Job Description
About the Role
We are seeking a highly skilled Director of Quality & Risk Management to lead our behavioral health facility’s quality, safety, regulatory compliance, and risk mitigation efforts. This leader will be responsible for ensuring coordinated, high-quality patient care in alignment with established clinical standards, mental health best practices, and organizational goals.
This is a key leadership role that partners closely with Nursing, Clinical Services, Case Management, and Executive Leadership to drive excellence in Performance Improvement (PI) , patient safety , regulatory readiness , and risk management activities across the facility.
Director of Quality and Risk Mgt
Key ResponsibilitiesQuality & Performance Improvement
Lead the facility’s Quality and Performance Improvement (QAPI) initiatives, ensuring continuous improvement of patient care and safety.
Monitor, evaluate, and report monthly PI and National Patient Safety Goals (NPSG) data to the CNO and CEO.
Assess program effectiveness and implement improvement strategies.
Support organization-wide quality goals and maintain confidentiality of sensitive information.
Director of Quality and Risk Mgt
Risk Management & Patient Safety
Ensure compliance with Joint Commission (TJC) , CMS , HCFA , and State regulations.
Oversee safety and risk-management policies; investigate incidents and support corrective action plans.
Process unusual occurrence reports and lead investigations, documentation, and follow-up.
Coordinate legal processes and ensure accurate records regarding patient rights and safety.
Director of Quality and Risk Mgt
Leadership & Collaboration
Serve as a resource to clinical and nursing staff to ensure compliance with Standards of Care.
Participate in Nurse Staffing and Nurse Managers meetings to promote safe, effective care delivery.
Collaborate with Case Management to ensure timely and quality services for all patients.
Participate in Administrator-on-Call rotation.
Regulatory Readiness & Compliance
Maintain thorough knowledge of Joint Commission standards and support accreditation activities.
Ensure adherence to facility policies, procedures, and professional standards.
Education: Bachelor’s degree in Nursing required; Master’s in Psychiatric Nursing or related field preferred.
Licensure: Valid RN license (State or Compact).
Experience: Minimum 1 year in Nursing Administration or Nursing Leadership ; behavioral health experience strongly preferred.
Skills:
Strong knowledge of psychiatric and medical nursing practices.
Proficiency in Microsoft Office.
Familiarity with Joint Commission standards.
Excellent organizational, communication, and leadership skills.
Ability to remain calm in emergencies and manage multiple priorities in a fast-paced environment.
Director of Quality and Risk Mgt
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