Director - Performance Improvement (RN Licensed preferred)

UHS•Houston, TX

2d•Onsite

About The Position

Behavioral Hospital of Bellaire is seeking a Director of Quality and Performance Improvement to oversee and direct the hospital’s quality improvement and compliance processes. Reporting to the CEO, the Director of Quality and Performance Improvement works collaboratively with other hospital leaders to assess quality management practices. The ideal candidate will be an experienced change agent with proven abilities to assess and improve upon quality measures and performance improvement initiatives.

Requirements

Bachelor’s Degree from an accredited college or university in nursing, or related health field required
Four (4) years of experience in quality and medical staff services/improving organizational performance within an acute medical or psychiatric treatment setting.
A strong knowledge of Joint Commission, TX Dept of State and Human Services, CMS standards, and any other applicable federal and state laws and regulations governing mental health care facilities.

Nice To Haves

Master’s Degree preferred.
Currently licensed as an RN to practice as issued by the Texas State Board of Nursing preferred

Responsibilities

Ensure hospital’s compliance at all times with all Joint Commission, CMS, TDSHS and other regulatory agency’s standards and requirements.
Ensure ongoing survey readiness and the utilization of quality metrics for improvement.
Educate all levels of hospital and medical staff in continuous performance improvement and patient safety concepts, processes and tools.
Serve as the hospital’s Compliance Officer, Privacy Officer, and is a member of the Quality Management team.
Provide project management for selected planning and operational implementation of quality initiatives, developing project work plans, identifying risks, analyzing financial impact, and communicating progress.