Skip to main content
Search Jobs

Recruitment Fraud Notice

Your next career move matters. We invite you to explore open positions at Jackson Purchase Medical Center, which is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® and creating places where employees want to work. Whether you’re an experienced professional or just beginning your career, you’ll find opportunities to use your skills and expertise.

Director of Quality and Risk

Mayfield, Kentucky

Req ID 7428-4601 Post Date Dec. 06, 2024 CategoryManagement and Supervisors FacilityJackson Purchase Medical Center
Apply

We are Jackson Purchase Medical Center

We believe in:

·       Championing Patient Care

·       Doing the Right Thing

·       Embracing Individuality

·       Acting with Kindness

·       Making a Difference Together

We strive to Make Communities Healthier.

We strive to create places where patients choose to come for healthcare, where providers desire to practice, and Team Members want to work.

JPMC has been voted as the Hospital of choice by patients and Team Members four out of the last six years. We invite you to join us and work in an environment where you are appreciated for who you are not just what you can do. Jackson Purchase Medical Center is a 107 all private bed, Joint Commission-accredited facility. From emergent to elective, our facility offers a wide variety of inpatient and outpatient services, including those offered at the New Beginnings Birthing Center, the Advanced Healing Wound Care Center, and our accredited chest pain center.

Where We Are:

Mayfield is located in stunning western Kentucky, just a short drive to Kentucky Lake to the east, the Ohio River to the north, and the Mississippi River to the west. In this region, there is always something for all ages, whether it is outdoor sports and recreation, visual and dramatic arts, or even living history.

Why Choose Us:

·       Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

·       Competitive Paid Time Off / Extended Illness Bank package for full-time employees

·       Employee Assistance Program – mental, physical, and financial wellness assistance

·       Tuition Reimbursement/Assistance for qualified applicants

·       Excellent shift differentials, bonus potential for extra shifts, employee referral program

·       Professional development opportunities including 100% reimbursement for LPN-to-RN bridge program.

·       And much more…


JOB SUMMARY

Directs the activities and resources for the Quality Management department to achieve departmental and organizational objectives. Responsible for the facilities’ risk management activities, which include, but may not be limited to: a general knowledge of facility insurance programs; administering the risk management program on a day-to-day basis; managing and analyzing risk management data, trending, identifying gaps in results or program aspects, identifying opportunities for improvement, preparing reports to communicate data findings and analysis of information; conducting education applicable to risk management and patient safety initiatives; complying with regulatory and accreditation standards; formulating policy to support risk management initiatives and principles; participating in committees to integrate risk management into committee work product; interfacing with the corporate risk management department on claims management; and minimizing loss to protect the assets of the facility. Responsible for reviewing and formulating policy or organizational changes and making recommendations for approval by senior management. This position management and provides oversight for accreditation surveys.

 

Reports to: Chief Nursing Officer

FLSA: Exempt

Grade: 127

EEO: Officials and Managers

 

Minimum Education

Bachelor’s degree in Nursing - Required

Master's degree in Nursing or Business/Healthcare related field - Preferred

Certification in Risk Management through a nationally recognized program meeting industry standards - Preferred

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Computer skills required. Strong understanding of: Process Review; Root Cause Analysis; Department of Health and Joint Commission requirements familiarity.

Basic Life Support (BLS) American Heart Association must be obtained within 90 days of employment, if not current upon hire

License: Current KY or Multi-State RN licensure. CPHQ certification required within 1 year of employment

Minimum Work Experience

·        Five (5) years of healthcare experience as RN and two years’ experience in quality/clinical nursing leadership. - Preferred

·        Five (5) years of experience in healthcare risk management and accreditation. Experience in the insurance industry is supportive to the skill set of the risk manager. - Preferred

·        Three (3) years of experience in direct patient care with some experience in critical care. - Preferred

ESSENTIAL FUNCTIONS

·        Develops and implements departmental goals, plans, and standards consistent with the clinical, administrative, legal, and ethical requirements/objectives of the organization.

·        Directs and evaluates departmental operations, including patient care delivery, information technologies, service level determination, and complaint management, to achieve performance and quality control objectives.

·        Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.

·        Prepares, monitors, and evaluates departmental budgets, and ensures that the department operates incompliance with allocated funding. Coordinates and directs internal/external audits.

·        Creates and fosters an environment that encourages professional growth.

·        Integrates evidence-based practices into operations and clinical protocols.

·        Provides prompt notification to appropriate parties upon receipt of claim or lawsuit. Assist HSC Risk, leadership and external counsel in defense of the claims as instructed.

·        Provides leadership, counsel, and support in areas of Risk Management

·        Escalates significant risk issues with urgency

·        Collaborates with site patient safety/quality improvement and patient experience leadership to respond to patient grievances. Uses decision making ability to analyze and recommend disposition strategies. Oversee and direct occurrence reporting process for site. Ensures timely data entry of reports received. Completes necessary trend analysis of occurrence reports

·        Collects data for risk exposures and provides feedback to the involved departments. Ensure identified risk management strategies are undertaken by affected areas.

·        Develops a safety culture where reporting is encouraged and use of SIM reporting system is monitored, with interventions to address issues as needed.

·        Provide in-service education on risk management topics, both standard basic education and complex focused topics as needed and/or requested

·        Provide statistical analysis for review by appropriate committees as requested.

·        Create and implement new programs to foster a culture of safety and safe environment for patients, visitors, and staff.

·        Coordinate and oversee the development of comprehensive accreditation improvement initiatives to establish compliance with regulatory agencies.

·        Coordinate and ensure the implementation of organization-wide regulatory compliance activities with The Joint Commission, CMS, and other regulatory agencies.

·        Facilitates the development of ongoing readiness action plans, assessments, and educational activities as appropriate.

·        Utilizing the standards and regulations from CMS and TJC, oversees concurrent monitors to determine if staff knowledge and clinical practice meet appropriate standards.

·        Coordinates risk reduction activity in the physical environment as specified within each Environment of Care(EOC) Management Plan.

·        Facilitate the organization’s Regulatory Committee.

·        Participates in interdisciplinary collaboration to measure and assess processes and outcomes, and proactively identify potential solutions with the multidisciplinary team and appropriate service line leaders and directors.

NONESSENTIAL FUNCTIONS

·        Performs other duties as assigned

·        I understand that it is my responsibility to know, understand and adhere to the following: Our Mission and Vision, Code of Conduct, LifePoint Core Values, Professional Appearance Standards

LEADERSHIP CAPABILITIES

·        Effective Staff Management/Cultivate Success in Staff Professional Integrity

·        Lead by Example

·        Maintain Accountability Standards

·        Ability to Understand Financial Functions and Be Fiscally Responsible

·        Strategic Planning and Program Development Skills

·        Adaptable to Growth and Change

·        Communicate Effectively to Build Positive Relationships.


Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
Apply

Explore This Location

Explore This Location

Learn More

In the news

You have no recently viewed jobs

You have no saved jobs

Let’s Connect! Talent Community

From roles that are right for you to new opportunities, we’ll keep you up to date with job openings and more in our newsletter. Already a member? Click here

Interested InSelect a job category from the list of options. Select a location from the list of options. Finally, click “Add” to create your job alert.