Quality Risk Director

Reports to : CEO 

FLSA Classification : Full -Time , Exempt ,Salary $43.42- $61.78

Essential Functions
- Accountable for the successful implementation of programs and initiatives related to quality
assessment and performance improvement to ensure achievement of Pioneers Medical
Center Excellence goals and objectives
- Build and support infrastructure to meet quality and clinical outcomes, and analytical needs
across the organization.
- Collaborate with providers and senior leadership to identify quality clinical outcomes and
patient safety concerns.
- Effect change through the development of improvement initiatives, and provide education
quality and value-based education to staff and providers.
- Create a clear and consistent approach to process improvement across all areas of the
organization including the Critical Access Hospital, Ambulatory Clinics, Clinically Integrated
Networks and the Long-Term Care Center
- Develop the stages of Care Transformation: a high reliability care blueprint involving
standardization and reducing variation, reducing medically unnecessary care, delivery of
evidence-based care, optimization of team-based care and population health programs
- Develop a framework for Care Transformation by designing models for integrating care to
meet the Quadruple Aim (improved care, decreased cost, improved patient and staff
experience).
- Implement and optimize care coordination and care transitions across the continuum,
length of stay improvement and patient throughput.
- Develop and ensure implementation of clinical and operational excellence strategy for care
delivery across the entire enterprise including defining, disseminating and monitoring key
clinical quality and value metrics.
- Provide guidance to senior leadership on the development and execution of value-based
agreements and the development of performance thresholds for incentive-based payments.
Revised 2.25.22 NRB
- Provide oversight of the Quality Council and related quality committees and collaboratives.
- Facilitate the organization's CMS accreditation and clinical compliance initiatives and works
with Leadership to maintain a state of survey readiness
- Lead and oversee the improvement initiatives related to evidence-based care, practicebased evidence, and care reliability.
- Lead, develop and oversee the development of centralized population health capabilities.
- Provide clinical leadership and vision in the development of a culture of quality
improvement, patient safety and clinical transformation.
- Provide expertise and leadership at all levels of the organization and acts as an organizational
leader resource related to quality, risk management, patient safety and care transformation.
- Investigate or direct the investigation of sentinel events, evaluate root causes, patterns,
or trends
- Service as the organization liaison with the CEO and legal counsel for the investigation,
processing, and defense of claims against the organization.
- Provide guidance and oversight of Ambulatory Clinics.
- Other duties as assigned.
Education and Experience
- Bachelor's Degree in Health Administration or health-related field preferred.
- Master’s Degree in Health Administration or Health-related field preferred.
- Certified Professional Healthcare Quality (CPHQ) certification preferred.
- Two to five (2-5) years’ experience in quality and/or operations improvement,
regulatory and accreditation or a combination of clinical RN experience combined with
quality experience; or project management experience required.
- Knowledge of CQI principles, practices, methods, and tools required.
- Excellent knowledge of computer processing programs, including spreadsheets.
Skills and Expectations
- Kind and professional demeanor.
- Professional and well-groomed appearance, including during on call hours.
- Communicate positively and effectively, both written and verbally, with patients, family,
and staff.
- Demonstrate effective organizational skills in an evolving environment.
- Work with honesty, compassion and integrity at all times.
- Adherence to ALL PMC confidentiality procedures and policies.
- Demonstrate a commitment to building and sustaining a diverse, inclusive, and
equitable working environment.