Community Medical Center - Missoula, MT
Quality Risk Management Director
Job Summary
Quality Risk Management Director
We are looking for a Quality Leader to step into the role of Quality Risk Management Director at a 150+ bed acute care teaching hospital in Montana. You will be responsible for the quality and risk management for the hospital, as well as the compliance and process improvement responsibilities under the guide of the Chief Nursing Officer.
You will need a Bachelor’s Degree and licensure in a related field, such as nursing, therapy, pharmacist, dietician, or attorney. You will need at least 3 years of experience with regulatory and accreditation agencies, including CMS and the Joint Commission, as well as the ideal clinical knowledge and experience in process improvement with a focus on patient safety. The ideal candidate would be a registered nurse with a Master’s in a related field, with acute care nursing experience, familiarity with risk and quality management functions, and knowledge in statistical methods and analysis.
community medical center
This hospital is a community and general medicine hospital that offers advanced clinical pharmacy services, provides a wide-range of care services, and serves as a teaching site for the students at the local university’s School of Pharmacy. The hospital hosts 150+ beds with more than 300 physicians and over 35 specialties.
About the town
missoula, mt
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Leapfrog Hospital Safety Scores
community medical center
| Measure | The Hospital’s Score | Worst Performing Hospital | Avg. Performing Hospital | Best Performing Hospital | Data Source | Time Period Covered |
|---|---|---|---|---|---|---|
| Dangerous object left in patient’s body What’s This? | 0.000 | 0.340 | 0.014 | 0.000 | CMS | 07/01/2020 – 06/30/2022 |
| Air or gas bubble in the blood What’s This? | 0.000 | 0.308 | 0.001 | 0.000 | CMS | 07/01/2020 – 06/30/2022 |
| Patient falls and injuries What’s This? | 0.000 | 2.006 | 0.429 | 0.000 | CMS | 07/01/2020 – 06/30/2022 |
| Infection in the blood What’s This? | 0.453 | 3.512 | 0.888 | 0.000 | CMS | 10/01/2021 – 09/30/2022 |
| Infection in the urinary tract What’s This? | 0.000 | 3.026 | 0.735 | 0.000 | CMS | 10/01/2021 – 09/30/2022 |
| Surgical site infection after colon surgery What’s This? | 0.536 | 2.868 | 0.832 | 0.000 | CMS | 10/01/2021 – 09/30/2022 |
| MRSA Infection What’s This? | 0.000 | 3.653 | 0.927 | 0.000 | CMS | 10/01/2021 – 09/30/2022 |
| C. diff. Infection What’s This? | 0.721 | 1.876 | 0.488 | 0.000 | CMS | 10/01/2021 – 09/30/2022 |
| Death from treatable serious complications What’s This? | Not Available | 186.71 | 143.25 | 73.88 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
| Harmful Events What’s This? | 0.93 | 2.70 | 0.98 | 0.50 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
| Dangerous bed sores What’s This? * | 1.34 | 9.62 | 0.59 | 0.01 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
| Collapsed lung What’s This? * | 0.17 | 0.39 | 0.19 | 0.08 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
| Falls causing broken hips What’s This? * | 0.06 | 0.33 | 0.08 | 0.01 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
| Blood Leakage What’s This? * | 2.20 | 4.73 | 2.38 | 1.29 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
| Kidney injury after surgery What’s This? * | 0.84 | 3.06 | 0.92 | 0.27 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
| Serious breathing problem What’s This? * | 3.43 | 46.91 | 6.75 | 1.15 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
| Dangerous blood clot What’s This? * | 3.48 | 7.74 | 3.41 | 1.11 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
| Sepsis infection after surgery What’s This? * | 3.31 | 8.70 | 4.15 | 1.53 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
| Surgical wound splits open What’s This? * | 0.74 | 1.98 | 0.81 | 0.30 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
| Accidental cuts and tears What’s This? * | 0.86 | 3.13 | 1.04 | 0.32 | CMS | 07/01/2019 – 12/31/2019 and 07/01/2020 – 6/30/2021 |
| * 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.
