Director of Quality/Risk

Mercier Consultancy Group • Ottumwa, IA

1d • Onsite

About The Position

Mercier Consultancy Group is proud to present an outstanding Director of Quality/Risk position in the United States, based on-site in Ottumwa, Iowa — a compelling opportunity for a seasoned healthcare leader ready to drive excellence in clinical quality and risk management. This is one of the most distinguished English-speaking jobs available in the American healthcare sector, offering a highly experienced professional the platform to lead quality improvement initiatives, mitigate organizational risk, and champion patient safety at the highest level. If you are an accomplished healthcare executive seeking impactful Jobs in United States, this Director of Quality/Risk position in United States is the career-defining role you have been looking for.

Requirements

• Native or fluent English proficiency (spoken and written) is required for this role, as effective communication across all levels of the healthcare organization is essential.
• Master's degree in Nursing or other healthcare related fields required.
• Clinical degree (RN) required.
• 5 years of leadership and/or management experience in a healthcare setting in nursing, risk, and/or quality improvement.
• Demonstrated expertise in healthcare regulatory compliance, accreditation processes, and quality improvement methodologies such as Lean, Six Sigma, or PDCA.
• Proven ability to lead multidisciplinary teams, influence organizational culture, and drive sustainable improvements in patient safety and clinical quality outcomes.
• Strong analytical and data interpretation skills, with the ability to translate complex healthcare performance data into actionable strategic recommendations for executive leadership.

