Director of PI, Risk & Patient Advocate

Join Our Team as Director of Performance Improvement & Risk Management

Are you passionate about healthcare quality, patient safety, regulatory compliance, and driving organizational excellence? South Sound Behavioral Hospital is seeking a dynamic Director of Performance Improvement & Risk Management to lead our quality and risk initiatives and help shape the future of behavioral healthcare in our community.

In this leadership role, you will oversee the hospital's Performance Improvement and Risk Management programs, collaborating closely with executive leadership, medical staff, and quality committees to ensure exceptional clinical outcomes, regulatory compliance, and continuous organizational improvement.

• Lead and oversee all Performance Improvement and Risk Management activities
• Develop, implement, and monitor quality improvement initiatives across the organization
• Analyze performance data and present findings to leadership, the Quality Committee, Medical Executive Committee, and Board
• Maintain quality metrics, statistical studies, and performance improvement documentation
• Support regulatory surveys and inspections, including:
  • The Joint Commission
  • CMS
  • OSHA
  • State regulatory agencies
• Manage ORYX and CMS IPF quality data collection and reporting
• Receive, track, and respond to communications from accrediting and regulatory organizations
• Promote a culture of patient safety, quality care, and continuous improvement

• Bachelor's degree in Nursing or a healthcare-related field preferred

• 2-3 years of experience in healthcare quality improvement, risk management, or related functions
• Behavioral health experience strongly preferred

• Knowledge of quality improvement methodologies and regulatory standards
• Experience with Joint Commission and CMS requirements
• Strong analytical and reporting skills
• Proficiency with Microsoft Excel and business writing
• Washington State nursing or mental health-related licensure preferred

We value our team members and offer a comprehensive benefits package including:

• 401(k) with company match
• Medical insurance
• Vision insurance
• Long-term disability coverage
• 100% company-paid life insurance up to 2x annual salary
• Paid time off
• Paid holidays
• Employee Assistance Program (EAP)
• Employee recognition programs
• Employee engagement events
• On-site cafeteria
• Free parking

South Sound Behavioral Hospital is a 138-bed behavioral health facility dedicated to providing exceptional mental health and substance use disorder treatment services. Located in Lacey, Washington, our state-of-the-art facility combines innovative care with a compassionate, patient-centered approach.

Our multidisciplinary team of psychiatrists, nurses, therapists, technicians, and healthcare professionals is committed to delivering outstanding care while fostering a supportive environment for healing and recovery.

If you're looking for an opportunity to make a meaningful impact while advancing quality, safety, and excellence in behavioral healthcare, we'd love to hear from you.