Director of Quality Assurance and Risk Management
Job Description
Job Description
Director of Quality Assurance and Risk Management
The Sanctuary | Cullman, Alabama
Job Type: Full-Time
Schedule: Monday through Friday, with weekends and after-hours as organizational needs require.
Reports To: Chief Executive Officer / Director of Nursing
About The Sanctuary
The Sanctuary is a 40-bed inpatient psychiatric hospital expanding to 46 beds, providing compassionate behavioral health services to adult and geriatric patients.
We are seeking an experienced, detail-oriented, and proactive Director of Quality Assurance and Risk Management to join our leadership team. This individual will play a critical role in promoting patient safety, maintaining regulatory compliance, strengthening clinical quality, and driving continuous organizational improvement.
Position Overview
The Director is responsible for overseeing the facility's Quality Assurance and Performance Improvement (QAPI), Risk Management, Patient Safety, and Regulatory Compliance programs.
The ideal candidate is a hands-on leader who can identify organizational risks, conduct investigations, analyze performance data, implement corrective actions, and collaborate with department leaders to ensure safe, high-quality patient care.
Key Responsibilities
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Lead and oversee the facility's QAPI and Risk Management programs.
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Maintain ongoing survey readiness and monitor compliance with CMS, Alabama Department of Public Health, and applicable regulatory requirements.
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Oversee incident reporting, investigations, root cause analyses, and corrective action plans.
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Conduct clinical documentation audits, quality reviews, and patient safety assessments.
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Identify trends in patient safety events, clinical outcomes, and organizational performance.
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Coordinate regulatory surveys, inspections, reporting, and plans of correction.
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Develop and present quality and risk management reports to executive leadership.
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Collaborate with Nursing, Medical Staff, Infection Prevention, Clinical Services, and other departments to improve patient outcomes.
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Provide staff education and promote a culture of safety, accountability, and continuous improvement.
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Ensure identified deficiencies are addressed and corrective actions are monitored for sustained effectiveness.
Qualifications
Required:
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Minimum three years of progressively responsible healthcare experience, including at least two years in quality assurance, risk management, regulatory compliance, patient safety, or performance improvement.
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Strong organizational, analytical, communication, and problem-solving skills.
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Ability to conduct investigations, analyze data, and manage multiple priorities.
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Knowledge of healthcare regulatory requirements, patient safety practices, and quality improvement processes.
Preferred:
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Bachelor's degree in Nursing, Healthcare Administration, Public Health, or a related field.
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Current RN license.
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Inpatient psychiatric or behavioral health experience.
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Previous leadership or program management experience.
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Experience with CMS surveys, incident investigations, corrective action planning, and QAPI programs.
What We're Looking For
We are looking for someone who is not only knowledgeable about regulations but also understands how to translate those requirements into daily practice.
The successful candidate will be visible throughout the facility, proactive in identifying concerns, comfortable holding others accountable, and committed to building systems that improve patient safety and organizational performance.
Join Our Team
At The Sanctuary, our mission is to create a place where every person feels seen, respected, understood, and supported; providing compassionate mental health care that inspires hope, promotes healing, and restores purpose.
If you are passionate about behavioral health, patient safety, and making a meaningful impact through leadership, we encourage you to apply.
The Sanctuary is an equal opportunity employer.