The Director of Quality and Risk Management – CMH provides administrative and financial leadership, oversight and management. Responsibilities include strategic planning, legal and regulatory compliance, financial management, relationship development, operations, and human resources management. The Director ensures the Department's compliance with policies and procedures.

The Director of Quality & Risk Management – CMH assures compliance with Joint Commission, CMS and all regulatory standards. The Director leads quality improvement focus and activities to improve patient care and safety and streamline processes. The Director is also responsible for Risk Management including organizational insurance product management, risk assessment, and support/facilitation for legal issues.

Licensure, Certification, or Registration Requirements for Hire: 

Certified Professional in Healthcare Quality (CPHQ) from the National Association for Healthcare Quality (NAHQ) preferred      

Licensure, Certification, or Registration Requirements for continued employment including CPR, etc.: N/A

Level and type of experience REQUIRED:

Minimum of five (5) years of progressively more responsible supervisory/management positions with at least two (2) years specifically in health care quality improvement supervision/management.

Minimum of five (5) years’ experience in health care quality improvement in an acute care setting.

Previous experience in the following:

• data collection and analysis including statistical concepts of variation concepts and tools of Quality Improvement, Statistical Process Control or Six Sigma methods
• engaging medical staff leadership in clinical quality improvement
• using personal computers, operating systems and software related to data analysis, statistical analyses, graphics and communication
• explaining and teaching methods of measurement, data analysis, and clinical practice and outcomes
• regulatory requirements applicable to acute and ambulatory health care settings (including local, state and federal laws and regulations and TJC standards)

Level and type of experience PREFERRED:

Seven (7) years of progressively more responsible supervisory/management positions with at least three (3) years specifically in health care quality improvement supervision/management.

Previous experience in database design and biostatistics.

Education/training REQUIRED: Bachelor's Degree in Healthcare Administration, Business Administration, or a healthcare related field from an accredited program             

Education/training PREFERRED: Master's Degree in Healthcare Administration, Business Administration, or a healthcare related field from an accredited program             

Independent action(s)/decision making required:

Budgeting, Hiring, Coaching, Mentoring and Managing

Supervisory responsibilities (if applicable):  

Directly supervises assigned departmental employees.

Additional position requirements such as shift rotations, weekends, environment, etc.:

Must be available as needed to staff on all shifts, locations, etc.

Age Specific Groups Served:  N/A

PHYSICAL REQUIREMENTS:

Physical:  Lifting < 20 lbs.

Activities:  Prolonged sitting, Walking, Repetitive Motion

Mental/Sensory:  Strong recall, Reasoning, Problem Solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking

Emotional:  Fast paced environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change

EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.