Director of Quality/Risk Management - Hospital

Leoforce; Modesto (CA); On-site; USD 125,000 - 160,000; Full time

Benefits offered by this job

Comprehensive benefits from day one

401(k) with company match

Paid time off

Tuition reimbursement

Health savings account

Job summary

Leoforce is seeking a Director of Quality/Risk Management for a hospital in Modesto, CA. The role leads hospital-wide programs in quality, safety, and risk, ensuring CMS and Joint Commission compliance and driving QAPI initiatives.

The position requires a strong clinical or hospital quality background, with experience in regulatory readiness and leadership. A competitive compensation package accompanies a comprehensive benefits program.

Qualifications

• Bachelor’s degree in healthcare or related field.
• 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.

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
• 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

Skills

Quality management

Risk management

Patient safety

Performance improvement

Regulatory compliance

CMS guidelines

Joint Commission

Leadership

Education

Incident reporting

Education

Bachelor's degree in healthcare

Tools

UDS

ORYX

Press Ganey

Job description

Director of Quality/Risk Management - Hospital

Location: Modesto,CA, US

Date Posted: 09-30-2026

Job Description

Experience: Director
Salary: $125,000 - $160,000 per year

Job Details

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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

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

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