Director of Quality/Risk Management - Hospital

Jobot; Modesto (CA); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Competitive salary

Benefits from day one

401(k) match

PTO

Tuition reimbursement

Health Savings Account

Leadership exposure

Joint Commission readiness

Stroke/Parkinson certification

Job summary

Jobot is seeking a high-visibility Quality and Risk leader for an inpatient rehab hospital in Modesto, CA. You will own CMS and Joint Commission readiness in an active survey window and lead Stroke and Parkinson’s disease-specific certification work.

You will oversee hospital-wide quality, patient safety, performance improvement, and risk management programs, ensuring regulatory compliance and driving QAPI initiatives within a patient-centered care environment.

Qualifications

• Lead hospital-wide quality, patient safety, and risk management programs.
• Ensure CMS and Joint Commission compliance and readiness.
• Develop and maintain QAPI programs.
• Assess regulatory standards and drive remediation or sustainment plans.

Responsibilities

• Lead hospital-wide quality management, patient safety, performance improvement, and risk management programs
• Ensure CMS guidelines, Joint Commission, accrediting bodies, and hospital policies are followed
• Develop and maintain quality assessment and improvement (QAPI) programs
• Assess compliance with federal/state standards and drive remediation or sustainment plans
• Coordinate survey readiness and on-site coordination with Joint Commission and CMS

Skills

Quality management

Risk management

CMS guidelines

Joint Commission

Leadership

Regulatory compliance

Education

Bachelor’s degree in healthcare

Tools

UDS

ORYX

Press Ganey

Job description

Job Details

Step into a high-visibility quality and risk seat at a inpatient rehab hospital in Modesto—own CMS and Joint Commission readiness in an active survey window, lead Stroke and Parkinson’s disease-specific certification work.

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

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

Job 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

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

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