Job Description

The Director, Risk Management oversees the development and implementation of risk management programs to ensure the safety, health, and well-being of patients, visitors, and staff. This role is responsible for identifying and evaluating risk, coordinating corrective actions, and educating staff on safe practices to foster a culture of safety across the facility. The Director works closely with hospital administration, department leaders, and legal counsel to manage risk-related issues, regulatory compliance, and patient safety initiatives.

Essential Functions

• Directs and manages the facility’s risk management program, identifying and evaluating risks associated with patient care and service delivery.
• Develops, implements, and updates policies and procedures to promote a safe environment and comply with regulatory requirements.
• Leads patient safety initiatives, including root cause analyses, Failure Modes and Effects Analysis (FMEA), and other quality improvement efforts.
• Provides education and guidance to departments on risk management practices, incident reporting, and corrective actions to mitigate risk.
• Manages claims and litigation processes, coordinating with legal counsel and maintaining detailed documentation.
• Develops and presents reports to administration, Governing Board, and relevant committees regarding real and potential risk issues.
• Ensures accurate management and review of occurrence reporting systems, analyzing data to identify trends and implement improvement strategies.
• Oversees departmental budget and resources, maintaining fiscal accountability and aligning goals with the hospital's mission and objectives.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Leadership Responsibilities

• Supervision and Staff Management
  • Provides leadership, mentorship and professional development opportunities for departmental staff.
  • Schedules employees to ensure effective use of resources. Consults with leadership on any potential staffing issues.
  • Conducts performance evaluations, sets goals and provides feedback to staff on their performance and development.
• Strategic Planning and Financial Oversight
  • Collaborates with hospital leadership to set the strategic direction for the department, including budgeting, resource allocation and long-term planning.
  • Monitors expenditures, ensuring cost-effective delivery of services.
  • Evaluates and implements new technologies to enhance operational efficiency.
  • Develops and implements departmental policies and procedures and protocols to optimize quality and overall efficiencies.
• Quality Assurance and Regulatory Compliance
  • Ensures compliance with all relevant regulatory bodies. May oversee the accreditation process with relevant agencies ensuring that services meet or exceed industry standards.
  • Participates in audits, inspections and accreditation processes as applicable.
  • Follows established quality control practices to ensure accuracy, consistency and safety.
• Collaboration and Communication
  • Works closely with leadership teams to coordinate and improve service delivery.
  • Stays up-to-date with industry advancements, new technologies, and regulatory changes.
• Staff Responsibilities
  • May work in a staff role, when required. Ensures that duties and responsibilities are fulfilled while meeting all competencies established for that job.

Qualifications

• Bachelor's Degree in relevant field required or
• Seven (7) plus years of direct experience in lieu of a Bachelor's degree required
• Master's Degree preferred
• 3-5 years of experience in closely related field with Bachelor's degree required
• 3-5 years of previous leadership experience preferred

Knowledge, Skills and Abilities

• Strong leadership, organizational, and communication skills.
• Ability to collaborate with interdisciplinary teams and manage cross-functional relationships.
• Foster a positive work environment that promotes teamwork, professionalism, and continuous improvement.
• Communicate effectively with leadership, team members, and stakeholders.
• Ability to work effectively with others, delegate responsibilities, and independently manage tasks while meeting established deadlines.
• Problem-solving and critical thinking skills.
• In depth knowledge of industry best practices and regulatory compliance (if applicable).
• Strong organizational and time management skills.
• Proficiency with Google and Microsoft platforms, healthcare software systems, and data analysis tools. 

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred
• CPHRM - Certified Professional in Healthcare Risk Management preferred