RN RT PT OT SLP Director of Quality/Risk Management
About The Position
Vibra Hospital of Western Massachusetts - Central Campus is seeking a Director of Quality/Risk Management. The hospital is a 47-bed critical care hospital in Rochdale, Massachusetts, providing acute care to patients recovering from serious illnesses or injuries, including patients with medically complex conditions. The role directs the hospital’s quality management efforts, risk management activities, and medical staff credentialing function. It also serves as the Facility Compliance Officer and is accountable for coordinating the hospital-wide Performance Improvement Program to improve clinical outcomes and the patient experience. The position ensures compliance with CMS Conditions of Participation, Joint Commission standards, COLA/CLIA standards, HIPAA rules and regulations, and other applicable regulatory, accreditation, compliance, and legal requirements.
Requirements
- An 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 of the Joint Commission, the state Department of Health, and federal CMS standards.
- Experience interpreting raw data and conducting comparative analysis.
- Experience with risk management systems and public satisfaction or 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 support continuous improvement, organizational excellence, regulatory and accreditation compliance, and a safe environment for employees, patients, and visitors.
- Manage risk issues and oversee medical staff credentialing.
- 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 satisfaction and complaint issues.
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.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
