RN RT PT OT SLP Director of Quality/Risk Management

Vibra Healthcare•Taylor, MI
•Onsite

About The Position

Vibra Healthcare is seeking a Director of Quality / Risk Management for Vibra Hospital of SE Michigan - Taylor Campus in Taylor, Michigan. The hospital is a 40-bed critical care hospital providing acute care services to patients recovering from serious illnesses or injuries, including medically complex conditions such as trauma, infectious diseases, wound healing, cardiovascular disease, stroke, amputation, and ventilator weaning. The Director leads quality management efforts to support continuous improvement and organizational excellence, regulatory and accreditation compliance, and a safe environment for employees, patients, and visitors. The role manages risk issues, oversees medical staff credentialing, and coordinates the hospital-wide Performance Improvement Program to improve clinical outcomes and the patient experience. The Director also serves as the organization’s Risk Manager and Facility Compliance Officer.

Requirements

  • Active clinical license in the state of employment in Nursing, Physical Therapy, Occupational Therapy, Speech Language Pathology, or Respiratory Therapy.
  • At least three years of work experience, or equivalent, in quality/risk management activities.
  • Knowledge of performance improvement principles.
  • In-depth knowledge of hospital department functions and quality improvement requirements established by the Joint Commission, the state Department of Health, and federal standards outlined by CMS.
  • Experience interpreting raw data and conducting comparative analysis.
  • Experience conducting educational in-services and coordinating and supervising accreditation/certification survey activities.
  • Experience working effectively with multiple departments on confidential issues in a positive and constructive manner.
  • Experience with Risk Management systems and working with the public on satisfaction and complaint issues.
  • Ability to project a professional image.
  • Knowledge of regulatory standards and compliance requirements.
  • Strong organizational, prioritizing, and analytical skills.
  • Ability to make independent decisions when circumstances warrant.
  • Working knowledge of computers and software applications used in job functions.
  • Freedom from illegal use of and effects of use of drugs and alcohol in the workplace.

Nice To Haves

  • Bachelor’s or Master’s degree.
  • Management experience.
  • Certified Professional Healthcare Quality (CPHQ) certification.

Responsibilities

  • Direct quality management efforts to promote continuous improvement, organizational excellence, regulatory compliance, and a safe environment for employees, patients, and visitors.
  • Manage risk issues and oversee the medical staff credentialing function.
  • Develop, manage, and coordinate the hospital-wide Performance Improvement Program to improve clinical outcomes and the patient experience.
  • Maintain compliance with CMS Conditions of Participation, Joint Commission standards, COLA/CLIA standards, and HIPAA rules and regulations.
  • Function as the organization’s Risk Manager and Facility Compliance Officer.
  • Coordinate and supervise accreditation and certification survey activities for the Joint Commission, CMS, and state licensure.
  • Conduct educational in-services and work with multiple departments on confidential issues in a positive and constructive manner.
  • Work with the public on issues related to satisfaction and complaints.

Benefits

  • Medical PPO plans with high- and low-deductible options, HSA options, and HMO options in some markets.
  • Free prescription plans.
  • Dental and vision coverage.
  • Life insurance.
  • Disability benefits.
  • Employee Assistance Plan.
  • Flexible spending plans.
  • 401(k) matching.
  • Additional critical illness, accident, and hospital plans.
  • Company discounts on mobile phone service, electronics, cell phones, clothing, and other items.
  • Pet insurance.
  • Group legal assistance for personal legal matters.
  • Tuition and continuing education reimbursement.
  • Work-life balance.
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