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Clinical Governance Lead

LocationAlfred Health
Work TypeFull time
Positions1 Position
Job no: 69828
Category: Administration, Administration & Office Support

Alfred Health

Alfred Health is a leader in health care delivery, improvement, research and education. We are the main provider of health services to people living in the inner southeast suburbs of Melbourne, from ambulatory to inpatient and home and community-based services.

  • Permanent Full Time (1.0EFT)(76 Hours Per Fortnight)
  • Managers and Administrative Worker Grade 5 ($100k-$115k)
  • 5 Weeks Annual Leave, Salary Packaging & Novated Leasing
  • Alfred Hospital Location

About the team

The Clinical Governance Unit (CGU) consists of two main programs of work (Patient Safety, Quality & Improvement, and Clinical & Enterprise Risk Management) who work closely with each other, and collaboratively with a range of Departments and Committees to support the implementation of the Clinical Governance Program across Alfred Health   

The streams consist of staff with roles and responsibilities in each of the following areas:  

Patient Safety, Quality & Improvement  

  • Quality Improvement – working closely with operational teams to build quality and improvement capability includes  
  • Systems that support oversight of clinical audit, registries, benchmarking/ improvement services (HRT etc.), improvement activities and Riskman Q or equivalent, and Quality & Business Improvement Planning (QBIP) support.  
  • Data, reporting & analytics – Oversight of Riskman, VHIMS 2, safety & quality indicators, dashboards, KPIs.  
  • Standards and compliance – responsibility for accreditation through the National Safety and Quality Health Service Standards, measures arising from the Victorian DH Targeting Zero review, policies and guidelines.  

 Clinical & Enterprise Risk Management  

  • Clinical Risk Management – includes clinical incident reporting, incident investigation & management, clinical risk assessment & management and involves close liaison with senior clinicians  
  • Enterprise risk management – includes non-clinical risk oversight across Alfred Health, as well as management of the enterprise risk register, risk reports to the Executive and Board, readiness for annual risk attestation requirements; legislative
  • compliance.  
  • Oversight of death screening process, Victorian Audit of Surgical Mortality (VASM) and coronial cases.  
  • Responsibility for Legal Support Services.  

About the role

The Clinical Governance Lead is a senior role working closely with the Executive, Directors, Managers who have responsibility for actions within the NSQHC Standard 1. The focus of the role will be to implement and improve quality systems across the organisation to ensure requirements of National Standard 1 are met and where risks to compliance arise, these are escalated and remedied in a timely way.   Working collaboratively with the Quality Operations Manager, the Clinical Governance Lead will be responsible for providing education and training for key stakeholders and developing processes that enable BAU curation of contemporaneous evidence across Standard 1 to support successful SNAP (24 hours).  

This position sits within the Clinical Governance Unit and reports to the Quality Operations Manager. 

Skills & Experience


  • An experienced health professional with current knowledge of and experience in patient safety & quality improvement within complex health services  
  • Tertiary qualification in health,  
  • Experience successfully working as part of a team and autonomously 
  • Intermediate to advanced skills in Microsoft applications such as PowerPoint, Excel, Word, SharePoint, Teams and Remote Desktop.   


  • Experience in a clinical discipline; 
  • Experience in project and change management 


  • Salary Packaging & Novated Leasing through Maxxia
  • Flexible Heath Insurance coverage through HCF Health Insurance
  • On-site car & bike parking opportunities, Deducted Pre-Tax
  • Fantastic onsite fitness facilities at The Alfred through ProSport Health and Fitness
  • Child Care Services at The Alfred managed by KU Children’s Services

Any queries please contact Bella Luu (Quality Operations Manager)  on [email protected] or 9076 2804.

Applications Close: 11pm AEST, Tuesday, 18th June 2024

Alfred Health is an equal opportunity employer and is committed to attracting and retaining a diverse workforce that reflects the community we serve.  Applications from Aboriginal and Torres Strait Islanders are encouraged.

In accordance with the Health Minister's Covid-19 Mandatory Vaccination Order, all Alfred Health employees are required to be fully vaccinated (3 doses) for COVID-19 or hold an acceptable medical exemption. Furthermore, in accordance with the Health Services Amendment (Mandatory Vaccination of Healthcare Workers) Act 2020, health care workers in Category A or B roles (as determined by the department’s risk ratings) are required to be vaccinated against influenza or hold an acceptable medical exemption.