Job: Director of Quality & Risk Management - HOSP Performance Improvement

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Job Description

Gunnison Valley Hospital

HOSP Performance Improvement

Full Time

Day Shift


Job Details:
  • CPR or BLS (Basic Life Support)

    Serves as a resource person to the hospital for the clinical Performance Improvement program. Supports required education and training related to the hospital's clinical Performance Improvement Plan. Manages, monitors and reports clinical performance improvement activities. Works with the Executive Team, Department Managers and Medical Staff leadership to identify, focus, and support clinical improvement efforts.

    Facilitates clinical accreditation and certification activities including working continuously on compliance with Clinical Standards and educating stake holders on intent and compliance with Standards. Works with the CEO and CNO to organize and lead Committees and Teams designed to facilitate accreditation activities. Prepares organizational responses to survey findings in collaboration with the CEO and CNO.

    Provides support to the Chief Executive Officer and Chief Nursing Officer in facilitating clinical performance improvement, quality management, and risk management programs, including data abstraction, data entry and data analysis. It is desirable for this position to be involved in multidisciplinary process improvement teams and activities.

    Education: Bachelor's degree required, preferably in a Healthcare field.

    Experience: Ability to maintain high standards of confidentiality with highly sensitive information. Clinical experience in a hospital or healthcare setting is preferred. Ability to work effectively under stress of meeting deadlines and responding to change. Abilities must include a high degree of accuracy, attention to detail, and organization skills. Ability to relate well with department directors, hospital staff, physicians, outside agency staff, and community members. Proficient in word processing, spreadsheet creation, graphing, and data input, specifically with MS Word, PowerPoint, Excel, and Access computer programs. Ability to learn and navigate other software programs such as CPSI, QMS Cart and Risk/PlusWeb. Requirements are representative of minimum levels of knowledge, skills, and/or ability.

    Licenses/Certification: Maintenance of current CPR or BLS. CPHQ preferred.


All offers of employment are contingent upon the successful completion of a negative 10 panel drug screen test*, criminal background check, reference checks, infection prevention procedures (TB test, Flu Shot, immunization records, etc.), physical capacity profile and acknowledgement of policies.

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