Quality/Risk Manager - RN ID-20645
Key Responsibilities:
- Lead and manage the development, implementation, and maintenance of the hospital’s quality, risk, and compliance programs.
- Oversee and ensure compliance with all local, state, and federal regulations, as well as accreditation requirements (e.g., Joint Commission, CMS).
- Conduct regular audits and assessments to identify areas of improvement and ensure adherence to quality standards.
- Develop and implement risk management strategies to prevent and mitigate potential risks to patients, staff, and the organization.
- Lead the investigation and resolution of patient complaints, incidents, adverse events, and near-misses, ensuring that corrective actions are taken.
- Collaborate with department heads to establish quality performance indicators and monitor performance metrics.
- Provide ongoing training and education to staff on quality, risk management, and compliance practices.
- Prepare and submit required reports to regulatory agencies, accrediting bodies, and senior leadership.
- Assist administration and leadership with preparation for regulatory surveys, inspections, and accreditation reviews
- Act as a resource for hospital staff on compliance-related matters, offering guidance and support to ensure adherence to policies and procedures.
- Monitor and evaluate the effectiveness of risk mitigation strategies and compliance initiatives, making recommendations for improvement as necessary.
- Develop and implement continuous quality improvement (CQI) initiatives to improve patient care, reduce risks, and enhance operational efficiency.
- Stay up-to-date on healthcare regulations, trends, and best practices to ensure the hospital remains compliant and operationally efficient.
- Work closely with the hospital leadership team to ensure that quality and risk management priorities align with organizational goals.
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Qualifications:
- MUST be an RN
- Bachelor’s degree in healthcare administration, nursing, business administration, or a related field (Master’s degree preferred).
- Certification in Healthcare Quality (CPHQ), Certified Professional in Healthcare Risk Management (CPHRM), or other relevant certifications preferred.
- At least 5 years of experience in quality management, risk management, or compliance in a healthcare setting.
- In-depth knowledge of healthcare regulations, standards, and accreditation requirements (e.g., CMS, The Joint Commission).
- Strong understanding of risk management principles and quality improvement methodologies.
- Excellent communication, leadership, and interpersonal skills, with the ability to work effectively with all levels of staff and external stakeholders.
- Strong analytical and problem-solving skills, with the ability to make data-driven decisions.
- Ability to manage multiple projects and priorities in a fast-paced environment.
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and experience with risk management or quality improvement software is a plus.
Job Summary:
The Quality, Risk, and Compliance Manager is responsible for overseeing and assisting in the management of the quality assurance, risk management, and compliance programs within Rock Regional Hospital. This role ensures that the hospital adheres to all regulatory standards, industry best practices, and internal policies, thereby promoting high-quality patient care, safety, and operational efficiency. The manager will proactively identify and mitigate risks, implement quality improvement initiatives, and ensure full compliance with healthcare regulations and accreditation requirements.
Rock Regional Hospital is an equal opportunity employer committed to fostering a diverse and inclusive work environment. We welcome candidates from all backgrounds to apply.