02/02/2026
๐๐๐ ๐๐๐๐๐โ๏ธ
๐๐ ๐๐ข๐ซ๐๐๐ญ๐จ๐ซ ๐จ๐ ๐๐ฎ๐๐ฅ๐ข๐ญ๐ฒ, ๐๐ข๐ฌ๐ค ๐๐๐ง๐๐ ๐๐ฆ๐๐ง๐ญ, ๐๐จ๐ฆ๐ฉ๐ฅ๐ข๐๐ง๐๐ & ๐๐ฎ๐ซ๐ฌ๐ข๐ง๐ ๐๐๐ฎ๐๐๐ญ๐ข๐จ๐ง
(Hybrid Administrative & Clinical Leadership Role)
๐๐จ๐ฌ๐ข๐ญ๐ข๐จ๐ง ๐๐ฎ๐ฆ๐ฆ๐๐ซ๐ฒ
The RN Director of Quality, Risk Management, Compliance & Nursing Education is a licensed Registered Nurse responsible for leading and sustaining the organizationโs quality improvement, patient safety, risk management, regulatory compliance, and nursing education programs across hospital, clinic, and long-term care settings.
This is a hybrid administrative and clinical leadership role requiring hands-on nursing support as operationally needed. This position requires independent creation of policies, binders, reports, trackers, and presentations, with advanced Microsoft Word proficiency being an essential job function.
This position reports directly to the Chief Executive Officer.
๐๐ฌ๐ฌ๐๐ง๐ญ๐ข๐๐ฅ ๐๐ฎ๐ญ๐ข๐๐ฌ & ๐๐๐ฌ๐ฉ๐จ๐ง๐ฌ๐ข๐๐ข๐ฅ๐ข๐ญ๐ข๐๐ฌ
๐๐ฎ๐๐ฅ๐ข๐ญ๐ฒ & ๐๐๐ซ๐๐จ๐ซ๐ฆ๐๐ง๐๐ ๐๐ฆ๐ฉ๐ซ๐จ๐ฏ๐๐ฆ๐๐ง๐ญ
**Lead the organizationโs Quality Assurance and Performance Improvement (QAPI) activities
*Identify, track, trend, and report quality indicators and performance improvement opportunities
*Develop, implement, and monitor corrective action plans
*Collaborate with nursing leadership, medical staff, and department leaders to improve patient outcomes and care processes
๐๐ข๐ฌ๐ค ๐๐๐ง๐๐ ๐๐ฆ๐๐ง๐ญ & ๐๐๐ญ๐ข๐๐ง๐ญ ๐๐๐๐๐ญ๐ฒ
*Oversee incident reporting, investigations, root cause analyses, and follow-up actions
*Identify organizational risk trends and implement mitigation strategies
*Coordinate patient safety initiatives and adverse event prevention efforts
*Ensure timely documentation, tracking, and closure of risk-related issues
๐๐จ๐ฆ๐ฉ๐ฅ๐ข๐๐ง๐๐ & ๐๐๐ ๐ฎ๐ฅ๐๐ญ๐จ๐ซ๐ฒ ๐๐ฏ๐๐ซ๐ฌ๐ข๐ ๐ก๐ญ
*Serve as organizational lead for regulatory compliance, including CMS Conditions of Participation, state licensing requirements, and applicable federal and state regulations
*Independently create, maintain, and manage policy and procedure manuals and binders for hospital, clinic, and long-term care services
*Ensure policies are current, properly approved, version-controlled, and survey-ready
*Coordinate survey readiness activities, mock surveys, and regulatory responses
*Lead development, submission, and monitoring of Plans of Correction (POCs)
๐๐ฎ๐ซ๐ฌ๐ข๐ง๐ ๐๐๐ฎ๐๐๐ญ๐ข๐จ๐ง & ๐๐จ๐ฆ๐ฉ๐๐ญ๐๐ง๐๐ฒ ๐๐๐ฏ๐๐ฅ๐จ๐ฉ๐ฆ๐๐ง๐ญ
*Develop and deliver nursing education and training programs tied to quality, risk, and compliance findings
*Educate staff on new and revised policies, regulatory requirements, and identified risk trends
*Coordinate annual competencies, skills validations, and required in-services
*Participate in onboarding and orientation of nursing staff as needed
*Provide real-time coaching and education during clinical shifts when practice gaps are identified
Nursing education is an essential function of this role and is not limited to a separate educator position.
๐๐ฅ๐ข๐ง๐ข๐๐๐ฅ (๐๐ฎ๐ซ๐ฌ๐ข๐ง๐ ) ๐๐๐ฌ๐ฉ๐จ๐ง๐ฌ๐ข๐๐ข๐ฅ๐ข๐ญ๐ข๐๐ฌ
*Perform direct patient care as needed to support operational and staffing needs
*Maintain active clinical competency and licensure
*Serve as a clinical resource to nursing staff and leadership
(This is not a desk-only position.)