| Measure | The Hospital’s Score | Worst Performing Hospital | Avg. Performing Hospital | Best Performing Hospital | Data Source | Time Period Covered |
|---|---|---|---|---|---|---|
| Doctors order medications through a computer What’s This? | 100 | 15 | 90.58 | 100 | 2023 Leapfrog Hospital Survey | 2023 |
| Safe medication administration What’s This? | 75 | 25 | 92.67 | 100 | 2023 Leapfrog Hospital Survey | 2023 |
| Specially trained doctors care for ICU patients What’s This? | 100 | 5 | 62.31 | 100 | 2023 Leapfrog Hospital Survey | 2023 |
| Effective leadership to prevent errors What’s This? | 120.00 | 64.62 | 117.49 | 120.00 | 2023 Leapfrog Hospital Survey | 2023 |
| Staff work together to prevent errors What’s This? | 120.00 | 0.00 | 116.99 | 120.00 | 2023 Leapfrog Hospital Survey | 2023 |
| Nursing and Bedside Care for Patients What’s This? | 100 | 15.00 | 71.00 | 100.00 | 2023 Leapfrog Hospital Survey | 2023 |
| Handwashing What’s This? | 100 | 15 | 77.32 | 100 | 2023 Leapfrog Hospital Survey | 2023 |
| Communication with nurses What’s This? | 90 | 75 | 89.55 | 97 | CMS | 10/01/2021 – 09/30/2022 |
| Communication with doctors What’s This? | 91 | 76 | 89.45 | 98 | CMS | 10/01/2021 – 09/30/2022 |
| Responsiveness of hospital staff What’s This? | 79 | 60 | 80.97 | 95 | CMS | 10/01/2021 – 09/30/2022 |
| Communication about medicines What’s This? | 76 | 57 | 73.85 | 88 | CMS | 10/01/2021 – 09/30/2022 |
| Communication about discharge What’s This? | 89 | 62 | 84.80 | 95 | CMS | 10/01/2021 – 09/30/2022 |
Hospital Leadership
MEET THE staff
Official job description
community medical center - quality risk management director
This is a full time (Exempt 1.0 Status) day shift Director position in the Quality & Risk Management department.
This is a professional leadership position assuring department performance in quality management functions, risk management functions, medical record review and abstracting functions, software implementation processes, regulatory compliance, medical staff office functions and credentialing functions.
Ensures alignment of services with CMC’s mission, vision, and core values: Champion patient care, Do the right thing, Embrace individuality, Act with kindness, and Make a difference. Everything we do at CMC is driven from and tied to these five core values.
Minimum Requirements:
Education and licensure commiserate with professional field (Nursing, Therapy, Pharmacist, Dietician, Attorney).
Bachelor’s Degree in appropriate discipline.
2-5 years’ experience with regulatory and accrediting agencies including CMS and Joint Commission.
Previous management experience and decision making.
Knowledgeable in computer processing, data entry and management of databases.
Demonstrated ability to collaborate with others and coordinate activities.
Demonstrated problem solving abilities.
Demonstrated qualities of flexibility, creativity, and accountability.
Proven organizational skills demonstrating ability to establish priorities and meet deadlines.
Excellent written and oral communication skills.
Demonstrated ability to work independently.
Previous experience with hospital committees. Must be able to successfully obtain CPPS certification within six months of hire.
Must have the ability to respond to professionally sensitive issues.
Preferred/Desired: Appropriate Master’s Degree related to discipline and/or MBA/Leadership Acute care nursing experience and familiarity with quality and risk management functions preferred. Prefer knowledge in statistical methods and analysis. Prefer Medical Staff Office experience.
Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the responsibilities, assigned with or without notice.
About the Hospital:
CMC is located on a 45-acre campus in Missoula, Montana. Nestled in the Rocky Mountains of western Montana, between Glacier and Yellowstone national parks. Our diverse community serves as western Montana’s hub for education and healthcare and offers the perfect blend of four-season outdoor recreation, small town charm and big city amenities.
COVID-19 Update:
Community Medical Center is hiring top talent, but we also have a mission of Making Communities Healthier, which means keeping our community safe and to reduce the risk of exposure. We have modified our conditions of employment to include COVID-19 vaccination unless a documented medical or religious exemption is approved.
Employees may meet this requirement by providing proof of having been fully vaccinated against COVID-19 with any of the three COVID-19 vaccines (manufactured by Pfizer, Moderna, or Johnson & Johnson). Employees are considered fully vaccinated if they are at least two weeks past their final dose of an authorized COVID-19 vaccine regimen.
This position is subject to Drug and Alcohol Testing according to MT Law 39-2-205-39-2-211.
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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.
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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.
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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.
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