Director of Quality/Risk Management - Hospital

Step into a high-visibility quality and risk seat at a inpatient rehab hospital in Modesto—own CMS and Joint Commission readiness in an active survey window, lead Stroke and Parkinson’s disease-specific certification work

This Jobot Job is hosted by: Cam Strahm
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Salary: $125,000 - $160,000 per year

A bit about us:

A leading inpatient rehabilitation hospital focused on high-quality, patient-centered care, regulatory excellence, and continuous performance improvement. The Modesto campus holds Joint Commission disease-specific certifications in Stroke Rehabilitation and Parkinson’s Disease Rehabilitation and is entering its next Joint Commission survey window.

Why join us?

Competitive salary $110,000–$160,000 + hospital incentive plan
Comprehensive benefits from day one: medical, dental, and vision (FT and eligible PT)
401(k) with company match
Paid time off
Tuition reimbursement
Health savings account
High-visibility leadership role reporting through hospital CEO with Regional and Senior Leadership Team interviews
Opportunity to own quality, risk, and survey readiness at a specialized IRF heading into an active Joint Commission window
Stroke and Parkinson’s disease-specific certification programs already in place
Clinical background preferred; strong non-clinical quality/risk leaders will be considered
Opening created by an incumbent who stepped down; no internal interest expected

Job Details

Job Details / Responsibilities:

Lead hospital-wide quality management, patient safety, performance improvement, and risk management programs
Ensure compliance with CMS guidelines, The Joint Commission, accrediting bodies, and corporate/hospital policies and procedures
Develop, implement, and maintain quality assessment and improvement (QAPI) programs
Assess compliance with federal, state, and industry regulatory and accreditation standards and drive remediation or sustainment plans
Serve as primary local leader for Joint Commission, CMS, and other survey readiness, education, and on-site coordination (last JC survey 2023; next survey due any time)
Oversee risk management activities including incident reporting, notice of potential claims, corrective action planning, and reporting to Corporate Risk
Coordinate review, development, and implementation of hospital policies
Maintain and update hospital plans including Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety
Use quality applications and data sources (including IRF tools such as UDS, ORYX, Press Ganey, and similar systems) to identify opportunities, generate reports, and track outcomes
Support and sustain disease-specific certification work in Stroke and Parkinson’s Rehabilitation
Provide organizational education related to regulations, standards, and performance improvement
Lead conflict resolution related to quality, safety, and risk issues
Direct the PASC function as a reporting department

Qualifications:

Bachelor’s degree in healthcare or a related field preferred
License or certification only as required by state regulations (none specifically required for this California role; licensed risk manager not required)
Demonstrated experience in Quality and/or Risk Management with primary responsibility for performance improvement, regulatory compliance, conflict resolution, leadership, and risk management
Strong working knowledge of CMS guidelines and Joint Commission regulations (must-have for this search)
Clinical background preferred; non-clinical candidates with substantial hospital quality/risk experience will be considered
Hospital-based quality and/or risk leadership experience; IRF or post-acute experience is a plus

Interested in hearing more? Easy Apply now by clicking the "Quick Apply" button.

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