the development and continuous improvement of clinical standards, policies, training programs, and quality initiatives to ensure excellence in patient care, regulatory compliance, and organizational performance. 

Within the organization's clinical governance framework, the Director of Clinical Standards & Practices is accountable for the following responsibilities:

• Provides strategic leadership, in collaboration with executive leadership, the Chief Medical Officer, and Medical Director(s), for the development, implementation, and oversight of the organization's Clinical Quality Improvement (CQI), Clinical Standards, Education, Professional Development, and Clinical Governance programs.
• Leads the development, implementation, evaluation, and ongoing revision of clinical standards, protocols, policies, procedures, competency requirements, and practice guidelines to ensure alignment with medical direction, accreditation standards, regulatory requirements, and industry best practices.
• Directs the collection, analysis, interpretation, and reporting of clinical quality data, key performance indicators (KPIs), benchmarks, and outcome measures to support strategic decision-making and organizational performance improvement.
• Develops and executes short and long-term clinical quality, standards, and educational strategies aligned with organizational goals, growth initiatives, and evolving healthcare trends.
• Provides executive oversight of continuing education, workforce development, simulation-based training, competency validation, clinical credentialing support, and professional practice standards while ensuring compliance with accreditation and continuing education requirements.
• Develops and oversees performance improvement, coaching, and remediation processes for clinical personnel based on objective quality findings, identified competency gaps, and organizational standards.
• Leads accreditation readiness efforts, regulatory inspections, site surveys, corrective action planning, and ongoing compliance with applicable federal, state, local, and accreditation requirements, including CAMTS, IAED, CoAEMSP, CAAHEP, and EMS regulatory agencies.
• Represents the organization on local, regional, and national committees, professional associations, advisory boards, and community forums related to EMS, healthcare quality, clinical practice, patient safety, and education.
• Models and promotes the organization's mission, values, leadership principles, customer service standards, and commitment to exceptional patient care.
• Performs other duties and strategic initiatives as assigned by executive leadership.

Qualifications / Experience Requirements

Minimum Qualifications

• Bachelor's degree in Healthcare Administration, Nursing, Emergency Medical Services, Public Health, Education, Clinical Quality, or a related field required.
• Minimum of three (3) years of leadership, management, or supervisory experience with responsibility for personnel, programs, projects, budgets, or organizational initiatives.
• Current or ability to obtain within 6 months of hire; National Registry Paramedic (NRP) and Nevada State Paramedic certification, or current unrestricted Registered Nurse (RN) license in the State of Nevada, required.
• Demonstrated knowledge of clinical quality improvement methodologies, evidence-based practice, patient safety principles, clinical performance measurement, and healthcare regulatory requirements.
• Minimum of five (5) years of progressively responsible experience within a high-performance EMS system, healthcare organization, critical care transport program, or acute care environment, including experience in emergency medicine, critical care, quality improvement, clinical education, or clinical operations.
• Demonstrated leadership experience with progressive responsibility in healthcare, EMS, quality improvement, clinical operations, education, or related disciplines, including management and supervision of clinical personnel and programs.
• Experience utilizing data analytics, quality metrics, and key performance indicators to drive organizational performance improvement and clinical outcomes.
• Excellent verbal, written, presentation, facilitation, and interpersonal communication skills.
• Strong organizational, project management, and strategic planning skills with the ability to manage multiple priorities and initiatives simultaneously.
• Demonstrated ability to work independently, exercise sound judgment, drive results, and lead organizational change with minimal supervision.

Preferred Qualifications

• Master's degree in Healthcare Administration (MHA), Nursing (MSN), Public Health (MPH), Business Administration (MBA), Education, EMS Management, or a related field.
• Experience leading Clinical Quality Improvement (CQI), Quality Assurance (QA), Accreditation, Clinical Standards, or Patient Safety programs in an EMS, healthcare, or critical care environment.
• Experience with accreditation standards and survey processes including CAMTS, CAAS, CoAEMSP, CAAHEP, IAED ACE, CAPCE, Joint Commission, or other applicable healthcare accreditation agencies.
• Experience developing, implementing, and evaluating clinical protocols, standards of care, educational curricula, competency programs, and performance improvement initiatives.
• Experience building collaborative relationships with medical directors, hospitals, healthcare systems, regulatory agencies, educational institutions, and community partners.
• Experience with EMS electronic patient care reporting systems, quality management software, healthcare databases, and business intelligence reporting tools.
• Experience managing departmental budgets, resource allocation, and strategic initiatives.
• Computer literacy in multiple systems and programs required (Word, Excel, Power Point, Gmail, MS Office)
• Must possess strong organizational skills.

Supervision Exercised

Exercises direct supervision over clinical & clinical standards and practices staff.