Associate VP - Quality & Risk Management

Position Summary: 

Overall responsible for directing, planning, and organizing a multitude of Clinical and Support Service Departments, which includes: Quality, Risk Management, Peer Review, JCAHO, NCQA, Performance Improvement, Outcomes Research, Health Information Management, Infection Control, VA, Patient Relations and any other Departments assigned.  Oversees the HIM Director, VA Liaison Director, Director of Risk Management & Performance Improvement, Accreditation Manager, JCAHO/Outcome Research Coordinator, Peer Review Coordinator, Performance Improvement Coordinator, Infection Control Coordinator and any other related Directors or Managers assigned.  Oversees or prepares division and department budgets, monitors and controls expenditures of allotted funds and operations for cost effectiveness.  Oversees and directs divisional and departmental activities to ensure quality services for both internal and external customers.  Serves as a resource to, and collaborates with others to advance the hospital mission. Facilitates work of the Medical Staff committees and assumes administrative responsibility for Medical Staff peer review activities.  Serves as the Hospital’s Senior Risk Manager and primary resource for expertise on performance improvement principles, priorities and accreditation standards.  Maintains all associated records for these functions and provides regular reports on outcomes to hospital management, the Medical Staff, Governing Board and employees. Serves on a variety of Hospital & Medical Staff Committees, and acts as a physician liaison for hospital.  This position has 7-day-a-week, 24-hour-a-day "bottom line" responsibility for a significant component of the hospital’s operations.  Accountable for financial operations and implementation of hospital (and service line) goals within their area of responsible.  Participates in strategic planning for the hospital and/or service line of which they are a part.

Position Requirements: (Minimum qualifications for the position) 

1. A.         Licensure/Certification/Registration: Licensure required as a Registered Nurse.  Certification in Risk Management by the American Society for Healthcare Risk Management (ASHRM) preferred. Certification in Healthcare Quality by the National Association for Healthcare Quality preferred.


2. Education: Master’s degree in Healthcare field required.


3. C.         Experience: Minimum of 5-10 years relevant health care experience (clinical experience required, infection control experience a plus).


4. D.         Special qualifications: Must be able to successfully complete established competencies for the position within designated probationary period.  Effective management and communication skills; both orally and written.  Ability to effectively present information to top management and public groups.  Ability to define problems collect data, establish facts and draw valid conclusions.


5. E.          Hours of work:  24 hour/7days per week on-call responsibility.