Director of Quality, Risk & Performance Improvement

South Sound Behavioral Hospital; Lacey (WA); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

401(k) with company match

Medical insurance

Vision insurance

Long-term disability coverage

100% company-paid life insurance up to

Paid time off

Paid holidays

Employee Assistance Program (EAP)

Employee recognition programs

Employee engagement events

On-site cafeteria

Free parking

Job summary

South Sound Behavioral Hospital seeks a Director of Performance Improvement & Risk Management to lead our quality and risk programs in a behavioral health setting. You will partner with executive leadership, medical staff, and quality committees to advance patient safety and regulatory compliance.

The role focuses on developing improvement initiatives, analyzing performance data, and ensuring readiness for Joint Commission, CMS, OSHA, and state surveys while fostering a culture of continuous

Qualifications

• Experience in healthcare quality improvement and risk management required.
• Familiarity with Joint Commission and CMS standards preferred.
• Strong analytical and reporting abilities.

Responsibilities

• Lead and oversee all Performance Improvement and Risk Management activities.
• Develop, implement, and monitor quality improvement initiatives across the organization.
• Analyze performance data and present findings to leadership, the Quality Committee, Medical Executive Committee, and Board.
• Maintain quality metrics, statistical studies, and performance improvement documentation.
• Support regulatory surveys and inspections, including: Joint Commission, CMS, OSHA, and state agencies.
• Manage ORYX and CMS IPF quality data collection and reporting.
• Receive, track, and respond to communications from accrediting and regulatory organizations.
• Promote a culture of patient safety, quality care, and continuous improvement.

Skills

Quality improvement

Regulatory standards

Data analysis

Reporting

Excel

Business writing

WA licensure

Education

Bachelor's degree in Nursing or a healthcare-related field preferred

Job description

South Sound Behavioral Hospital seeks a Director of Performance Improvement & Risk Management to lead our quality and risk programs in a behavioral health setting. You will partner with executive leadership, medical staff, and quality committees to advance patient safety and regulatory compliance.

The role focuses on developing improvement initiatives, analyzing performance data, and ensuring readiness for Joint Commission, CMS, OSHA, and state surveys while fostering a culture of continuous