Director of Quality/Risk
Posted 1 day ago
Director of Quality/Risk
About Mercier Consultancy Group
Mercier Consultancy Group is a premier European recruitment and business process outsourcing firm with a distinguished track record of connecting exceptional talent with world-class organizations across a wide range of industries, including healthcare. Our deep expertise in international staffing and our unwavering commitment to candidate success set us apart as a trusted partner for professionals seeking transformative career opportunities. At Mercier Consultancy Group, we pride ourselves on matching visionary leaders with roles that make a meaningful difference — in organizations, in communities, and in lives.
Job Overview
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.
GENERAL SUMMARY OF DUTIES –
The Director of Quality/Risk is responsible for 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. Elements include; safe environment, clinical standards, infection prevention, patient advocacy, clinical education, professional, property, and general liability, clinical standards, and on-going systematic performance improvement programs.
The Director of Quality/Risk is supported and receives oversight from administration, the hospital’s Board of Directors, and the hospitals parent company LifePoint for the role and responsibilities for The Director of Quality/Risk.
Success in this position will be measured by improvement in the quality of services provided at ORHC, by the perception that customers and the public have of ORHC and by meeting the expectations of various accrediting and licensing bodies.
SUPERVISOR – CO
SUPERVISES – Quality Staff and Clinical Educator
DUTIES INCLUDE BUT ARE NOT LIMITED TO
QUALITY/PERFORMANCE IMPROVEMENT/ACCREDITATION
1. Conducts the Quality and Performance Improvement Program for the facility by facilitating the service lines, departments.
2. Is the Patient Safety Officer and Patient Safety Field Manager for the facility.
3. Develops the National Quality Program with senior leadership.
4. Prepares monthly operating review quality and patient safety slide deck with details of the current state and focus on the future goal attainment action steps.
5. Facilitates the external surveys from accreditors, licensure, verifications, certifications, including mock surveys and those that occur related to complaints, reviews, annual, biennial, triennial
6. Manages the readiness for survey programs.
7. Maintains regulatory readiness and conducts educational programs related to these.
8. Responsible for the electronic educational program for the organization.
9. Responsible for the infection control, prevention, and surveillance program.
10. Assures that programs, initiatives, processes, and policies are in compliance with state, federal and other accrediting bodies/regulatory agencies. Collaborates with facility leaders in expected, unannounced, active, and ongoing survey readiness.
11. Is the administrator for the federal Harp, formerly QNet, program, policy management software program, and incident reporting system,
12. Holds responsibility to conduct the Leapfrog Patient Safety program through the leadership for the facility
13. Engages 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.
14. Manages 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
15. Responsible for 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.
16. Assists in the implementation of departmental quality initiatives and analysis of outcomes data. Analyzes shares and assists with interpretation of outcomes data with appropriate staff, medical staff, and customers. Facilitates any ‘action deeper’ analysis (root cause analyses), process review or policy change as indicated for any noted undesirable data/negative trends.
17. In collaboration with CNO, assists in design and implementation of strategies to measurably improve quality of care for patients served.
18. Assures 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.
19. Coordinates the organizational Foundational Five Program.
20. Working with Human Resources, analyzes the Culture of Safety survey results and utilizes the results in planning, education, and coordination of process improvement activities.
21. Other duties as assigned.
RISK MANAGEMENT
1. Monitors and manages 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.
2. Annual review and submission of the Risk Management Plan to Senior Leadership and the Board of Directors for approval.
3. Prepare and present an Annual Risk Management report including organizational risk exposure and mitigation to the Board of Directors.
4. Risk Management role in the organization
i. Develops, coordinates, and administers facility-wide systems for risk identification (variance reporting), investigation, and reduction;
1. Collect, evaluate, and distribute relevant data,
2. Communicates with clinical directors and department managers regarding occurrences, issues, findings, risk management suggestions, and applicable risk reduction strategies,
3. Review and analyze occurrence reports to identify trends, making recommendations for corrective action if appropriate.
ii. Advises on issues related to risk and potential liability and legal exposure. (Informed consent, decision making capacity, surgical explants).
iii. Inspects patient care areas for risk and performs focused risk assessments to assess loss potential.
iv. Receives and investigates reports of product problems to determine appropriate response has been taken.
v. Conducts review of unanticipated events, patient harm events, and RCA.
vi. Participates on committees directed towards promoting patient safety issues.
vii. Assures that risk programs, initiatives, processes, and policies are in compliance with state, federal and other accrediting bodies/regulatory agencies. Collaborates with other leaders in active and ongoing survey readiness for risk reduction.
viii. Promotes maximum confidentiality by limiting access to such information.
ix. Gather and analyze data and prepare reports to facility leadership and outside agencies as required.
x. Conducts risk management educational programs regarding healthcare risk management and related subjects
b. Complaint and Grievance management and service recovery
i. Ensures amicable, timely, and confidential response to patient complaints and liability issues. Analyze trends and patterns of patient complaints and identify areas for improvement.
c. Loss prevention/patient safety – develop loss prevention programs
i. Participate in proactive analysis of patient safety and clinical processes including new equipment, new service line.
ii. Participate in the process of disclosure for medical errors
d. Ensure risks are minimized by validating regulatory survey report recommendations have been implemented and sustained.
e. Credentialing - participate in credentialing process to identify common red flags that might indicate a risk for malpractice claims.
f. Appropriate use of Medical Equipment / Safe Medical Device Act reporting.
i. Works with Materials Management and Pharmacy to ensure procedures are in place to track, document, store/handle, and manage recalls.
ii. Be familiar with the Safe Medical Device Act and the reporting requirements. http://www.fda.gov/safety/medwatch/default.htm
h. Participates with the Peer Review Committee and facilitates external vendor event reviews
k. Participate in new service planning by conducting a risk assessment and marketing material review
5. Insurance- provides general knowledge and oversight of facility insurance programs.
e. Initiates medical write-offs to mitigate potential claims.
h. Participates in monthly legal calls for the facility.
i. Collaborates with HSC Claim Director and Defense Counsel in the legal process.
j. Assists in preparation of employees for deposition.
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.
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...
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