Decatur Health – Oberlin, KS Position: Quality & Risk Management/Compliance Officer Status: Full‑Time (1.0 FTE)

Decatur Health is seeking a highly motivated Registered Nurse to serve as our Quality, Risk Management & Compliance Officer. This leadership role oversees regulatory compliance, risk management, patient safety, and quality improvement programs within our critical access hospital.

Primary Accountability

This position provides leadership and coordination for the organization’s QAPI program, incident reporting, investigations, compliance activities, regulatory readiness, and performance improvement initiatives. The role partners closely with clinical and operational leaders to support a culture of safety, transparency, and continuous improvement.

Major Duties

• Lead QAPI program activities, data collection, analysis, reporting, and improvement projects

• Coordinate quality reporting (MBQIP, NHSN, patient safety indicators)

• Facilitate performance improvement teams and present reports to leadership and the Governing Board

• Implement and maintain the Compliance Program consistent with OIG guidance

• Conduct audits, monitor policy adherence, and coordinate compliance education

• Serve as a resource for HIPAA, EMTALA, and regulatory interpretation

• Oversee incident reporting, investigations, grievances, and service recovery

• Facilitate root cause analyses and action plans

• Ensure timely reporting to KDHE, CMS, and other regulatory bodies

• Coordinate mock surveys, tracers, and corrective action plans

• Maintain current regulatory knowledge and communicate updates

• Collaborate with CNO, CEO, department leaders, and medical staff

• Participate in Quality, Compliance, Safety, and Risk committees

Supplemental RN Duties

Provides occasional clinical support within scope of licensure in inpatient, ED, outpatient, or clinic settings during staffing shortages or organizational needs.

Regulatory Requirements

• Graduate of an accredited nursing program

• Current Kansas RN license

• BLS certification (or willing to obtain upon hire)

• Willing to obtain TNCC, ACLS, and PALS

• Minimum 2–3 years of healthcare experience; quality, compliance, or risk management experience preferred

Why Join Decatur Health?

• Competitive wages

• Full benefits package

• Supportive, community‑focused work environment

• Leadership role with meaningful organizational impact

How to Apply

Apply online at www.decaturhealth.org

Questions? Contact HR at 785‑475‑2209.