DIRECTOR CLINICAL RISK MANAGEMENT - QUALITY & PATIENT SAFETY - FULL-TIME DAY SHIFT (25480)

Responsibilities

• Develop, implement, and oversee comprehensive clinical risk management and patient safety programs.
• Lead investigations of adverse events, analyze incident reports (UORs), conduct Root Cause Analyses (RCAs) and Failure Mode and Effect Analyses (FMEAs) to identify systemic issues.
• Monitor, analyze, and trend risk management data to identify patterns, present findings, and recommend strategic improvements to leadership and committees.
• Design and deliver educational programs for staff and leaders on risk reduction, patient safety, and regulatory standards.
• Rounding on patient/resident care units.
• Ensure adherence to local, state, and federal laws, and Joint Commission (TJC), CMS, and other regulatory requirements. Assist with regulatory readiness.
• Review, revise, and develop organizational policies and procedures to enhance safety and mitigate risk.
• Serve on various hospital committees, including The Quality and Patient/Resident Safety Committee, Infection Prevention and Control Committee and Patient Care Leadership Committee.

Requirements

• 3-5 years with Clinical Risk Management and/or Quality Management experience.
• Experience in clinical risk management, patient safety, quality improvement.
• Strong knowledge of healthcare regulations (including HIPAA, EMTALA, etc.).
• Proficiency in data analysis, incident management software, and Microsoft Office Suite.
• Excellent leadership, communication, investigation, and problem-solving skills.

Qualifications

• Bachelor's degree (BSN strongly preferred or related field).
• Master’s degree a plus.
• Certified Professional in Health Care Risk Management (CPHRM) is a plus or within 2 years of employment.
• Certified Professional in Patient Safety Credential (CPPS) is a plus.