Overview COME BUILD YOUR CAREER WITH VIBRA HEALTHCARE! We are seeking a Director of Quality / Risk Management to join our team! Hospital Details Vibra Hospital of Western Massachusetts - Central Campus, located in Rochdale, MA is a 47 bed Critical Care Hospital providing acute care services to patients recovering from serious illnesses or injuries. Often our patients require additional critical care services for medically complex conditions such as trauma, infectious diseases, wound healing, cardiovascular disease, stroke, amputation and ventilator weaning. As a smaller, specialized hospital, we offer an opportunity to work in a fast-paced and friendly work environment where you really get to know your patients and their families. Responsibilities Responsible for directing quality management efforts to ensure continuous improvement and organizational excellence, adherence with all regulatory, compliance, accreditation, and legal issues, and promote a safe environment for all employees, patients and visitors. Manage risk issues and oversees the credentialing function for medical staff. Accountable for the development, management and coordination of the hospital-wide Performance Improvement Program designed to improve clinical outcomes and the patient experience. Responsible for maintaining compliance with CMS Conditions of Participation, the Joint Commission standards, COLA/CLIA standards and HIPAA Rules and Regulations. Functions as the Risk Manager for organization as well as the Facility Compliance Officer. Required Skills: An active clinical license in the state of employment is required in one of the following fields: Nursing, Physical Therapy, Occupational Therapy, Speech Language Pathology or Respiratory Therapy. Minimum three (3) years of work experience or equivalent, in quality/risk management activities required. Knowledgeable in the principles of performance improvement. Additional Qualifications/Skills: Bachelor’s or Master’s degree preferred. Management experience preferred. Certified Professional Healthcare Quality (CPHQ) certification preferred. Possess in-depth knowledge of functions of all hospital departments and quality improvement requirements as outlined by the Joint Commission, the state of employment’s Department of Health and Federal regulatory standards as outlined by CMS. Experience in interpretation of raw data and comparative analysis, experience in conducting educational in- services, experience in coordinating and supervising accreditation/certification survey activities for the Joint Commission, CMS, State Licensure and demonstrated experience in working effectively with multiple departments on confidential issues in a positive and constructive manner. Experience in Risk Management systems and experience in working with the public on issues related to satisfaction/complaints required. Ability to project a professional image. Knowledge of regulatory standards and compliance requirements. Strong organizational, prioritizing and analytical skills. Ability to make independent decisions when circumstances warrant. Working knowledge of computer and software applications used in job functions. Freedom from illegal use of and effects of use of drugs and alcohol in the workplace. Benefits At Vibra Healthcare, employees are our priority. We are passionate about patient care and consider it a privilege to be able to provide services to patients and their family members. Below is a brief summary of our benefits. • Medical PPO high and low deductible plans / HSA options as well as HMO options in some markets • FREE prescription plans • Dental and Vision coverage • Life insurance • Disability Benefits • Employee Assistance Plan • Flex Spending plans, 401K matching • Additional Critical Illness, Accident, and Hospital plans • Company discounts for mobile phone service, electronics, cell phones, clothing, etc • Pet Insurance • Group legal – provides legal assistance with personal legal matters • Tuition and continuing education reimbursement • Work life balance At Vibra Healthcare, our patients are family. Healthcare is constantly evolving, our growing organization is devoted to ensuring that each person in our care feels safe. Our world-class team of driven, passionate healthcare professionals are always focused on service excellence and providing top quality care at the bedside. Our culture fosters engagement, diversity and advocacy. Our goal is to empower our employees and support them in their professional growth while leading them on a path to success within our organization.