Director, Quality and Risk Management

Madera Community Hospital

Located in the heart of Central California, Madera Community Hospital is a General Acute Care, private, not-for-profit hospital dedicated to improving and maintaining the health and wellness of residents throughout the Central Valley. We are committed to identifying and serving our community's needs with compassion, concern, care and safety for every patient. Madera Community Hospital is a growing acute care facility seeking talented individuals with a drive to provide quality care and dedicated to making a difference in our community.

Position Summary:

The Director of Quality & Risk Management, is responsible for the work process of the Quality and Risk Management Department and the implementation of the Hospital-wide Quality Assessment Performance Improvement Program. Provides leadership and consultative services to departments and services within the organization in achieving regulatory, accreditation, and organization compliance in quality and in performance management and improvement activities. Incorporates risk management principles into evaluation of incident reports, concerns and takes formal actions to resolve or report practices to the appropriate channels.

Responsibilities will include Collaboration with Hospital Administration to plan, organize, direct and lead the Hospital-wide Quality Assessment Improvement (QAPI) Program. The Director shall have demonstrated experience with quality management principles and the application of system design, reengineering, project management, quality improvement, outcomes measurement and statistical analysis. The Director is responsible for the personnel and work process of the Quality and Risk Management Department, meeting the regulatory requirements for the collection and reporting of required internal and external quality outcomes data. Will utilize strong interpersonal and professional communications including education skills with hospital staff, physicians and will be able to speak to enhancing quality of care and safety for patients and staff.

Qualifications:

Requires Bachelors Degree in Nursing; prefer Master's Degree in Nursing or Related Field.

Prefer three years minimum supervisorial experience in quality improvement or related position.

Prefer previous experience and successful participation in regulatory survey process, including CMS, CDPH, JCAHO or other accrediting agency.

Current knowledge and experience with hospital CMS, Title 22 and HCAC regulations and survey process

Requires acute care clinical experience and knowledge

Knowledge and experience with statistics, data collection, analysis and data presentation

Requires current state of California Registered Nurse Licensure

Prefer certification as a Professional in Healthcare Quality, Patient Safety or Risk Management

Madera Community Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.