Director of Quality Improvement ~ Caswell Developmental Center
About The Position
The Director of Quality Improvement oversees and manages the Quality Improvement Department, advising the facility on potential risks and supporting the supervision of the video surveillance program. This role also serves as the System Administrator for the event-reporting patient safety database, maintaining regular communication with DSOHF regarding system updates and safety events. Key responsibilities include monitoring regulatory compliance and implementing standards based on ICF/IID interpretive guidance. The Director assists with recertification surveys, health and sanitation inspections, and other regulatory reviews, including developing plans of correction and recommending strategies to mitigate or reduce risks. Additional duties involve monitoring and interpreting Electronic Health Record (EHR) data, conducting New Employee Orientation training, and serving on various assigned committees. This Director of Quality Improvement position's working hours are Monday - Friday from 8:00am-5:00pm.
Requirements
- Master's degree in psychology, social work, education, health, business administration, marriage and family therapy or related human services field from an appropriately accredited institution and three years of experience in professional level treatment programming for the applicable client population.
- Bachelor's degree in one of the fields listed above from an appropriately accredited institution and four years of experience as indicated above; or an equivalent combination of education and experience.
Nice To Haves
- Possess a strong knowledge of State and Federal regulations, statutes, and standards governing the operation and accreditation of ICF/IID facilities, along with the ability to assess risks using Risk Management principles and tools.
- Demonstrate strong analytical skills for reviewing data and investigatory information, supported by effective deductive and inductive reasoning abilities.
- Exhibit solid problem-solving skills and the capacity to apply sound judgment in complex situations.
- Maintain professionalism and diplomacy in all interactions, recognizing their importance in effective communication and collaboration.
- Work experience in a Quality Improvement Program for an ICF/IID residential facility
- Knowledge of ICF/IID regulatory standards
- Experience with Patient Safety Organization, North Carolina Quality Center, PSO Data base, RL 6 Event Reporting System and experience with conducting a Root Cause Analysis (RCA) to complete investigation.
- Experience with Electronic Health Record (EHR).
- Ability to complete comprehensive reports through use of computer programs such as Word, Excel, and ability to create PowerPoint Presentations.
Responsibilities
- Oversees and manages the Quality Improvement Department
- Advises the facility on potential risks
- Supports the supervision of the video surveillance program
- Serves as the System Administrator for the event-reporting patient safety database
- Maintains regular communication with DSOHF regarding system updates and safety events
- Monitors regulatory compliance
- Implements standards based on ICF/IID interpretive guidance
- Assists with recertification surveys, health and sanitation inspections, and other regulatory reviews
- Develops plans of correction
- Recommends strategies to mitigate or reduce risks
- Monitors and interprets Electronic Health Record (EHR) data
- Conducts New Employee Orientation training
- Serves on various assigned committees
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What This Job Offers
Job Type
Full-time
Career Level
Director
Number of Employees
1,001-5,000 employees
