Director of Quality and Risk Management (Performance Improvement)

Bakersfield Behavioral Healthcare Hospital•Bakersfield, CA

4d•$120,000 - $140,000

About The Position

Leads the Quality and Risk Management Team through Process Improvement initiatives at the hospital. The Director provides direct oversight to the Risk Manager, Quality Analyst, Patient Advocate, and is responsible for the development, planning, coordination, and administration of a systematic program designed to reduce risk and injury. Also, responsible for developing, implementing, and monitoring the quality review program. Directs the collection, measurement, and presentation of data required for monitoring quality indicators. Identifies and assesses quality management problems and refers to staff for action. Serves as a resource to medical staff and facility committees regarding quality issues. Ensures the provision of in-service education to parties involved in quality assurance, familiarizing them with TJC standards, regulatory interpretation, methods of data collection display, and statistical analysis. Monitors and manages compliance with TJC, CMS, CDPH, and other regulatory standards. Leads and collaborates with regulatory agencies during surveys and accreditation. Manages the identification, analysis, and assessment of loss potential throughout the facility. Identifies legal risks related to professional and comprehensive general liability for the prevention and control of losses due to these legal risks. Analyzes, evaluates, and communicates patterns and trends or professional and comprehensive general liability claims experience to the administrative and medical staff. Makes recommendations concerning facility operation to reduce exposure to liability and insurance claims. Receives, investigates, and provides resolution to patient grievances and complaints. May represent the organization in litigation matters and coordinate with attorneys. Carries out personnel management activities associated with direct staff supervision, including screening and selection, orientation training and development, performance management, and employee relations functions. Performs related duties as requested. The Annual Salary for this position is based on experience and is anticipated to be between $120,000 - $140,000 per year.

Requirements

High School Diploma
Bachelor's Degree in a related field
at least 3 years of similar experience
Knowledge of psychiatric service delivery system and treatment methods, with specific knowledge and skills in areas of risk management, infection control, environmental safety, quality control, and utilization review
strong oral and written communication skills
current knowledge of continuous Quality Improvement methodology
organizational and time management skills
skills in data collection, analysis, evaluation and interpretation
knowledge of applicable standards and regulations
problem solving skills
teaching or training skills
CPR certification
Handle-With-Care Physical Restraint Technique and Verbal De-escalation Training

Nice To Haves

CPHQ or CPHRM certification
previous experience in a psychiatric healthcare hospital environment where your attention was focused on Quality Assurance, Risk Management, and Performance Improvement Initiatives