The **Director of Quality & Risk Management** is responsible for leading the facility’s quality improvement and risk mitigation programs. This role ensures the integration of patient safety initiatives, regulatory compliance, and continuous quality enhancement. The Director works in close collaboration with clinical and administrative leadership to drive organizational excellence, reduce risk exposure, and promote a culture of accountability and high-reliability care. **What We Offer** + Competitive Pay + Medical, Dental, Vision & Life Insurance + Generous Paid Time Off (PTO) & Extended Illness Bank (EIB) + Matching 401(k) + Career Growth & Advancement Opportunities + Recognition & Rewards Programs + Exclusive Employee Discounts & Perks* **Essential Responsibilities** + Lead the design, implementation, and evaluation of quality and risk management strategies in alignment with **The Joint Commission** , **CMS** , and other regulatory requirements. + Develop and oversee risk assessments, mitigation plans, and patient safety initiatives to proactively identify and address potential safety concerns. + Conduct **Root Cause Analyses (RCA)** , **Failure Modes and Effects Analyses (FMEA)** , and other tools to investigate adverse events and implement corrective actions. + Partner with department leaders to create, monitor, and analyze **Quality Improvement Plans (QIPs)** and performance metrics that drive measurable improvement across clinical and operational areas. + Maintain constant survey readiness and coordinate responses to audits and accreditation surveys. + Provide education and training on risk reduction strategies, patient safety standards, and quality improvement methodologies to clinical and non-clinical staff. + Present findings, reports, and strategic updates to leadership, quality committees, and the Governing Board to support data-driven decision-making. + Promote a culture of safety, transparency, and continuous improvement throughout the organization. + Perform other duties as assigned in support of organizational goals. **Qualifications** + **Associate Degree in Nursing** required + **Bachelor’s Degree** in Nursing, Healthcare Administration, or related field preferred + **5–7 years** of experience in healthcare quality, risk management, or compliance required + **1–3 years** of leadership or management experience required **Knowledge, Skills & Abilities** + Strong understanding of **quality improvement frameworks** , **patient safety standards** , and **healthcare regulations** + Advanced analytical and critical thinking skills to assess risk and lead proactive improvement initiatives + Effective communicator and influencer across all levels of staff and leadership + Experience with **quality reporting platforms** and data-driven decision-making tools + Proficiency in **Google Workspace** and relevant quality/risk software platforms + Ability to lead organizational change and foster a culture of accountability and excellence **Licenses & Certifications** + **RN License** – Active and in good standing (state or compact) – _Required_ + **CPHQ** – Certified Professional in Healthcare Quality – _Preferred_ + **CPPS** – Certified Professional in Patient Safety – _Preferred_ + **CPHRM** – Certified Professional in Healthcare Risk Management – _Preferred_ INDLEAD Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.