Central Carolina Hospital - Sanford, NC

Director of Quality, risk management, and patient safety

Job Summary

Director of Quality, risk management, and patient safety

We are looking for a registered nurse to step into the role of Director of Quality, Risk Management, and Patient Safety at a 130+ bed acute care hospital in North Carolina. You will be managing multiple departments and reporting directly to the Chief Executive Officer.

You will be required to have your North Carolina RN license, as well as a Bachelor’s Degree in Nursing and at least five years of experience in integrated case management, quality management, change management, or outcomes management. An ideal candidate will also have a Master’s degree in a health related field, community hospital experience, and a CPPS or CPHQ certification.

Central carolina hospital

This hospital offers an impressive degree of medical expertise, usually found only in larger cities. It is associated with a larger renowned academic health system. The many departments offer a wide range of specialties; including but not limited to cardiology, general surgery, obstetrics, gynecology, hematology, urology, emergency medicine, and pulmonary medicine and wound care. 

About the town

sanford, nc


Public Schools




Good for Familes




Cost of Living


Outdoor Activities


Crime & Safety








Health & Fitness



Leapfrog Hospital Safety Scores

central carolina hospital

MeasureThe Hospital’s ScoreWorst Performing HospitalAvg. Performing HospitalBest Performing HospitalData SourceTime Period Covered
Dangerous object left in patient’s body What’s This?0.0000.3520.0150.000CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021
Air or gas bubble in the blood What’s This?0.0000.3580.0010.000CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021
Patient falls and injuries What’s This?0.5392.2290.4370.000CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021
Infection in the blood What’s This?0.7054.4621.0770.0002022 Leapfrog Hospital Survey07/01/2021 – 06/30/2022
Infection in the urinary tract What’s This?0.0003.5160.8620.0002022 Leapfrog Hospital Survey07/01/2021 – 06/30/2022
Surgical site infection after colon surgery What’s This?Not Available3.1170.8220.0002022 Leapfrog Hospital Survey07/01/2021 – 06/30/2022
MRSA Infection What’s This?Not Available3.9181.0950.0002022 Leapfrog Hospital Survey07/01/2021 – 06/30/2022
C. diff. Infection What’s This?0.3632.0660.4890.0002022 Leapfrog Hospital Survey07/01/2021 – 06/30/2022
Death from treatable serious complications What’s This?Not Available186.71143.2373.88CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021
Harmful Events What’s This?1.192.700.980.50CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021
      Dangerous bed sores What’s This? *1.189.620.590.01CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021
      Collapsed lung What’s This? *0.180.390.190.08CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021
      Falls causing broken hips What’s This? *0.070.330.080.01CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021
      Blood Leakage What’s This? *2.304.732.381.29CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021
      Kidney injury after surgery What’s This? * – 12/31/2019 and 07/01/2020 – 06/30/2021
      Serious breathing problem What’s This? *8.8246.916.731.15CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021
      Dangerous blood clot What’s This? *3.547.743.401.11CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021
      Sepsis infection after surgery What’s This? *5.288.704.151.53CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021
      Surgical wound splits open What’s This? *0.761.980.810.30CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021
      Accidental cuts and tears What’s This? *0.953.131.040.32CMS07/01/2019 – 12/31/2019 and 07/01/2020 – 06/30/2021
* This measure is a part of the Harmful Events Composite and is not used for scoring.

Process measures include the management structures and procedures a hospital has in place to protect patients from errors, accidents, and injuries.

MeasureThe Hospital’s ScoreWorst Performing HospitalAvg. Performing HospitalBest Performing HospitalData SourceTime Period Covered
Doctors order medications through a computer What’s This?701591.771002022 Leapfrog Hospital Survey2022
Safe medication administration What’s This?752591.221002022 Leapfrog Hospital Survey2022
Specially trained doctors care for ICU patients What’s This?50567.471002022 Leapfrog Hospital Survey2022
Effective leadership to prevent errors What’s This?120.009.23116.86120.002022 Leapfrog Hospital Survey2022
Staff work together to prevent errors What’s This?120.000.00115.87120.002022 Leapfrog Hospital Survey2022
Enough qualified nurses What’s This?100.000.0098.13100.002022 Leapfrog Hospital Survey2022
Handwashing What’s This?1001571.641002022 Leapfrog Hospital Survey2022
Communication with nurses What’s This?887589.8197CMS04/01/2021 – 03/31/2022
Communication with doctors What’s This?897689.7097CMS04/01/2021 – 03/31/2022
Responsiveness of hospital staff What’s This?795881.3094CMS04/01/2021 – 03/31/2022
Communication about medicines What’s This?784874.2187CMS04/01/2021 – 03/31/2022
Communication about discharge What’s This?836185.0795CMS04/01/2021 – 03/31/2022

