Director of Quality & Risk Management

Overview

The Director of Quality & Risk Management is a Registered Nurse (RN) Full-Time | 8-Hour Shift | Exempt | $87,048–$115,273 annually This position partners with executive leadership, department leaders, medical staff, and multidisciplinary teams to promote safe, high-quality patient care, mitigate organizational risk, improve clinical outcomes, and maintain continuous regulatory and accreditation readiness.

Responsibilities

The Director of Quality & Risk Management is a Registered Nurse (RN) responsible for leading quality, patient safety, risk management, and accreditation efforts across the organization. Lead quality improvement, patient safety, and risk management initiatives. Ensure compliance with The Joint Commission (TJC), CMS, and other regulatory and accreditation requirements.

Maintain organizational readiness for surveys and accreditation. Develop, implement, and monitor clinical and operational quality standards. Drive performance improvement and accountability across departments. Identify and mitigate clinical and operational risks. Partner with senior leadership and multidisciplinary teams to improve patient outcomes.

Lead staff education related to quality, safety, risk, and regulatory requirements. Foster a culture of continuous improvement, service excellence, and patient safety.

Qualifications

1. Bachelor’s degree in nursing (BSN) required.
2. Master’s degree in nursing, Healthcare Administration, Risk Management, or a related field required.
3. State RN licensure or a License in healthcare field required.
4. Minimum of 5-7 years of clinical nursing experience, with at least 3-5 years in a quality management, risk management, or leadership role.
5. Proven experience with accreditation processes (TJC, CMS, etc.) and regulatory compliance.
6. In-depth experience with risk assessment, incident reporting, and quality improvement strategies.
7. Strong leadership and communication skills, with the ability to effectively collaborate with staff at all levels.
8. Expertise in quality management systems, risk management strategies, and accreditation survey processes.
9. Proficiency in data analysis, using metrics and performance tools to drive improvement.
10. Excellent problem-solving, decision-making, and critical-thinking abilities.
11. Strong understanding of healthcare regulations, including CMS, HIPAA, and state-specific requirements.
12. Certified professional in healthcare quality preferred. #LI Sherman Oaks Hospital is a 153-bed, not-for-profit, acute-care community hospital located in Sherman Oaks, California. Staffed with over 500 employees and an extraordinary team of physicians, the hospital is recognized for advanced technology and compassionate care and provides 24/7 emergency care in addition to a full range of specialized medical, surgical, and diagnostic services to improve and save lives. Sherman Oaks Hospital has been nationally recognized multiple times as a "100 Top Hospital" by Fortune/Merative, holds an "A" grade in patient safety from The Leapfrog Group, Patient Safety Excellence recognition from Healthgrades, and more. For more information, visit www.shermanoakshospital.org . #LI-TA1 Pay Transparency Sherman Oaks Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.

Benefits

may vary based on employment status, i.e. full-time, part-time, per diem or temporary. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $87,048 to $115,273.50 on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws.

The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.

pdf The Director of Quality & Risk Management is a Registered Nurse (RN) responsible for leading quality, patient safety, risk management, and accreditation efforts across the organization. Lead quality improvement, patient safety, and risk management initiatives. Ensure compliance with The Joint Commission (TJC), CMS, and other regulatory and accreditation requirements.

Maintain organizational readiness for surveys and accreditation. Develop, implement, and monitor clinical and operational quality standards. Drive performance improvement and accountability across departments. Identify and mitigate clinical and operational risks. Partner with senior leadership and multidisciplinary teams to improve patient outcomes.

Lead staff education related to quality, safety, risk, and regulatory requirements. Foster a culture of continuous improvement, service excellence, and patient safety.

1. Bachelor’s degree in nursing (BSN) required.
2. Master’s degree in nursing, Healthcare Administration, Risk Management, or a related field required.
3. State RN licensure or a License in healthcare field required.
4. Minimum of 5-7 years of clinical nursing experience, with at least 3-5 years in a quality management, risk management, or leadership role.
5. Proven experience with accreditation processes (TJC, CMS, etc.) and regulatory compliance.
6. In-depth experience with risk assessment, incident reporting, and quality improvement strategies.
7. Strong leadership and communication skills, with the ability to effectively collaborate with staff at all levels.
8. Expertise in quality management systems, risk management strategies, and accreditation survey processes.
9. Proficiency in data analysis, using metrics and performance tools to drive improvement.
10. Excellent problem-solving, decision-making, and critical-thinking abilities.
11. Strong understanding of healthcare regulations, including CMS, HIPAA, and state-specific requirements.
12. Certified professional in healthcare quality preferred. #LI Sherman Oaks Hospital is a 153-bed, not-for-profit, acute-care community hospital located in Sherman Oaks, California. Staffed with over 500 employees and an extraordinary team of physicians, the hospital is recognized for advanced technology and compassionate care and provides 24/7 emergency care in addition to a full range of specialized medical, surgical, and diagnostic services to improve and save lives. Sherman Oaks Hospital has been nationally recognized multiple times as a "100 Top Hospital" by Fortune/Merative, holds an "A" grade in patient safety from The Leapfrog Group, Patient Safety Excellence recognition from Healthgrades, and more. For more information, visit www.shermanoakshospital.org . #LI-TA1