Insurance Risk Manager Jobs in Athens, GA (NOW HIRING)

Director of Quality & Risk Management (DQM)

Details about the DQM Role:

We are seeking the right candidate as Director of Quality & Risk Management (DQM) to join our new leadership team at Landmark Hospital of Athens. As the Director of Quality, you will work with department leaders to ensure our organization complies with all regulatory requirements and industry standards. Oversee the development and implementation of risk management strategies, policies, and procedures to minimize potential risks and ensure the safety of our patients and staff. Additionally, you will work with department leaders and oversee the quality improvement program, including data analysis, performance improvement initiatives.

The Director of Quality Management is responsible for:

• Developing and implementing patient safety initiatives
• Assuring the success of continuous quality enhancement initiatives.
• Developing a proactive risk management program, and overseeing an effective infection control program.
• Appropriate use of quality tools (root cause analysis, failure mode and effects analysis, statistical process control, and other statistical methods) to guide process improvement
• Help problem-solve and benchmark appropriately to ensure a highly reliable organization

The Quality role assures compliance with regulatory and accreditation standards and ensures they are continually upheld. The Director will be responsible for planning, developing, implementing, administering, evaluating, and continually enhancing policies, procedures, and practices for each functional area. Other duties may be assigned as appropriate.

Great Benefits for full-time employees!

• Medical, Vision, and Dental Health insurance with Aetna
• Paid time off (4+ weeks a year!)
• Disability insurance – Short-term and Long-term policies provided by Landmark, with buy-up options available
• Flexible spending and Health Savings account
• Life insurance – The company paid $25K, and additional voluntary life is available
• Matching 401K
• Tuition reimbursement up to $15K after 1st year of employment)

Minimum Qualifications for Director of Quality and Risk Management

• Bachelors Degree in nursing, or related field .
  • Alternatively, a 2-year Associate degree with 5+ years of relevant experience in Quality, Risk, or Infection Control preferred.
• 3+ years of experience in quality, infection control, or risk management in a healthcare setting preferred.
• Active clinical license (such as RN or RT) - strong preference for Registered Nurse background
• CIHQ IC or CIHQ-HACP-CMS certification or equivalent (or commitment to obtain within 1 year)
• Strong knowledge of regulatory requirements and industry standards.
• Investigation and root-cause analysis experience a plus.
• Excellent leadership, communication, and interpersonal skills.
• Ability to analyze data, identify trends, and implement effective solutions.
• Experience with electronic health records (EHR) and other healthcare technology.

Key Competencies include:

• Deep clinical competency/skills - strong preference for experience within the hospital setting.
• Strong leadership, communication, and interpersonal skills - ability to lead and influence others to achieve strategic objectives and process improvements.
• Ability to analyze data, identify trends, and implement effective solutions in complex situations
• Ability to handle difficult situations in a professional manner
• Experience with electronic health records (EHR) and other healthcare technology.

About us: Landmark Hospitals is a privately owned, critical care hospital system with locations across the Southeastern United States. Landmark Hospitals specializes in providing the highest level of care for medically complex patients who stay with us for an average of 25-30 days. We are proud of the healing that happens here, and it is all made possible by our amazing employees. We offer our employees a collaborative, supportive work environment with competitive benefits and flexibility, found only in a "boutique" hospital setting.

We are committed to being an equal opportunity employer. All qualified applicants will be considered for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran, in accordance with applicable federal, state, and local laws. We maintain a drug-free workplace and perform pre-employment background verification checks.