Director of Patient Quality and Clinical Risk Management

About the job Director of Patient Quality and Clinical Risk Management

Are you a strategic thinker with a passion for enhancing patient safety and mitigating risks within a healthcare setting? Join our dedicated team in Bradley, WV, as the Director of Patient Quality and Risk Management and make a significant impact on the quality of care we provide. This is an exceptional opportunity for a dynamic and experienced professional to lead and innovate within our organization, ensuring the highest standards of patient safety and compliance.
Key Responsibilities:

• Claim Management: Oversee the management functions, including investigation and analysis of claims.
• Risk Assessments: Conduct thorough risk assessments for new services and existing operations.
• Root Cause Analysis: Perform root cause analysis and facilitate action plan tracking to improve system processes.
• Patient Safety Council: Manage the Patient Safety Council and integrate the corporate TERM program into the risk management strategy.
• Collaboration: Work collaboratively with department directors and the executive team to implement effective risk reduction strategies at both Corporate and Facility levels.
• Regulatory Compliance: Provide expertise and ensure adherence to regulatory and compliance standards and processes.
• Data Analysis & Reporting: Analyze data and generate reports to inform risk management activities and strategies.
• Education & Leadership: Educate staff, provide leadership, and maintain accountability for all related activities.

Qualifications:

• Bachelor's degree from an accredited College or University in a related field (required)
• Two (2) to Five (5) years of Risk Management experience (required)
• BLS Certification is required
• Current RN license in the state of West Virginia (if a Registered Nurse) or ability to obtain a CPHR< or CPPS license
• Knowledge and compliance with The Joint Commission standards.
• Strong leadership, organizational, communication, and interpersonal skills.
• Ability to relate to clinical personnel, medical staff, and interact effectively with the public.
• Proficiency in PC and relevant applications.
• Deep knowledge of managed sub-functions and solid understanding of overall departmental functions.
• Thorough understanding of hospital policies, procedures, and quality tools such as RCA and FMEA.
• Detailed knowledge of regulatory principles, hospital licensing, and accreditation standards.
• Familiarity with Joint Commission Standards and CMS/DHS Regulations.
• Understanding of statistical analysis.
• Six Sigma ("Lean") knowledge (preferred)