Director, Quality/Risk Management

Job Description

Responsibilities

• Play a key role in our growth strategy and create an atmosphere of safety and quality.
• Collaborate with physicians and ancillary areas.
• Have strong regulatory requirements/survey knowledge and experience.
• Experience with root cause analysis, strategic in addressing physician relations, excellent and succinct communicator (written and verbal).
• Follow up on occurrences, risk issues in a timely manner. Experience with independent review boards such as the LeapFrog Group.
• Support 22 facility Directors.
• Work with approximately 1,100 board Certified Hospital Physicians.

Job Function

• Develop, plan and implement policies and objectives of the facility for quality assessment, quality management, and performance improvement initiatives to enhance the quality of services.
• Analyze healthcare processes and patient outcomes, develop outcome measures and monitor sensitive quality outcome indicators to identify areas for improvement.
• Evaluate the impact of improvement activities.
• Oversee sentinel event investigations and root cause analysis activities within the facility to reduce risks and increase patient safety.
• Review and analyze facility occurrence reports to identify clinical risk issues; facilitate investigation and follow-up on events with the appropriate managers/VPs.
• Initiate probable claims report (PCR) as appropriate; investigate using record review, interviews and other methods to provide adequate information for the report.
• Facilitate the investigation and resolution of patient complaints and grievances; initiate and/or review correspondence to patient/family following established timelines.
• Facilitate the implementation and completion of the elements of the annual HCI Premium Credit Program; communicate the results of the quarterly risk metrics to managers/VPs and senior leaders; facilitate development and communication of appropriate action plans for identified outliers.

Reporting Structure

The Director reports to the Hospital CNO.

Qualifications

• Bachelor of Science in Nursing or related discipline.
• 3–5 years clinical and managerial experience.
• Quality management practice, regulatory compliance, and TQM training and experience is preferred.
• Experience in utilizing word processing, spreadsheets, clinical systems and databases.

Compensation

• Market aggressive salary.
• Performance bonus.

All your information will be kept confidential according to EEO guidelines.