Director of Quality and Risk Management Full Time Summa Rehab Hospital

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Come grow with Summa Rehab Hospital
, where we manage from the bedside up every day. Join a strong, knowledgeable company that values each employee as an individual. Our expanding organization wants compassionate healthcare professionals like you to help us get our patients back to better.
Summa Rehab Hospital, a joint venture between Summa Health System and Vibra Healthcare, is a state of the art 60-bed rehab facility. Our interdisciplinary team approach is a crucial part of our effective rehabilitation program. Our team of professionals understand a wide variety of multi-faceted, complex disabilities and each member contributes unique services to the rehabilitation process. Our work is devoted to assisting and educating our patients to become more independent, to improve their self-esteem and to improve functional ability. We are looking for dedicated healthcare professionals to help us achieve our vision.
Summa Rehab Hospital is seeking a Director of Quality and Risk Management to join our team!
Full-time; exempt
Position Summary
Responsible for directing quality management efforts to ensure continuous improvement and organizational excellence, adherence with all regulatory, compliance, accreditation, and legal issues, and promote a safe environment for all employees, patients and visitors. Manage risk issues and oversees
the credentialing function for medical staff. Accountable for the development, management and coordination of the hospital-wide Performance Improvement Program designed to improve clinical outcomes and the patient experience. Responsible for maintaining compliance with CMS Conditions of Participation, The Joint Commission standards, COLA/CLIA standards and HIPAA Rules and Regulations. Functions as the Risk Manager for organization as well as the Facility Compliance Officer. Functions as
Safety Officer for the hospital.
Position Supervisory Responsibilities
Supervises the following positions: May include, but is not limited to, health information management,
infection control, staff development, employee health and in-house laboratory testing.
Minimum Qualifications:
Bachelor’s degree required.
An active clinical license in the state of employment is required in one of the following fields: Nursing, Physical Therapy, Occupational Therapy, Speech Language Pathology or Respiratory Therapy.
Minimum three (3) years of work experience or equivalent, in quality/risk management activities required.
Knowledgeable in the principles of performance improvement
Additional Qualifications/Skills:
Master’s degree preferred.
Management experience preferred.
Certified Professional Healthcare Quality (CPHQ) certification preferred.
Possess in-depth knowledge of functions of all hospital departments and quality improvement requirements as outlined by the Joint Commission, the state of employment’s Department of Health and Federal regulatory standards as outlined by CMS.
Experience in interpretation of raw data and comparative analysis, experience in conducting educational in-services, experience in coordinating and supervising accreditation/certification survey activities for the Joint Commission, CMS, State Licensure and demonstrated experience in working effectively with multiple departments on confidential issues in a positive and constructive manner.
Experience in Risk Management systems and experience in working with the public on issues related to satisfaction/complaints required.
Ability to project a professional image.
Knowledge of regulatory standards and compliance requirements.
Strong organizational, prioritizing and analytical skills.
Ability to make independent decisions when circumstances warrant.
Working knowledge of computer and software applications used in job functions.
Freedom from illegal use of and effects of use of drugs and alcohol in the workplace.
At Summa Rehab Hospital, employees are our priority. We are passionate about patient care and consider it a privilege to be able to provide services to patients and their family members in the greater Northeast Ohio area. Below is a brief summary of our benefits.
• Medical coverage with prescription plan
• Dental and Vision coverage
• Work life balance – generous PTO plan
• Life insurance
• Short- and Long-Term Disability
• EAP and AFLAC
• Flex plans
• 401K matching
• PET insurance
• Group legal – provides legal assistance with personal legal matters
• Tuition reimbursement
At Summa Rehab Hospital, our patients are family. Healthcare is constantly evolving; our growing organization is devoted to ensuring that each person in our care feels safe. Our world-class team of driven, passionate healthcare professionals are always focused on service excellence and providing top quality care at the bedside.
If you share our values, we want to hear from you!
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