Director, Risk Management & Performance Improvement

ADDICTION AND MENTAL HEALTH SERVICES, LLC • Smithville, TX

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About The Position

The Director of Risk Management & Performance Improvement oversees the planning, organization, direction, and control of facility risk management activities. The role is responsible for maintaining a safe environment for patients, clients, employees, and visitors while ensuring compliance with applicable laws, regulations, and accrediting and approval agency standards.

The Director leads the facility’s risk management and Quality Assurance/Process Improvement (QAPI) programs, monitors performance and compliance, and develops systems, policies, and procedures that support patient care and employee safety. The position also provides staff management and serves as a resource to clinical and administrative personnel on risk management, performance improvement, policy development, and compliance.

Requirements

• Bachelor’s degree in risk management, business, or a related field.
• At least five years of experience in a risk management position.
• At least one year of supervisory experience.
• Comfort working with the public.
• If recovering, two years of continuous, verifiable sobriety.
• Ability to maintain professional boundaries and confidentiality, including working knowledge of HIPAA (45 CFR) and 42 C.F.R. Part 2, Confidentiality of Alcohol and Drug Abuse Patient Records.
• Ability to maintain composure with periodic exposure to high-risk behaviors that may result in agitation, aggression, or violence, or exposure to critical incidents and possible sentinel events.

Nice To Haves

• Demonstrated knowledge of federal, state, and local governmental laws and regulations, and of applicable accrediting agency standards, rules, and regulations.
• Master’s degree in health care management, nursing, or a related field.

Responsibilities

• Investigate and analyze actual and potential facility risks, and assess liability and the probability of legal action for potential notification.
• Implement, educate staff about, and encourage use of the facility-wide incident reporting system.
• Implement the risk management program throughout the facility.
• Develop and implement infrastructures and systems that support patient safety.
• Work with the Clinical Department to ensure employees follow organizational procedures and policies.
• Work with internal auditors, security contractors, and other staff to establish an internal control system.
• Monitor and analyze program performance data to assess effectiveness and identify opportunities for improvement.
• Ensure compliance with administrative requirements.
• Identify high-risk areas that could cause harm to people receiving services, visitors, and employees.
• Maintain a database of full disclosure activities; oversee review programs and provide technical support as needed.
• Manage staff, including hiring, development, training, performance management, and communication, to support effective and efficient department operations.
• Serve as a resource and consultant for risk management activities, performance improvement, policy and procedure development, and compliance initiatives.
• Collaborate with clinical staff and management to prevent clinical risks throughout the facility.
• Develop effective working relationships with clinical staff and administrative personnel to facilitate patient care.
• Create and implement policies and procedures to improve patient care and employee safety, and ensure application of institutional policies concerning patient rights, confidentiality, and full disclosure.
• Develop, implement, coordinate, and facilitate the facility’s QAPI program.
• Assess facility QAPI needs and trends by reviewing practices and gathering, compiling, and evaluating data related to employees, services, and patient feedback.
• Delegate and support Department Directors’ QAPI and risk management activities to achieve desired outcomes related to patient care and safety.
• Monitor and maintain facility compliance with accreditation requirements.
• Monitor and maintain facility compliance with state licensure requirements.

Benefits

• Medical coverage, including three BCBSAL medical plans with improved rates, co-pays, and prescription benefits.
• Expanded coverage options for domestic partners and access to a wider network of in-network providers.
• Mental health support, including an Employee Assistance Program with digital wellness tools and wellness coaching.
• Voluntary coverages, including pet insurance, home and auto insurance, and family legal services.
• Student loan repayment for nurses and therapists.
• 401(k) plan through Voya.
• Paid time off.
• Part-time employees working 20 hours or more per week may access voluntary dental, vision, life, accident insurance, and telehealth benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Director