VIP Assistant Director, Quality, Risk, & Compliance | Outpatient Imaging| Vanderbilt Imaging Services

Discover Vanderbilt Health: With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.

Organization:

VIS Clinical Management

Job Summary:

The Assistant Director of Quality, Risk, and Compliance for Radiology Services is responsible for planning, implementing, and overseeing quality improvement, patient safety, risk management, and regulatory compliance initiatives for Vanderbilt Imaging Services. This role ensures alignment with VUMC-wide standards while addressing the unique clinical, operational, and regulatory needs of outpatient radiology services, including imaging modalities, interventional procedures, and outpatient diagnostic centers.

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KEY RESPONSIBILITIES

• Develops and maintains a Radiology-specific Quality Management Program aligned with Vanderbilt Imaging Services and hospital-wide goals and regulatory standards (CMS, ACR, etc.).
• Leads performance improvement initiatives using data-driven methodologies (e.g., Lean, Six Sigma) to enhance patient outcomes, workflow efficiency, and service delivery.
• Collaborates with radiologists, technologists, and administrative staff to identify and address quality gaps.
• Leads and coordinates VIS Quality Committee
• Maintains readiness for inspections and accreditation by ACR, CMS, and state agencies. Pro-actively manages calendar of inspection cycles.
• Coordinates documentation, policy updates, and staff training to meet regulatory requirements.
• Serves as a liaison with VUMC and VUH Radiology compliance and quality departments to ensure radiology-specific standards are met.
• Oversees incident reporting, root cause analyses, and risk mitigation strategies specific to radiology (e.g., contrast reactions, radiation safety, procedural complications).
• Ensures compliance with radiation safety protocols and collaborates with the Radiation Safety Officer.
• Monitors and trends adverse events and near misses, facilitating corrective actions and education.
• Responds to Veritas reports related to Quality, Risk and Compliance issues
• Develops and delivers training programs on quality, safety, and compliance topics tailored to radiology staff.
• Promotes a culture of safety and continuous improvement through engagement and recognition programs.
• Utilizes hospital systems (e.g., Veritas, Epic, PACS) to collect, analyze, and report quality metrics.
• Prepares dashboards and reports for Radiology Leadership, Quality & Compliance Committees, and Executive Teams.
• Prepares monthly reports for VHS
• Works closely with the Director of Radiology Services, Medical Director, Vanderbilt Imaging Services teams, and hospital quality leadership.
• Participates in strategic planning and contributes to departmental goals related to quality and compliance.
• Represents Radiology in hospital-wide quality and compliance meetings.

Allied health is among the fastest growing occupations in healthcare today. This area can be defined as credentialed professionals who perform supportive, diagnostic, and therapeutic health care services to promote health and prevent disease in a variety of settings.

These areas are crucial to Vanderbilt Health’s reputation for excellence in these areas that has made us a major center for patient referrals from throughout the Mid-South.

Each year, people throughout Tennessee and the southeast choose Vanderbilt Health for their health care because of our leadership in medical science and our dedication to treating patients with dignity and compassion.

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Core Accountabilities:

* Organizational Impact: Establishes key tactical and operational plans of a sub-function or multiple departments that has longer-term effect on results of the sub-function. * Problem Solving/ Complexity of work: Integrate knowledge and in-depth analysis from several areas to resolve complex problems that are both technical and operational. * Breadth of Knowledge: Applies comprehensive knowledge of professional/technical area and broad management knowledge of other professional areas to carry out objectives. * Team Interaction: Leads multiple departments with a function.

Core Capabilities :

Supporting Colleagues: - Develops Self and Others: Acts upon constructive feedback from all levels of the organization and initiates strategies to develop talent in others. - Builds and Maintains Relationships: Leverages relationships and insight to forecast potential future needs and influence delivery of work to exceed expectations. - Communicates Effectively: Anticipates difference audience concerns, styles and finds mutually beneficial solutions across conflicting and sensitive issues. Delivering Excellent Services: - Serves Others with Compassion: Demonstrates in-depth knowledge of broad-based issues and considers the interests of others to improve satisfaction of services. - Solves Complex Problems: Critically evaluates complex information and identifies trends/risks to make recommendations to improve processes across areas. - Offers Meaningful Advice and Support: Provides ongoing feedback and development discussions to motivate and support team members to maximize performance.Ensuring High Quality: - Performs Excellent Work: Anticipates problems or obstacles which may interfere with quality standards and develops plants to ensure area's quality standards are met. - Ensures Continuous Improvement: Routinely draws upon valuable learning from others, past experiences, and new information to determine key opportunities. - Fulfills Safety and Regulatory Requirements: Develops appropriate corrective actions for unsafe environments in order to ensure operational and safety compliance. Managing Resources Effectively: - Demonstrates Accountability: Identifies potential obstacles to goal achievement and develops solutions to address those obstacles. - Stewards Organizational Resources: Creates the appropriate systems and processes to effectively manage resources. - Makes Data Driven Decisions: Applies in-depth knowledge of data to recommend and implement new approaches to improve decision making capabilities. Fostering Innovation: - Generates New Ideas: Identifies opportunities and leads development of new initiatives that create value across areas. - Applies Technology: Creates the energy and drive for self/others to identify and leverage technology in new, innovative ways to drive greater efficiencies. - Adapts to Change: Anticipates the change process and clearly communicates impact on others/own team(s), assisting them in embracing the change.

Position Qualifications:

Responsibilities:

Certifications:

Work Experience:

Relevant Work Experience

Experience Level :

3 years

Education:

Bachelor's (Required)

This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.