Director, Quality & Risk Management in East Los Angeles, CA at East Los Angeles Doctors Hospital

Date Posted: 1/13/2022

Job Snapshot

Job Description

Job Title: Director, Quality & Risk Management

Job Summary: 

The Quality Improvement Director/Risk Manager is responsible for administering and managing the facility’s quality improvement and risk management programs.

Essential Job Duties: 

  • Develops and implements the organization’s quality improvement plan in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards

  • Develops and implements systems, policies, and procedures for the identification, collection, and analysis of performance measurement data

  • Collects and summarizes performance data, identifies opportunities for improvement, and presents findings as needed

  • Develops and maintains the Risk Management Program.

  • Updates and maintains risk reporting and risk management system including sentinel and critical event reporting and follow-up.

  • Responsible for determining proactive methodologies to continue a culture of patient safety and risk reduction within the organization

  • Reports to administration, medical staff and board on important medical/legal issues.

  • Actively participates on, or facilitates committees such as: Quality Improvement, Utilization Management, Patient Safety, and Risk Management

Leadership Functions: 

  • Effectively manage financial resources within the area(s) of responsibility including labor management, productivity, supplies, and other resources.

  • Ensures optimal provision of services through sound personnel management.

  • Demonstrates leadership skills including the ability to plan, prioritize, organize, analyze, execute on multiple tasks and in collaboration with other hospital departments, providing direction and setting expectations consistent with the goals of the organization.

  • Demonstrates behaviors commensurate with the Vision, Mission and Values and Behavioral Standards of the organization.


  • Effective written and verbal communication skills; able to communicate with various individuals both inside and outside the organization; and able to understand and create reports/presentations/proposals.

  • Possesses strong leadership skills including the willingness to pursue roles with increasing levels of accountability, coaching, teaching, inspiring, forging alliances, and collaborating to negotiate resolution to issues.

  • Ability to work under stressful situations.

  • Proficient with computer systems including but not limited to MS Office.

Job Requirements


  • Bachelors Degree in Healthcare Management or Business Administration preferred.

  • Prefer At least 3 years of management experience with a focus on quality improvement leadership required.
  • Previous experience with Joint Commission Standards and Regulatory Compliance of Other Agencies
  • Experience in Risk Management and Health Care Compliance Principles preferred.


  • Certified Professional in Healthcare Quality - Preferred

  • Certified Professional in Healthcare Risk Management - Preferred

ADA/Physical Demands:

  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed are representative of the knowledge, skill, and/or ability required.  Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Such accommodations must be requested by the employee/applicant in order to be considered.

  • Required to stand; walk; sit; use hands to fingers, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl; talk and hear; and may taste and smell.  The employee is regularly required to lift, push and/or pull weights in excess of 10 pounds, with assistance. Visual abilities, auditory abilities, must be intact to perform duties.