Regional Quality Process Improvement Manager: Home Health

21st Century Home Health Services (21

HHS) is dedicated to delivering exceptional care to its patients while fostering a supportive and rewarding environment for its employees. The company consistently achieves hospital readmission rates below 10%—well under the industry average of more than 15%. It has also earned recognition as a 2024 Top Workplace, highlighting its culture of open communication, professional growth, empowerment, and appreciation.

As the fastest-growing home health agency in Northern California, 21

HHS recently expanded into Marin and Sonoma counties, extending its reach while maintaining a reputation for excellence. Positive reviews across platforms such as Yelp, Google, Glassdoor, and Indeed reflect both the quality of care provided to patients and the outstanding experience of its employees, reinforcing its leadership in the home health industry.

We're looking for a Regional Quality Manager who's driven by outcomes: better patient care, stronger clinical practice, and a team that feels genuinely supported. You'll set the standard for how care gets delivered across your region — building systems that hold up in the field, not just on paper.

If you find satisfaction in spotting what's not working, coaching teams toward better ways of doing it, and building a culture where quality is everyone's job, we'd love to meet you.

This is not a remote opportunity. The position requires you to be onsite at one of our local offices (Walnut Creek, San Jose, Burlingame, Sacramento)

• Own clinical quality across the region — monitor care delivery through chart audits, field observations, and outcome data, and translate what you find into concrete practice changes.

• Track the metrics that matter — patient outcomes, hospitalization and readmission rates, infection rates, patient satisfaction, star ratings, and clinical documentation accuracy — and turn trends into action before they become problems.

• Participate performance improvement projects from problem identification through root cause analysis, intervention design, and measurement of results; close the loop so improvements stick.

• Standardize best practices across branches, replacing one-off workarounds with clear, repeatable processes that clinicians can actually follow in the field.

• Coach and develop clinical teams through real-time feedback, competency assessments, and targeted education that builds skill rather than just documenting it.

• Investigate incidents, complaints, and adverse events with a systems lens — identify what allowed the failure, not just who was involved, and implement safeguards that prevent recurrence.

• Partner with regional and operational leadership to align quality goals with staffing, scheduling, and growth plans so improvement work is realistic and sustainable.

• Prepare the region for surveys and accreditation reviews through ongoing readiness rather than last-minute scrambles, maintaining a state of continuous audit-readiness.

• Build and maintain the region's quality infrastructure — dashboards, audit tools, reporting cadences, and QAPI committee structure — so performance is visible and decisions are data-driven.

• Champion a culture of accountability and psychological safety where staff report concerns early, near-misses are treated as learning opportunities, and quality is understood as everyone's responsibility.

• Lead the regional quality function — set priorities, allocate your time based on risk and need, and hold a consistent standard for what "good" looks like from site to site.

• Serve as a working partner to regional and site leadership
  , not an outside auditor: sit in on operations meetings, understand…