OverviewThe Director of Quality & Risk Management provides strategic leadership and oversight for Duncaster's Quality Assurance and Performance Improvement (QAPI), risk management, regulatory compliance, patient/resident safety, and accreditation programs. This position develops, implements, and evaluates an integrated quality and risk management framework that promotes excellence in resident care and services while ensuring compliance with accreditation, regulatory, life safety, and risk management requirements. The Director partners with teams throughout Duncaster to foster compliance and continuous improvement.
Essential Functions- Leads and oversees Duncaster's QAPI and Continuous Quality Improvement (CQI) programs to drive excellence in resident care, services, and operational performance.
- Develops, monitors, and reports quality and safety metrics, dashboards, benchmarks, and performance indicators; analyze trends and implement corrective actions to improve outcomes.
- Leads campus wide performance improvement initiatives using evidence-based quality methodologies, including Root Cause Analysis (RCA) and Plan-Do-Study-Act (PDSA) processes.
- Directs the Risk Management Program by identifying, assessing, and mitigating clinical, operational, regulatory, and financial risks across all levels of care.
- Investigates adverse events, lead root cause analyses, oversees risk assessments, and implements strategies that promote resident safety, employee safety, and accountability.
- Develops, implements, and monitors quality, risk management, and compliance policies, procedures, and action plans to ensure measurable and sustainable outcomes.
- Maintains organizational compliance with CARF accreditation standards, CMS requirements, state and local regulations, life safety standards, and insurer risk management expectations.
- Leads accreditation and regulatory readiness activities, including surveys, audits, mock reviews, evidence collection, plans of correction, and ongoing monitoring of corrective actions.
- Chairs and coordinates interdisciplinary quality and risk management committees, fostering collaboration and accountability across clinical, operational, and support departments.
- Serves as a strategic advisor to leadership team by presenting quality, risk, compliance, and safety data; recommending improvement initiatives; and supporting organizational decision-making and regulatory excellence.
- Serves as intermediatory between Duncaster and direct care contractors.
- Performs other duties as assigned.
Education and Experience- Bachelor's degree in Nursing, Healthcare Administration, Public Health, Quality Management, or related field is required. Master's degree is preferred.
- 7 years of progressively responsible healthcare quality and/or risk management leadership experience is required.
- Must be able to travel out of state at least twice per year to attend required conferences.
- Demonstrated experience with regulatory surveys, healthcare accreditation, and leading quality improvement initiatives is required.
- CCRC experience is preferred.
- Must be able to speak, read, and write the English language in an understandable manner.
- Must have a strong working knowledge of Microsoft Office applications (e.g., Word, Excel, Outlook, PowerPoint).
HoursFull-time, 1st shift: Monday-Friday, 8:00am - 4:30pm - 40 hours per week
Pay$125,000/annually
What are the benefits?Working in a Life Plan community will bring out the best in you. As a member of our team, you'll have the opportunity to pursue a truly rewarding career path, with multiple exciting benefits, including the following:
- 401(k) with match and profit sharing
- Medical, dental, and vision insurance available the 1st of the month after hire
- Flexible spending accounts
- Short-term and long-term disability
- Employee assistance program
- Paid time off
- Tuition reimbursement
- 10% tuition discount on all degree and certificate programs at Charter Oak
- Free Access to our Aquatic & Fitness Center & to our beautiful walking trails throughout our campus
- Discount employee lunches
- Duncaster Spotlight Employee Recognition Program
- Referral bonuses
- Free parking
- Shoes for Crews - discounted safety shoes for all staff
- Yearly performance increases plus additional bonus opportunities
- Employee Appreciation Events held throughout the year by our own "Funcaster" Committee
