Director of PI/Risk Manag

Ridgeview Institute Smyrna•Smyrna, GA

9d•$80,000 - $100,000•Onsite

About The Position

The Director of Performance Improvement (PI) / Risk Management is assigned to the performance improvement program to assist the leadership, medical staff and facility in designing, planning, implementing, and overseeing comprehensive and integrated PI and Risk Management programs. Supervises and supports daily performance improvement activities and assures that action is taken as needed and authorized by organizational policies and procedures. Receives and reviews department/service performance measures and documentation to evaluate performance improvement activities and coordinating reports of findings to the PI and Risk Management Committees, Medical Executive Committee, and the Board. Maintain records of performance improvement measures and statistical tools used to describe studies performed or their methodology. Advises and assists all departments/services and committees accountable for performance improvement activities. Maintains a record of all completed reviews, evaluations and process improvement team activities. Review all incident reports, patient/physician surveys, and patient complaints to determine the presence or absence of patterns and/or trends or opportunities for improvement in patient care outcomes and the appropriateness of corrective action. Attends and participates in appropriate committee and department/service meetings in which performance improvement, risk management, and/or compliance activities occur. Responsible for assuring compliance with, and factual interpretations of, all federal, state, and local laws, rules, and regulations including, but not limited to CMS, Joint Commission, and Department of Mental Health, as well as conducting survey readiness activities and functioning as a survey coordinator during surveys.

Requirements

A bachelor’s degree or equivalent in nursing or a health-related field is preferred.
2+ years experience in a healthcare or behavioral health setting involving quality improvement preferred.
Licensed to practice nursing or mental health-related fields in Georgia is preferred.
Computer skills involving knowledge of Excel spreadsheets and business writing.
CPR/First Aid and CPI trained and certified.

Responsibilities

Assist the leadership, medical staff and facility in designing, planning, implementing, and overseeing comprehensive and integrated PI and Risk Management programs.
Supervise and support daily performance improvement activities.
Assure that action is taken as needed and authorized by organizational policies and procedures.
Receive and review department/service performance measures and documentation to evaluate performance improvement activities.
Coordinate reports of findings to the PI and Risk Management Committees, Medical Executive Committee, and the Board.
Maintain records of performance improvement measures and statistical tools used to describe studies performed or their methodology.
Advise and assist all departments/services and committees accountable for performance improvement activities.
Maintain a record of all completed reviews, evaluations and process improvement team activities.
Review all incident reports, patient/physician surveys, and patient complaints to determine the presence or absence of patterns and/or trends or opportunities for improvement in patient care outcomes and the appropriateness of corrective action.
Attend and participate in appropriate committee and department/service meetings in which performance improvement, risk management, and/or compliance activities occur.
Assure compliance with, and factual interpretations of, all federal, state, and local laws, rules, and regulations including, but not limited to CMS, Joint Commission, and Department of Mental Health.
Conduct survey readiness activities and function as a survey coordinator during surveys.