Quality & Risk Director

About This Role

As a Quality/Risk Director, you will oversee a hospital-wide quality management program, collaborating with various stakeholders to monitor and enhance the quality of patient care services. This role ensures compliance with regulatory agencies and facilitates processes to remediate and maintain compliance.

Responsibilities

• Oversee a hospital-wide quality management program
• Collaborate with stakeholders to monitor and enhance quality of patient care services
• Ensure compliance with regulatory agencies, accrediting bodies, corporate and hospital policies, and procedures
• Develop, implement, and maintain quality assessment and improvement programs
• Assess compliance with federal, state, and industry regulatory and accreditation standards
• Facilitate processes to remediate and/or maintain compliance
• Provide organizational education related to regulations and standards
• Coordinate local, state, federal, and accreditation surveys
• Use applications (PatCom, UDS, ORYX, Press Ganey) to identify improvement opportunities, generate reports, research issues, and access external databases
• Ensure the update and maintenance of hospital plans (Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans)
• Oversee risk management activities, including incident reports, potential claims, corrective action planning, and incident reporting to Corporate Risk Manager
• Coordinate the review, development, and implementation of hospital policies
• Communicate and collaborate with other departments to coordinate care and resolve patient concerns or complaints

Requirements

• License or Certification as required by state regulations
• Experience in Quality and/or Risk Management
• Primary responsibility for performance improvement activities
• Regulatory compliance experience
• Conflict resolution experience
• Leadership experience
• Risk management activities experience

Qualifications

• A bachelor's degree in healthcare or a related field is preferred
• Experience in Quality and/or Risk Management, including primary responsibility for performance improvement activities, regulatory compliance, conflict resolution, leadership, and risk management activities.

Skills

* Required skills

Benefits