Diagnostic Imgng Educ., Qulty-Infrmtcs Admnstrtr Hybrid, Benefited fte

Summary

The Diagnostic Imaging Education, Quality & Informatics Administrator is a key member of the Diagnostic Imaging leadership team, responsible for strategic oversight of department‑wide education, clinical competencies, quality assurance, regulatory compliance, PACS/RIS workflow support, and radiologic student training programs.

This role plays a critical part in ensuring continuous regulatory readiness for agencies such as the American College of Radiology (ACR), the Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and the California Department of Public Health – Radiologic Health Branch (CDPH‑RHB).

The Administrator leads accreditation cycles, manages clinical competency validation across all imaging modalities, oversees departmental quality reporting, and coordinates PACS exception resolution and Epic RADIANT training.

In addition, the role supports the development and implementation of standardized documentation, safety protocols, and workflow education to enhance operational consistency and compliance.

Strong project management and process improvement skills are essential. Project Management Professional (PMP) and/or Lean Six Sigma certification (Green Belt or higher) is strongly preferred to support successful execution of cross‑functional initiatives focused on increasing efficiency, reducing variation, and improving quality outcomes across the imaging service line.

The Administrator reports to the Imaging System Director and actively collaborates with site managers to align strategies, participates in departmental leadership and staff meetings, prepares and presents agenda items, and represents Diagnostic Imaging in interdepartmental initiatives involving IT, Quality, Education, Compliance, and Regulatory Affairs.

• Leadership & Departmental Representation: Serve as an active member of the Diagnostic Imaging leadership team; contribute to strategic planning, department initiatives, and service line decision‑making.
• Participate in department leadership and all‑staff meetings; prepare agenda items, present educational and quality‑related updates, and follow up on assigned actions.
• Represent the Imaging Department in systemwide committees, working groups, and forums related to IT, Quality, Education, and Regulatory Readiness.
• Collaborate with operational leaders and radiologists to promote patient‑centered care, imaging safety, and regulatory compliance across campuses.
• Accreditation & Regulatory Readiness: Lead and coordinate all ACR accreditation processes for Diagnostic Imaging, including new submissions, renewal applications, clinical image uploads, documentation tracking, and correspondence with ACR reviewers.
• Serve as the point of contact for ACR surveys, follow‑up activities, and imaging quality sample submissions.
• Ensure continuous regulatory readiness for TJC, CMS, and CDPH‑RHB audits through structured internal monitoring, policy alignment, and staff preparation.
• Lead departmental compliance with TJC Environment of Care (EOC) elements, maintain EOC documentation, and represent the department at monthly system EOC meetings.
• Quality Assurance & Performance Improvement: Design and manage the Imaging Services Quality Assurance and Performance Improvement (QAPI) program, ensuring coverage of all modalities and sites.
• Collect, monitor, and analyze quality data including CT QA logs, radiation dose tracking, Trophon disinfection reports, physicist surveys, and safety audits.
• Coordinate internal quality reviews with modality leads and radiologists to drive continuous improvement and ensure clinical best practices.
• Guide policy development, technical protocol standardization, and corrective action plans related to imaging safety and quality standards.
• Education & Competency Oversight: Develop, implement, and track annual competencies, skill validations, and in‑service education requirements for imaging staff across all modalities.
• Provide ongoing training on PACS workflows, documentation standards, compliance topics, and best practices in image quality and patient safety.
• Maintain department education calendars, sign‑in logs, and audit‑ready…