Director of Quality/Risk Management

Vibra Healthcare - Leicester, MA

Full-time - Senior

Leicester, MA

Nursing and Residential Care Facilities

About the position

At Vibra Healthcare, we are dedicated to building a career path that fosters growth and excellence in healthcare. We are currently seeking a Director of Quality/Risk Management to lead our quality management initiatives and ensure that our organization adheres to all regulatory, compliance, accreditation, and legal standards. This role is pivotal in promoting a safe environment for our employees, patients, and visitors while driving continuous improvement across the organization. The Director will be responsible for managing risk issues and overseeing the credentialing function for our medical staff. This includes the development, management, and coordination of a hospital-wide Performance Improvement Program aimed at enhancing clinical outcomes and the overall patient experience. The Director will also ensure compliance with CMS Conditions of Participation, Joint Commission standards, COLA/CLIA standards, and HIPAA regulations. In this capacity, the Director will function as the Risk Manager for the organization and serve as the Facility Compliance Officer. To succeed in this role, the Director must possess an active clinical license in the state of employment, with a minimum of three years of experience in quality/risk management activities. A strong understanding of performance improvement principles is essential, along with the ability to interpret raw data and conduct comparative analysis. The Director will also coordinate and supervise accreditation and certification survey activities, ensuring that our organization meets the standards set forth by the Joint Commission, CMS, and state licensure requirements. The ideal candidate will have experience in Risk Management systems and a proven track record of effectively addressing public satisfaction and complaints.

Responsibilities

• Direct quality management efforts to ensure continuous improvement and organizational excellence.
• Ensure adherence to all regulatory, compliance, accreditation, and legal issues.
• Promote a safe environment for all employees, patients, and visitors.
• Manage risk issues and oversee the credentialing function for medical staff.
• Develop, manage, and coordinate the hospital-wide Performance Improvement Program.
• Maintain compliance with CMS Conditions of Participation, Joint Commission standards, COLA/CLIA standards, and HIPAA Rules and Regulations.
• Function as the Risk Manager for the organization and Facility Compliance Officer.

Requirements

• An active clinical license in the state of employment in Nursing, Physical Therapy, Occupational Therapy, Speech Language Pathology, or Respiratory Therapy.
• Minimum three (3) years of work experience in quality/risk management activities.
• Knowledgeable in the principles of performance improvement.
• Bachelor's or Master's degree preferred.
• Management experience preferred.
• Certified Professional Healthcare Quality (CPHQ) certification preferred.
• In-depth knowledge of hospital departments and quality improvement requirements as outlined by regulatory standards.
• Experience in interpretation of raw data and comparative analysis.
• Experience in conducting educational in-services and coordinating accreditation/certification survey activities.
• Ability to project a professional image and make independent decisions when necessary.
• Strong organizational, prioritizing, and analytical skills.

Nice-to-haves

• Experience in Risk Management systems.
• Experience in working with the public on satisfaction/complaints issues.

Benefits

• Continuing education credits
• Health savings account
• Dental insurance
• Employee assistance program
• Vision insurance
• 401(k) matching
• Life insurance
• Pet insurance