The Quality/Risk Director is responsible for helping to create an environment and culture that enables the facility to fulfill its mission by meeting or exceeding its goals, conveying the hospital mission to all staff, facilitating staff accountability for their performance, and motivating staff to improve their performance. 

The Director manages, directs, and plans all aspects of Quality and Risk Management.  The Director is responsible for a hospital -wide quality management program and works with hospital administration, departments, and the medical staff to monitor and evaluate the quality of delivery of patient care services within the hospital.  The Director will have access to all medical records for the facility.  The Director also ensures proper compliance with regulatory agencies, accrediting bodies, corporate and hospital policies and procedures and works to develop, implement, and maintain quality assessment and improvement programs within the facility.

This position will support cultural diversity by ensuring that the delivery of quality, equitable and culturally competent patient-centered care is provided; promoting and maintaining an inclusive work environment and culture that is respectful and accepting of diversity; and ensuring that cultural diversity and sensitivity training is part of new employee orientation on an on-going basis to meet the needs of the patient population served in the hospital.

License or Certification:

- Licensed or Certified according to individual state requirement

Education, Training and Years of Experience:

- Bachelors degree in healthcare or related field preferred

- Quality and/or Risk Management experience including primary responsibility for performance improvement activities, regulatory compliance, conflict resolution, leadership and risk management activities