Quality, Risk & Patient Safety Manager

Las Cruces Recovery Center; Las Cruces (NM); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Las Cruces Recovery Center in Las Cruces, NM seeks a qualified Manager of Quality, Risk & Compliance to lead and coordinate quality and performance improvement, regulatory compliance, and client safety across inpatient and outpatient services.

The role ensures programs meet CMS and accreditation standards, drives data-driven improvements, mentors staff, and prepares surveys and reports. On-site leadership supports a culture of clinical excellence and risk reduction.

Qualifications

• Three years’ experience in quality, client safety, regulatory compliance, risk management, survey management, behavioral health, substance use disorder treatment, or related experience required.
• Knowledge and understanding of state/federal regulations, Joint Commission and/or CARF Accreditation.

Responsibilities

• Provides oversight of all facility programs, including inpatient and outpatient services, ensuring alignment with quality, risk management, client safety, and regulatory standards.
• Leads facility-wide quality, risk, and client safety strategy and improvement efforts.
• Directs the QAPI program, including development, implementation, and evaluation; monitors KPIs and ensures governance of data-driven improvement efforts.
• Drives organization-wide performance improvement initiatives through data analysis and system-level process enhancements to improve outcomes.
• Oversees incident reporting, investigations, and risk analyses (RCA/Event Analysis), ensuring timely resolution and prevention of recurrence.
• Maintains compliance with all local, state, federal (CMS), and accreditation standards, ensures ongoing survey readiness, and serves as the primary liaison during regulatory and accreditation surveys, audits, and required reporting activities.
• Partners with Legal, Compliance, and Risk Management on high-risk events, complaints/allegations, investigations, and corrective action planning.
• Supports the development, review, and implementation of facility policies and procedures, ensuring alignment with regulatory requirements and consistent adherence across departments.
• Collaborates with department leaders and Human Resources to support staff accountability and ensure adherence to facility policies and procedures.
• Provides staff training and mentoring to support competency, accountability, and adherence to quality, risk, and safety standards, while fostering a culture of continuous improvement and client safety.
• Conducts leadership rounding, medical record reviews, and monitoring of environment of care, safety, and documentation standards.
• Prepares and maintains required reports and documentation; participates in committees, meetings, audits, and organizational initiatives.
• Supervises Patient Advocate/Coordinator roles, when applicable, through hiring, orienting, performance assessment and management, motivating, training, scheduling, and coaching to meet department and facility goals.
• Supports resolution of client concerns and client rights processes.
• Serves as Patient Safety and Compliance Officer, providing oversight of client safety, risk management, and event reporting processes within organizational governance structures.
• May serve as Chief Healthcare Disparities Officer, leading efforts to identify, analyze, and reduce disparities in care for the populations served.
• May be required to provide onsite coverage for other programs when needed, develops, and executes new programs according to market needs and may provide training, case consultation and Administrator On Call coverage during and after program hours as needed.

Skills

Quality management

Regulatory compliance

Risk management

Client safety

Survey management

Behavioral health

Substance use disorder

Education

Associate degree

Bachelor’s degree preferred

Job description

Las Cruces Recovery Center in Las Cruces, NM seeks a qualified Manager of Quality, Risk & Compliance to lead and coordinate quality and performance improvement, regulatory compliance, and client safety across inpatient and outpatient services.

The role ensures programs meet CMS and accreditation standards, drives data-driven improvements, mentors staff, and prepares surveys and reports. On-site leadership supports a culture of clinical excellence and risk reduction.