Director of Quality / Risk Ottumwa, IA 52501Full TimeThe
Director of Quality / Risk is responsible for leading and governing the organization's
quality improvement, patient safety, regulatory compliance, and risk management programs across all departments.
This role partners with executive leadership, medical staff, and the Board to ensure
high-quality patient care, regulatory readiness, and continuous performance improvement while minimizing organizational risk and liability.
Reporting Structure- Reports To: Administration / Executive Leadership
- Supervises: Quality Staff and Clinical Educator
Must-Have Requirements- Master's degree in Nursing or related healthcare field
- Active RN (Registered Nurse) license (Iowa or eligible)
- Minimum 5+ years of leadership/management experience in:
- Quality Improvement
- Risk Management
- Nursing / Healthcare Operations
Key ResponsibilitiesQuality / Performance Improvement / Accreditation- Lead organization-wide Quality & Performance Improvement programs
- Serve as Patient Safety Officer
- Drive regulatory compliance and accreditation readiness (Joint Commission, CMS, etc.)
- Lead external audits, surveys, and mock inspections
- Develop and present quality metrics and performance reports
- Oversee infection prevention and control programs
- Manage incident reporting systems and quality data analytics
- Conduct Root Cause Analysis (RCA) and performance improvement initiatives
- Collaborate with leadership to improve patient outcomes and care quality
Risk Management- Lead enterprise risk management strategy and execution
- Identify, analyze, and mitigate clinical and operational risks
- Oversee incident investigations, claims management, and liability exposure
- Develop and maintain Risk Management Plan and annual reports
- Ensure compliance with state, federal, and regulatory requirements
- Manage patient complaints, grievance handling, and service recovery
- Support legal processes including claims, litigation, and documentation
- Conduct FMEA, RCA, and Sentinel Event investigations
Leadership & Collaboration- Engage with medical staff, leadership teams, and Board of Directors
- Lead quality committees and cross-functional initiatives
- Mentor and develop staff within quality and risk functions
- Promote a strong culture of safety and continuous improvement
Preferred Qualifications- Certification in Patient Safety (CPPS) (required within 1 year of hire)
- CPHQ (Certified Professional in Healthcare Quality) preferred
- Experience in Joint Commission and CMS regulations
- Experience in hospital or acute care environment
Core Skills- Healthcare Quality & Performance Improvement
- Risk Management & Patient Safety
- Regulatory Compliance (CMS, Joint Commission, OSHA, etc.)
- Root Cause Analysis (RCA), FMEA
- Data Analysis & Reporting
- Leadership & Stakeholder Management
- Clinical Operations Knowledge
Knowledge, Skills & Abilities- Strong understanding of healthcare regulations and accreditation standards
- Excellent communication, leadership, and presentation skills
- Ability to lead organization-wide quality and risk initiatives
- Strong analytical and problem-solving capabilities
- High level of confidentiality and compliance awareness
Education & Certifications- Master's degree (required)
- RN License (required)
- CPPS (within 1 year)
- CPHQ (preferred)
Additional Information- Leadership role with direct impact on patient safety and care quality
- High visibility with executive leadership and Board
- Focus on continuous improvement and regulatory excellence
Recruiter Submission Template:Full Name:
Degree Major with University and Completion Year:
Does the candidate have an active RN license? Which state?
Does the candidate hold a Master's degree in Nursing or related field?
How many years of leadership experience in quality/risk management?
Describe the candidate's experience with Joint Commission / CMS compliance.
Has the candidate led quality improvement programs? Provide examples.
Does the candidate have experience in risk management and claims handling?
Has the candidate conducted RCA, FMEA, or Sentinel Event investigations?
What certifications does the candidate hold (CPPS, CPHQ)?
Why is the candidate seeking a new opportunity?
Motivation / Reason for Relocation (if not local):
Motivation / Reason for interest in this position:
Contact Number:
Email ID:
LinkedIn Profile URL:
Full Address (Street, City, State, Zip Code):
Notice Period (in weeks):
Current Work Authorization Status:
Expected Salary:
Are you able to relocate on your own expenses and work 100% ON-SITE in Ottumwa, IA 52501?