Position SummaryNorthern Cochise Community Hospital is seeking a
Quality & Risk Manager (QRM) to lead and oversee the organization's quality and risk management program. This role is responsible for ensuring regulatory compliance, promoting patient safety, and advancing performance improvement initiatives across a rural Critical Access Hospital setting.
This Position is an onsite Full-Time positionThe QRM plays a key role in driving quality outcomes, managing risk, supporting survey readiness, and fostering a culture of patient-centered, evidence-based care.
Key Responsibilities Quality & Performance Improvement - Direct and maintain the hospital's Quality Assurance Performance Improvement (QAPI) program
- Lead quality initiatives and ensure compliance with Centers for Medicare & Medicaid Services (CMS) and regulatory requirements
- Conduct chart reviews and track performance improvement efforts
- Provide education and support to staff on best practices and quality standards
Risk Management - Analyze and report risk events, claims, and potential liabilities
- Oversee incident reporting and corrective action processes
- Collaborate with leadership on risk mitigation strategies
- Provide staff training on risk prevention and regulatory standards
Regulatory Compliance & Survey Readiness - Ensure compliance with state and federal healthcare regulations
- Coordinate readiness for licensure surveys and audits
• Collaborate with leadership on plans of correction and regulatory updates
Preferred Qualifications - Master's Degree (MSN or Healthcare Administration)
- Certified Professional in Healthcare Quality (CPHQ) within 1 year of hire
- Quality/ risk management experience in a healthcare setting
Key Skills & Abilities - Strong leadership, communication, and organizational skills
- Knowledge of healthcare regulations, accreditation, and compliance standards
- Ability to lead performance improvement initiatives and manage change
- Critical thinking, problem-solving, and decision-making abilities
- Ability to maintain confidentiality and professionalism at all times
Why Join NCCH? - Make a direct impact on patient safety and quality of care
- Collaborate with a dedicated, mission-driven team
- Serve a close-knit rural community
- Opportunity to lead system-wide quality initiatives
