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