What are the responsibilities and job description for the Director of Performance Improvm/Risk Mgr position at Red River Hospital?
Our Director of Performance Improvement and Risk Management will:
Serve as a member of the Executive Team and on facility committees as requested. Interpret and implement corporate and facility policies and procedures in accordance with law and regulation. Advise and assist management on risk management, regulatory, performance improvement and compliance issues. Serve on a rotating basis as Administrator on Call.
Review and recommend PI and RM policies, procedures and processes. Define required clinical data sets in conjunction with the Medical Staff and clinical leaders.
Implement performance improvement program. Set expectations, develop plans and manage processes to measure, assess, and improve the quality of the organization’s management, clinical and support activities. Measure, analyze and manage variation in the performance of defined processes that affect patient safety. Provide quarterly performance report to Governing Board.
Develop and implement Risk Management program. Lead the hospital’s compliance program in conjunction with the corporate compliance officer. Report risk management data and issues to corporate management. Lead sentinel and critical event analysis.
Direct compliance with laws and regulations of federal, state and local governmental agencies and with the standards, rules and regulations of the various other accrediting and approval agencies. Lead survey preparation, site visits and follow-up. Create and administer systems for ongoing regulatory compliance. Direct policy and procedure development in accordance with laws and regulations.
Experience
Preferred- 2 year(s): Knowledge of laws and regulations of federal, state, and local governmental agencies and with standards, rules and regulations of accrediting agencies as applicable to the facility.
- 2 year(s): Behavioral healthcare experience
- 5 year(s): Healthcare experience
Education
Required- Bachelors or better in Nursing/Healthcare or related field
Licenses & Certifications
Required- Z_Do Not Use
- Z_Do Not Use
Skills
Required- Safety Minded
- Planning & Organizing
- Customer Focus
- Computer - Excel
- Attention to Detail
- Leadership
- Problem Solving
- Communication
Behaviors
Required- Dedicated: Devoted to a task or purpose with loyalty or integrity
- Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
- Leader: Inspires teammates to follow them
- Team Player: Works well as a member of a group
Motivations
Required- Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
- Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
- Self-Starter: Inspired to perform without outside help
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
