Director Risk Management, Quality and Medical Staff

• Provide strategic leadership for the hospital’s Quality, Risk Management, and Medical Staff functions.
• Lead the organization’s overall risk management program, including risk identification, mitigation, and patient safety initiatives.
• Investigate incidents and collaborate with leadership, providers, staff, and other stakeholders to identify trends and implement corrective actions.
• Support potential and active litigation, including investigations, interviews, depositions, legal holds, and coordination with legal counsel.
• Advise leadership and providers on informed consent, documentation standards, disclosure practices, and professional liability exposure.
• Oversee professional liability, general liability, and property claims management activities.
• Lead quality improvement initiatives, performance improvement programs, and regulatory readiness activities.
• Develop and monitor departmental goals, standards, performance metrics, and quality and risk outcomes.
• Oversee audits, compliance monitoring, and other activities designed to maintain regulatory and organizational compliance.
• Support medical staff functions, including medical staff processes, credentialing, and medical staff-related risk activities.
• Provide risk management, quality, compliance, and patient safety education and training to leaders, providers, and hospital staff.
• Serve as the facility’s Compliance and Ethics Officer and support organizational compliance initiatives.
• Partner with clinical and executive leadership to strengthen patient care quality, safety, compliance, and risk management practices.
• Manage departmental staffing, budgeting, operational performance, and professional development.

• Active New Mexico RN license or multistate RN license.
• Bachelor’s degree from an accredited nursing program.
• At least 5 years of nursing experience, including at least 3 years in management or director-level leadership.
• Demonstrated experience in healthcare risk management, quality, and medical staff functions.
• Acute-care healthcare risk management experience preferred; this experience may substitute for the management/director-level leadership requirement.
• Experience in a for-profit hospital strongly preferred.
• Prior Director-level experience preferred.
• CPHRM certification preferred upon hire and required within 3 years of employment.

In addition to the base compensation, this position offers:

• Relocation assistance
• Comprehensive medical, dental, and vision plans, plus flexible spending and health savings accounts
• Competitive paid time off and an extended illness bank package for full-time employees
• Income protection programs, including life, accident, critical injury, short- and long-term disability, and identity theft coverage
• Tuition reimbursement, loan assistance, and 401(k) matching
• Employee assistance program with mental, physical, and financial wellness resources
• Professional development and career growth opportunities

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Disclaimer: This job description is intended to provide a general overview of the responsibilities and requirements of the position. It is not an exhaustive list of all duties, responsibilities, and skills required. The company reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.

Equal Employment Opportunity: HireVenture is an equal opportunity employer and values diversity. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, or any other characteristic protected by applicable law.

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Note: The information provided in this job description is subject to change without notice. Please refer to the latest version of the job description available on our website for the most up-to-date information.

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www.hireventure.com