Responsibilities

• Governing the facilities regulatory compliance programs and takes the lead role in planning, organizing, and managing effective quality/performance improvement and risk management functions for all departments and divisions of ORHC.
• Facilitating the service lines, departments for the Quality and Performance Improvement Program for the facility.
• Serving as the Patient Safety Officer and Patient Safety Field Manager for the facility.
• Developing the National Quality Program with senior leadership.
• Preparing monthly operating review quality and patient safety slide deck with details of the current state and focus on the future goal attainment action steps.
• Facilitating external surveys from accreditors, licensure, verifications, certifications, including mock surveys and those that occur related to complaints, reviews, annual, biennial, triennial.
• Managing the readiness for survey programs.
• Maintaining regulatory readiness and conducting educational programs related to these.
• Being responsible for the electronic educational program for the organization.
• Being responsible for the infection control, prevention, and surveillance program.
• Assuring that programs, initiatives, processes, and policies are in compliance with state, federal and other accrediting bodies/regulatory agencies.
• Collaborating with facility leaders in expected, unannounced, active, and ongoing survey readiness.
• Administering the federal Harp, formerly QNet, program, policy management software program, and incident reporting system.
• Conducting the Leapfrog Patient Safety program through the leadership for the facility.
• Engaging medical staff, directors, managers, front line staff and Board of Directors to develop, implement and maintain a successful written, organization-wide quality and risk programs.
• Managing data collection to evaluate organizational outcomes and submits accurate data in a timely manner as required by regulatory agencies or as part of any volunteer/collaborative initiative.
• Tracking and trending incidents, assuring ongoing process improvement and follows up with further investigation when appropriate, reports information to senior management, Medical Staff, Board of Directors, and/or Quality Committee as appropriate.
• Assisting in the implementation of departmental quality initiatives and analysis of outcomes data.
• Analyzing, sharing and assisting with interpretation of outcomes data with appropriate staff, medical staff, and customers.
• Facilitating any ‘action deeper’ analysis (root cause analyses), process review or policy change as indicated for any noted undesirable data/negative trends.
• Assisting in design and implementation of strategies to measurably improve quality of care for patients served.
• Assuring appropriate level of understanding, awareness and compliance with all applicable Joint Commission, CMS, state and local agency laws, internal/external regulations, guidelines, policies, procedures, and professional standards.
• Coordinating the organizational Foundational Five Program.
• Analyzing the Culture of Safety survey results and utilizing the results in planning, education, and coordination of process improvement activities.
• Monitoring and managing risks and liabilities to ensure patient and staff safety; track/trends incidents, follow up with further investigation when appropriate, reports data to senior management, Board of Directors, Medical Staff, and/or Quality Committee as appropriate.
• Annual review and submission of the Risk Management Plan to Senior Leadership and the Board of Directors for approval.
• Preparing and presenting an Annual Risk Management report including organizational risk exposure and mitigation to the Board of Directors.
• Developing, coordinating, and administering facility-wide systems for risk identification (variance reporting), investigation, and reduction.
• Collecting, evaluating, and distributing relevant data.
• Communicating with clinical directors and department managers regarding occurrences, issues, findings, risk management suggestions, and applicable risk reduction strategies.
• Reviewing and analyzing occurrence reports to identify trends, making recommendations for corrective action if appropriate.
• Advising on issues related to risk and potential liability and legal exposure.
• Inspecting patient care areas for risk and performing focused risk assessments to assess loss potential.
• Receiving and investigating reports of product problems to determine appropriate response has been taken.
• Conducting review of unanticipated events, patient harm events, and RCA.
• Participating on committees directed towards promoting patient safety issues.
• Assuring that risk programs, initiatives, processes, and policies are in compliance with state, federal and other accrediting bodies/regulatory agencies.
• Collaborating with other leaders in active and ongoing survey readiness for risk reduction.
• Promoting maximum confidentiality by limiting access to such information.
• Gathering and analyzing data and preparing reports to facility leadership and outside agencies as required.
• Conducting risk management educational programs regarding healthcare risk management and related subjects.
• Ensuring amicable, timely, and confidential response to patient complaints and liability issues.
• Analyzing trends and patterns of patient complaints and identifying areas for improvement.
• Participating in proactive analysis of patient safety and clinical processes including new equipment, new service line.
• Participating in the process of disclosure for medical errors.
• Ensuring risks are minimized by validating regulatory survey report recommendations have been implemented and sustained.
• Participating in credentialing process to identify common red flags that might indicate a risk for malpractice claims.
• Working with Materials Management and Pharmacy to ensure procedures are in place to track, document, store/handle, and manage recalls.
• Being familiar with the Safe Medical Device Act and the reporting requirements.
• Reviewing daily variances and security reports for potential risk exposures.
• Participating with the Peer Review Committee and facilitating external vendor event reviews.
• Collaborating with Marketing in monitoring social media and news sources for publications that could put the organization’s reputation at risk and in the development of marketing mitigation strategies that improve and/or preserve the organization’s public image.
• Facilitating and/or assisting in Root Cause Analysis (RCA), Failure Mode and Effects Analysis (FMEA), and Sentinel Event investigations.
• Participating in new service planning by conducting a risk assessment and marketing material review.
• Ensuring the facility has a process for policy/procedure development and review that involves subject matter experts.
• Providing general knowledge and oversight of facility insurance programs.
• Participating as a team member in negotiating settlements, assisting legal counsel in accessing facility records, personnel and serving as facility representative in depositions, trial, and mediation, may act as a corporate representative during pretrial depositions and trial.
• Evaluating claim for defense strategies and exposures.
• Overseeing investigation of incidents/accidents/events that could lead to financial loss, professional liability, general liability and workers’ compensation.
• Communicating identified risk to CEO and HSC claims director/risk manager and initiate incident report.
• Interviewing employees immediately after an adverse event to obtain first-hand information about the event and evaluate potential liability and provide support.
• Verifying that the following information is accurate, available, and secure for any probable claim: Medical records, patient billing records, relevant policy and procedure, incident reports, and claim investigations.
• Initiating medical write-offs to mitigate potential claims.
• Investigating risks involving actual or potential injury to patients, visitors, and employees, collecting information, preserving evidence necessary to prepare for the defense of claims.
• Working with legal counsel to coordinate the investigation, processing, and defense of claims against the facility; records, collects, documents, maintains, and provides to defense attorneys any requested information and documents necessary to prepare testimony in pending litigation.
• Participating in monthly legal calls for the facility.
• Collaborating with HSC Claim Director and Defense Counsel in the legal process.
• Assisting in preparation of employees for deposition.
• Other duties as assigned.

Benefits

• Competitive Monthly Salary commensurate with experience and seniority in the healthcare industry
• Fully Paid Training and professional onboarding tailored to the organization's quality and risk environment
• Comprehensive Health Insurance coverage
• Paid Time Off and generous leave entitlements
• Professional development and continuing education support within the healthcare field
• A collaborative, mission-driven workplace culture that values clinical excellence and patient advocacy
• And Much More...

What This Job Offers

• Job Type: Full-time
• Career Level: Director