Oferta de trabajo: Director - Quality and Compliance

Description

ESSENTIAL FUNCTIONS:

• Monitors and analyze QM data for review by facility management. Submit data to external agencies as required.

• Conducts annual preparation and evaluation of the facility Quality plan.

• Completes QM projects and incorporates the results into patient care improvements.

• Ensures facility compliance with policies and applicable standards as required by regulatory/accrediting bodies.

• Submits monthly scorecard data to Acadia corporate office.

• Completes monthly safety rounds and submit results/corrective actions to Acadia corporate office

• Reviews incident/safety concerns with the leadership team to identify systemic issues and facilitate the development of corrective actions.

• Facilitates/oversees investigation and Root Cause Analyses into all serious and/or sentinel events.

• Provides staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.

• Coordinates the abstraction of clinical data according to Joint Commission specifications and data entry via vendor database for Inpatient Psychiatric Core Measures (HBIPS).

OTHER FUNCTIONS:

• Performs other functions and tasks as assigned.

Qualifications

Behaviors

Required

• Team Player: Works well as a member of a group

• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Education

Preferred

• Bachelors or better in Other

Experience

Required

• Experience with TJC accreditation and regulatory audits.

• Experience in a behavioral health setting.

• Three or more years’ experience in Quality Management require

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)