Hospital Leadership

MEET THE staff

Brandon Rivera

Human Resources Director

Karen Straub

Wellness Prevention Team RN

Official job description

central carolina hospital - Director of Quality, Risk Management, and Patient Safety

Facilitates and coordinates hospital wide quality management programs to ensure compliance with Joint Commission and other regulatory requirements. Facilitates compliance with core measures. Facilitates Hospital Patient Safety/Quality Council meetings. Prepares and presents quality reports for Medical Executive Committee and Hospital Governing Board. Facilitates hospital risk management activities to include root cause analysis as required. Responsible for hospital complaint and grievance process. Manages hospital occurrence reporting process. Prepares and presents complaint and occurrence analysis reports for Hospital Quality Council, Medical Executive Committee and Governing Board. Coordinates Medical Staff Peer Review process. Develops and manages the department budget.

Required: RN, BSN, Minimum of 5 year experience in integrated case management, quality management, change management, or outcomes management. 

Desired: Master’s degree in a health related field is preferred, Community hospital experience preferred, CPPS and/or CPHQ desirable

Like what you've seen?

Would you like to
proceed with presentation?


Most frequent questions and answers

Yes. All of our open positions come with some sort of relocation allowance to help with the expenses of relocating. 

Yes. We will prep you for every interview you take. We know what our clients are looking for, so we will let you know what to expect and what experiences and accomplishments you should be sure to communicate to them in an interview.

Yes. If you connect us with another Infection Prevention professional that is interested in this position, and ultimately gets hired – we will send you a $500 referral bonus. 

Of course. We work to get you the highest possibly financial package – and communicate our progress throughout the process. We are financially incentivized to get you the most lucrative offer possible. 

Absolutely. We will review your resume before we submit it to the client to make sure it communicates everything it needs to.

First, everything we offer to our candidates is completely FREE. 

We operate as advisors and consultants for your Infection Prevention career. We’ve recruited in this industry for a long time and understand the profession as well as anyone.

If you decide you’d like us to represent you and apply for a position, the first thing our team will do is examine your resumé closely. We will fix up your resumé to ensure it communicates exactly what our client is looking for – demonstrating not only what you’ve been responsible for in previous Infection Prevention positions, but also how effective you’ve been in those roles. 

We have direct access to the hiring managers in the positions we search on which allows us to present your resumé directly to them, knowing exactly what they want to see in a candidate. We will keep you in the loop when this happens and what their initial feedback is. No more waiting in the dark hoping to hear back from HR.

Because of our relationships with the hiring manager, we have the ability to make a case for them to speak with you. It also allows us to get quick, honest feedback following each interview you have. And we will provide that feedback to you, good or bad.

In addition to preparing your resumé and presenting directly to the hiring manager, we also will prep you for each and every interview. Again, we know what our clients are looking for, so we will let you know what to expect and what experiences and accomplishments you should be sure to communicate to them in an interview.

In terms of the interview process, we’ll work with you and the client to get those scheduled during a time that makes sense for you.

Perhaps the most beneficial piece of being represented by Clutch Recruitment is that we’ll negotiate an offer for you – securing the highest possible offer the client can make. Don’t worry about your salary demands rubbing your future employer the wrong way;  we do all of that for you, ensuring a completely fair offer, without the awkwardness that potentially comes with it. We are financially incentivized to get you the highest possible offer, and we will ensure that happens.

Once you accept an offer, our work doesn’t stop. We’ll be there to talk you through your resignation and prepare you for how to handle a counter offer, along with all other complications that may arise. 

We have a large in house sourcing team that collects information from various databases online including LinkedIn, certification boards, and professional associations. 

our team

meet our recruitment team

Scroll to Top