๐๐ฌ๐ฌ๐๐ง๐ญ๐ข๐๐ฅ ๐๐๐๐ก๐ง๐จ๐ฅ๐จ๐ ๐ฒ & ๐๐จ๐๐ฎ๐ฆ๐๐ง๐ญ๐๐ญ๐ข๐จ๐ง ๐๐จ๐ฆ๐ฉ๐๐ญ๐๐ง๐๐ฒ (๐๐จ๐ง-๐๐๐ ๐จ๐ญ๐ข๐๐๐ฅ๐)
๐๐๐ฏ๐๐ง๐๐๐ ๐ฉ๐ซ๐จ๐๐ข๐๐ข๐๐ง๐๐ฒ ๐ข๐ง ๐๐ข๐๐ซ๐จ๐ฌ๐จ๐๐ญ ๐๐จ๐ซ๐ ๐ข๐ฌ ๐ซ๐๐ช๐ฎ๐ข๐ซ๐๐ and is an essential function of this position, including the ability to independently:
*Create, format, and edit professional documents
*Build policy manuals and binders
*Use styles, headers/footers, tables, page numbering, tables of contents, and version control
๐๐จ๐ซ๐ค๐ข๐ง๐ ๐ฉ๐ซ๐จ๐๐ข๐๐ข๐๐ง๐๐ฒ ๐ข๐ง:
*Microsoft Excel (basic spreadsheets, trackers, formulas, filters)
*Microsoft PowerPoint (presentations for leadership, staff education, and surveys)
*Ability to manage documentation electronically; reliance on printing and manual paper distribution is not an acceptable primary workflow
**Inability or unwillingness to independently create and manage documents using Microsoft Word is disqualifying for this role.
๐๐จ๐ซ๐ค ๐๐๐ก๐๐๐ฎ๐ฅ๐ & ๐๐ฑ๐ฉ๐๐๐ญ๐๐ญ๐ข๐จ๐ง๐ฌ
*Full-time leadership position
*Expected to work scheduled hours in full unless prior approval is obtained
*Flexibility required based on operational, clinical, and regulatory needs
*Leaving early or modifying work hours requires advance approval
๐๐๐ช๐ฎ๐ข๐ซ๐๐ ๐๐ฎ๐๐ฅ๐ข๐๐ข๐๐๐ญ๐ข๐จ๐ง๐ฌ
*Active, unrestricted Registered Nurse (RN) license in the State of Alabama
Willingness and ability to:
*Perform direct patient care as needed
*Lead quality, risk management, compliance, and nursing education functions
*Accept accountability for regulatory compliance and documentation outcomes
*Demonstrated ability to follow executive direction, meet deadlines, and adapt in a resource-limited environment
*Proficiency in Microsoft Word; basic proficiency in Excel and PowerPoint
Prior leadership, quality, risk, or compliance experience is not required and may be developed through on-the-job training.
๐๐ซ๐๐ข๐ง๐ข๐ง๐ & ๐๐๐ฏ๐๐ฅ๐จ๐ฉ๐ฆ๐๐ง๐ญ ๐๐ฑ๐ฉ๐๐๐ญ๐๐ญ๐ข๐จ๐ง
*This role includes structured onboarding and executive mentorship
*Competency in quality, risk management, compliance, and nursing education functions is expected to develop within defined timeframes
*Failure to demonstrate progress or meet performance expectations may result in corrective action, up to and including termination
๐๐๐๐ก๐ง๐จ๐ฅ๐จ๐ ๐ฒ ๐๐ค๐ข๐ฅ๐ฅ๐ฌ ๐๐ฌ๐ฌ๐๐ฌ๐ฌ๐ฆ๐๐ง๐ญ ๐๐๐ช๐ฎ๐ข๐ซ๐๐ฆ๐๐ง๐ญ
*Final candidates must successfully complete a practical skills assessment in:
*Microsoft Word
*Microsoft Excel
Microsoft PowerPoint
*The assessment evaluates job-related skills essential to the performance of this role
*Employment offers may be contingent upon successful completion of this assessment
๐๐๐๐๐๐ซ๐ฌ๐ก๐ข๐ฉ ๐๐๐๐จ๐ฎ๐ง๐ญ๐๐๐ข๐ฅ๐ข๐ญ๐ฒ ๐๐ญ๐๐ญ๐๐ฆ๐๐ง๐ญ
This position requires professionalism, adaptability, and accountability. Duties are prioritized based on organizational risk, regulatory requirements, and direction from executive leadership. Failure to meet expectations may result in corrective action, up to and including termination.
