Director of Quality and Risk Management

Prime Healthcare•Sherman Oaks, CA

1d•Onsite

About The Position

Sherman Oaks Hospital is seeking a Director of Quality and Risk Management, who is a Registered Nurse (RN), to lead the organization’s quality improvement, risk management, and accreditation efforts. This leadership role is responsible for ensuring the delivery of safe, high-quality care by overseeing the development, implementation, and continuous evaluation of clinical and operational quality standards. The Director will focus on performance accountability, service excellence, and continuous quality improvement, ensuring compliance with all regulatory requirements from bodies such as The Joint Commission (TJC) and CMS. The position combines clinical expertise with strategic leadership to foster a culture of patient safety and service excellence, working with multidisciplinary teams, department leaders, and senior management to mitigate risks, enhance patient outcomes, and maintain accreditation readiness. The Director will drive performance improvement initiatives, facilitate staff education, and conduct rigorous risk assessments to uphold the organization’s commitment to delivering the highest standard of care.

Requirements

Bachelor’s degree in nursing (BSN) required.
Master’s degree in nursing, Healthcare Administration, Risk Management, or a related field required.
State RN licensure or a License in healthcare field required.
Minimum of 5-7 years of clinical nursing experience.
At least 3-5 years in a quality management, risk management, or leadership role.
Proven experience with accreditation processes (TJC, CMS, etc.) and regulatory compliance.
In-depth experience with risk assessment, incident reporting, and quality improvement strategies.
Strong leadership and communication skills, with the ability to effectively collaborate with staff at all levels.
Expertise in quality management systems, risk management strategies, and accreditation survey processes.
Proficiency in data analysis, using metrics and performance tools to drive improvement.
Excellent problem-solving, decision-making, and critical-thinking abilities.
Strong understanding of healthcare regulations, including CMS, HIPAA, and state-specific requirements.

Nice To Haves

Certified professional in healthcare quality preferred.

Responsibilities

Leading the organization’s quality improvement, risk management, and accreditation efforts.
Overseeing the development, implementation, and continuous evaluation of clinical and operational quality standards.
Ensuring compliance with all regulatory requirements, including those set by The Joint Commission (TJC), CMS, and other accrediting bodies.
Fostering a culture of patient safety and service excellence.
Working closely with multidisciplinary teams, department leaders, and senior management to mitigate risks, enhance patient outcomes, and maintain accreditation readiness.
Driving performance improvement initiatives.
Facilitating staff education.
Conducting rigorous risk assessments.
Ensuring the organization’s commitment to delivering the highest standard of care while meeting all regulatory and accreditation standards.