Director of Risk Management

Duties & Responsibilities

The Director of Continuing Professional Education (CPE) and Risk Management serves in a dual leadership role, providing strategic direction, oversight, and integration of system-wide continuing professional education and partnering with executive leadership on risk management initiatives across NYC Health + Hospitals. Reporting to the Assistant Vice President of Risk Management and Continuing Professional Education, the Director evaluates and redesigns enterprise-wide programs that promote patient safety, regulatory compliance, workforce competency, and continuous organizational learning. The Director collaborates closely with senior leadership, including Risk Management, Information Technology, Quality, and clinical operations, to ensure the effective management and optimization of the Electronic Occurrence Reporting System (EORS) and associated platforms (e.g., VOICE, HighMarks CE). This role provides oversight of system functionality, data integrity, user access governance, and real‑time surveillance of adverse events and organizational risk indicators. As a senior nurse leader for the CPE program, the Director ensures the sustainability and expansion of accredited continuing education programs—including Continuing Medical Education, Nursing, Creative Arts Therapy, Social Work, and Psychology—while maintaining compliance with accrediting bodies and regulatory standards. The Director establishes system-wide standards, policies, and workflows that align educational programming with organizational priorities in patient safety, quality improvement, and risk reduction.

Summary Of Essential Duties And Responsibilities

• Oversee optimization and functionality of VOICE and HighMarks CE platforms, including system enhancements and module development (e.g., Root Cause Analysis, Risk Register).
• Collaborate with IT to resolve system issues and implement improvements.
• Establish governance for user access, system configuration, and data integrity.
• Ensure availability of standard and ad‑hoc regulatory reports for site surveys and audits.
• Direct and oversee accredited continuing education programs across disciplines.
• Maintain organizational sponsorships and ensure compliance with accrediting bodies’ standards.
• Establish policies, procedures, and workflows for CE program development, application review, credit issuance, and record retention.
• Expand and pursue additional sponsorship opportunities to meet evolving organizational needs.
• Identify organizational risk through data analysis of good catches, near misses, incidents, and complaints to identify trends, contributing factors, and root causes.
• Manage union and non‑union CPE employees.
• Provide guidance to hospital medical staff, nurses, therapy, psychologists, and social work leads as they plan educational activities.
• Review content of proposed activities or related materials to promote improvement or quality in healthcare.
• Maintain proficiency and working knowledge of changes in sponsors’ requirements to maintain provider status.
• Build and implement guidelines to manage the workflow of continuing education processes for course approval.

Minimum Qualifications

• Master’s degree from an accredited college or university in Risk Management, Health Administration, Business Administration or a related healthcare specialization, and three (3) years of experience in risk management, control, and prevention, leading and implementing quality and risk management programs, managing and analyzing risk data, and performing other functions related to risk management in a hospital or healthcare setting, one (1) year of which must have been in a responsible administrative, managerial or supervisory capacity; or
• Bachelor’s degree from an accredited college or university in related fields and four (4) years of risk management experience, two (2) years of which must have been in a responsible administrative, managerial or supervisory capacity; or
• Bachelor’s degree in the disciplines described above, and two (2) years of clinical, patient care or equivalent experience in a hospital or healthcare setting, plus two (2) years of related experience, one (1) year of which must have been in a responsible administrative, managerial or supervisory capacity; or
• A satisfactory equivalent of education, training, and/or experience. Certified Professional in Healthcare Risk Management (CPHRM) or current license and registration to practice as a Professional Nurse, Nurse Practitioner or other similar clinical designation may be substituted for one (1) year of experience; however, all incumbents must have at least a bachelor’s degree and one (1) year of responsible administrative, managerial or supervisory experience.

Department Preferences

• Proficient in Microsoft Office Suite
• Excellent computer skills
• Excellent oral and written communication
• Ability to convey information in understandable terms to all customers
• Positive and pleasant attitude conducive to teamwork
• Self‑motivated with strong organizational and analytic skills
• Ability to build and lead a team.
• Detail‑oriented.
• Bachelor’s degree in nursing or higher. A Master’s degree can be in healthcare or a related field.
• Maintain current unencumbered licensure as a Registered Professional Nurse.
• A minimum of five to seven years in the area or nursing education or acute‑care nursing preferred.