Director Quality and Risk

Annual income to $150,000

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Raleigh General Hospital is a 300 bed facility caring for nearly 13,000 patients each year with over 50,000 being treated in our emergency room. We offer a wide range of surgical services as well as specialty programs including Cardiac CTA, Digital Mammography, and Trauma Services.

Where We Are:

Beckley is an ideal place to live and boasts many scenic,
cultural, and recreational opportunities. From restaurants and breweries to art
galleries and unique attractions, Beckley is an outdoor playground with
something for all tastes.

Why Choose Us:

· Health
(Medical, Dental, Vision) and 401K Benefits for full-time employees

· Competitive
Paid Time Off / Extended Illness Bank package for full-time employees

· Employee
Assistance Program – mental, physical, and financial wellness assistance

· Educational
assistance and tuition assistance for qualified applicants

· Professional
development opportunities and CE assistance

· And
much more…

Position Summary:

Directs,
controls and evaluates the activities, functions, and management of personnel
within the Quality/Performance Improvement, Risk Management, and Medical Staff
Office departments as well as effectively managing and meeting fiscal goals
defined for these departments. Responsible for facility-wide regulatory
compliance. Serves as the Patient Safety Officer and Ethics and Compliance
Officer.

Achieves
shared operational management among leadership, medical staff, and clinical
employees to continually improve patient care outcomes.

Implements
the vision, goals, and strategies of the Senior Leadership team as a dynamic
leader with excellent communication skills and the ability to motivate and
continually advance clinical practice and patient experiences.

Collaborates
with physicians, clinical managers and other members of the health care team to
coordinate activities between the hospital and physicians, promote optimum
patient care/service, identify and resolve barriers, and promote growth in
patient volume.

Oversight
and continued implementation of the Ethics & Compliance Program and the
facility's compliance with requirements of federal health care programs.
Conducts independent investigations on ethics and compliance issues and ensures
all E&C standards and policies and procedures are communicated to each
LifePoint colleague, agent and independent contractor according to the
requirements of each position and then adhered to accordingly. Fosters and
environment where colleagues know they can raise concerns or report suspected
code violations.

Quality

Facility oversight of performance improvement program

Facility oversight of regulatory and accreditation program

Facility oversight of risk management program

Facility oversight of patient safety program

Leads the Quality/Risk/Medical Staff Office Department
within defined financial priorities

Risk
Management

Conducts clinical risk assessments and analysis of complex
organizational systems within the facility and facilitates development of
corrective action plan.

Formulates analysis plan for data management

Oversees investigations of incidents that could lead to
professional/general liability claims.

Develops policies and procedures related to Risk
Management.

Disseminates information and research related to changes
in regulatory requirements and clinical research pertinent to potential
liability exposures and risk issues

Consults with LifePoint PSOrg, LLC on all occasions when
the Hospital receives a request for dissemination of PSOrg related information,
as well as other PSOrg compliance related issues.

Develops, implements and presents educational program for
Employees, the Medical Staff and the Board

Obtains a minimum of 15 hours of continuing education in
Risk Management on an annual basis.

Participates in review and development of committee
structure and membership for facility.

Devises quality report cards for Physicians and Advanced
Practice Practitioners

Regulatory Compliance

Oversees hospital-wide Quality and Performance Improvement
program.

Plans, organizes and implements performance improvement
activities

Plans and organizes Six Sigma team activities

Provides for ongoing education on PI and Six Sigma
processes

Coordinates CMS/TJC Core Measures activities

Plans, organizes, and implements Regulatory and
Accreditation program

Serves as contact person and liaison between the hospital
and accreditation/regulatory agencies, both on a Federal and State level.

Ethics & Compliance

Serve as Chair for the Facility Ethics & Compliance
Committee.

Conducting Investigations, encouraging Reporting without
fear of retaliation and advising colleagues on E&C matters.

Coordinating and supporting Corporate monitoring and
auditing procedures and establishing and maintaining formalized monitoring
programs.

Identifying trends related to ethics and compliance within
the facility and participate in communication and interfaces with Service
Center ECOs, Corporate Departments and other ECOs.

Serving as liaison to the facility's Senior Administration
and Department Directors.

Reports
to: Chief Executive Officer

Qualifications

Minimum
Education

Bachelor’s degree - Required

Master's Degree - Preferred

Required
Skills

Requires critical thinking skills, decisive judgment and
the ability to work with minimal supervision. Must be able to work in a
stressful environment and take appropriate action.

Certifications:

Basic Life Support (BLS)

Required Licenses

CPHRM and CPPS required or will obtain within first two
years of employment. Maintains current license in profession.

Minimum Work Experience

Minimum 5 years health care experience preferred (clinical
experience preferred). Minimum 2 years experience in clinical risk management
preferred. Supervisor and/or management experience preferred.

Job Type: Full-time

Pay: $130,000.00 - $150,000.00 per year

Benefits:

• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Paid time off
• Relocation assistance
• Retirement plan
• Vision insurance

Schedule:

• Day shift

Work Location: In person

Salary : $130,000 - $150,000