Director of Quality and Risk

The Area Quality/Risk Director is responsible for an environment and culture that enables the hospitals to fulfill their mission by meeting or exceeding goals, conveying the mission to all staff, facilitating staff accountability for performance, and motivating staff to improve performance. The Area Quality/Risk Director is responsible for multiple hospitals. Periodic overnight travel may be required. Must be able to travel overnight to fulfill essential training requirements.This position manages, directs, and plans all aspects of Quality and Risk Management. The Area Director is responsible for hospital-wide quality management programs and works with hospital administration, departments, and the medical staff to monitor and evaluate the quality of delivery of patient care services within hospitals. While the Area Quality/Risk Director may be located in one hospital, the responsibility to the other hospitals is the same. This position works with multiple hospital CEOs to make sure all of their quality management programs, and reporting needs are met. They will have access to all medical records for the hospital; will ensure proper compliance with regulatory agencies, accrediting bodies, and Home Office and hospital policies and procedures; and will work to develop, implement, and maintain quality assessment and improvement programs within each hospital.This position will support cultural diversity by ensuring the delivery of quality, equitable, and culturally competent patient-centered care is provided; promoting and maintaining an inclusive work environment and culture that is respectful and accepting of diversity; and ensuring that cultural diversity and sensitivity training is part of new employee orientation on an ongoing basis to meet the needs of the patient population served in the hospital.Job Code 101641 QualificationsLicense or Certification:- Licensed or Certified according to individual state requirement.Minimum Qualifications:- Bachelor's degree in healthcare or related field required.- Quality and/or Risk Management experience including primary responsibility for performance improvement activities, regulatory compliance, conflict resolution, leadership and risk management activities.Machines, Equipment Used:- General office equipment such as computer/laptop, telephone, copy/fax machine, calculator, scanner, etc.- Microsoft Office software, to include Outlook, Word, and Excel.Physical Requirements:- Visual acuity, speech recognition, speech clarity.- Ability to lift, lower, push, pull, and retrieve objects weighing a minimum of 30 pounds. Reasonable assistance may be requested when lifting, pushing, and/or pulling exceeds these minimum requirements.- Ability to withstand prolonged standing and walking.- Ability to reach, stoop, bend, kneel, and crouch for patient care functions and setting up and monitoring equipment.Skills and Abilities:- Oral communication, written communication, active listening. Must be able to speak and understand English.- Information ordering, deductive reasoning, social perceptiveness, time management, critical thinking.- Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.- Ability to work independently without continuous supervision.Environmental Conditions:- Indoor, temperature controlled, smoke-free environment. Occasional outdoor exposure.- Exposure or potential exposure to blood and body fluids may be required.- Handicapped accessible.- May work under stressful circumstances at times.Proficiency or Productivity Standards:- Has regular, reliable, and predictable attendance and punctuality.- Adheres to dress code including wearing ID badge.- Adheres to Standards of Business Conduct.- Maintains current licensure and/or certifications, if applicable.- May be required to work weekdays and/or weekends, evenings and/or night shifts if needed to meet deadlines.- May be required to work on religious and/or legal holidays on scheduled days/shifts.- Will be required to work as necessary during disaster situations, i.e., before, during or after a disaster.- May be required to stay after workday to assist after a disaster situation until relief arrives.- May be required to perform other duties as assigned by supervisor.- This position will support cultural diversity by ensuring that the delivery of quality, equitable and culturally competent patient-centered care is provided; promoting and maintaining an inclusive work environment and culture that is respectful and accepting of diversity; and ensuring that cultural diversity and sensitivity training is part of new employee orientation on an on-going basis to meet the needs of the patient population served in the hospital.

Created: 2025-02-18