Director of Quality & Risk Management – Healthcare Leadership (RN)

Director of Quality & Risk Management

📍 Location: Ottumwa, Iowa (Onsite)
💼 Employment Type: Full-Time
📈 Seniority Level: Senior Leadership
🎓 Education: Master’s Degree required
🏥 Industry: Healthcare / Hospital

💰 Compensation & Benefits

• Salary Range: $110,000 – $150,000

• Relocation: Partial assistance available

• Benefits: Medical, Dental, Vision, Life, Retirement, PTO

🚀 Overview

A regional healthcare organization is seeking a Director of Quality & Risk Management to lead clinical safety, regulatory compliance, and performance improvement initiatives across the facility.

This role serves as the Patient Safety Officer, ensuring the organization exceeds standards set by patients, leadership, and accrediting bodies.

🔧 Key Responsibilities

Quality, Performance & Accreditation

• Lead and execute enterprise-wide quality and performance improvement programs

• Ensure continuous readiness for:

  • Joint Commission surveys

  • CMS and state inspections

• Conduct mock surveys and maintain audit readiness at all times

• Develop and present quality and patient safety reports to executive leadership

• Analyze trends and initiate:

  • Root Cause Analysis (RCA)

  • Failure Mode and Effects Analysis (FMEA)

Patient Safety & Clinical Oversight

• Serve as Patient Safety Officer

• Lead:

  • Infection prevention and control programs

  • Incident reporting systems

  • Safety culture initiatives (e.g., Leapfrog, safety surveys)

• Drive continuous improvement in clinical outcomes and patient safety metrics

Risk Management & Compliance

• Develop systems to identify and reduce clinical and operational risk

• Oversee complaint and grievance processes

• Ensure compliance with:

  • Federal and state regulations (CMS, OSHA, DEA, OIG)

  • Accreditation standards

• Partner with legal teams on:

  • Malpractice cases

  • Claims defense

  • Trial preparation and representation

Leadership & Strategy

• Partner with executive leadership and the Board on quality strategy

• Lead cross-functional collaboration across departments

• Drive a culture of safety, accountability, and continuous improvement

✅ Required Qualifications

• Master’s Degree in:

  • Nursing

  • Healthcare Administration

  • Or related field

• Active Registered Nurse (RN) license (Iowa or compact)

• 5+ years of leadership experience in:

  • Quality

  • Risk management

  • Nursing leadership

📜 Certifications

• Required:

  • Certification in Patient Safety (CPPS) – must obtain within 1 year

• Preferred:

  • Certified Professional in Healthcare Quality (CPHQ)

  • Quality Management certification

🧠 Key Skills

• Clinical quality and performance improvement

• Risk management and regulatory compliance

• Data analysis and outcome interpretation

• Root cause analysis (RCA) and FMEA

• Accreditation readiness (Joint Commission, CMS)

• Executive communication and presentation

• Stakeholder engagement (clinical + board level)

🎯 Ideal Candidate

• Senior healthcare leader with strong quality and risk management expertise

• Deep knowledge of regulatory and accreditation standards

• Proven ability to drive patient safety and performance improvement initiatives

• Strong communicator capable of influencing clinical teams and executive leadership

• Experienced in handling complex compliance and legal risk scenarios

🏥 Reporting Structure

• Reports to: Chief Nursing Officer (CNO)

• Acts as: Facility Patient Safety Officer

📝 Interview Process

• Leadership and stakeholder interviews

• Evaluation of clinical quality, compliance, and risk expertise

Quality Risk Management – Director - Missoula, MT - $120,000 - $135,000

Quality Risk Management – Director

Missoula, MT

$120,000 - $135,000

Job Description

This is a full time (Exempt 1.0 Status) day shift Director position in the Quality & Risk Management department.

This is a professional leadership position assuring department performance in quality management functions, risk management functions, medical record review and abstracting functions, software implementation processes, regulatory compliance, medical staff office functions and credentialing functions.

Ensures alignment of services with our mission, vision, and core values: Champion patient care, Do the right thing, Embrace individuality, Act with kindness, and Make a difference. Everything we do is driven from and tied to these five core values.

Minimum Requirements: 

·        Education and licensure commiserate with professional field (Nursing, Therapy, Pharmacist, Dietician, Attorney).

·        Bachelor’s Degree in appropriate discipline.

·        2-5 years' experience with regulatory and accrediting agencies including CMS and Joint Commission.

·        Previous management experience and decision making.

·        Knowledgeable in computer processing, data entry and management of databases.

·        Demonstrated ability to collaborate with others and coordinate activities.

·        Demonstrated problem solving abilities.

·        Demonstrated qualities of flexibility, creativity, and accountability.

·        Proven organizational skills demonstrating ability to establish priorities and meet deadlines.

·        Excellent written and oral communication skills.

·        Demonstrated ability to work independently. 

·        Previous experience with hospital committees.

·        Must be able to successfully obtain CPPS certification within six months of hire.

·        Must have the ability to respond to professionally sensitive issues.

Preferred/Desired:

·        Appropriate Master’s Degree related to discipline and/or MBA/Leadership Acute care nursing experience and familiarity with quality and risk management functions preferred.

·        Prefer knowledge in statistical methods and analysis. Prefer Medical Staff Office experience.