Risk Management and Quality Director
About The Position
Copper Springs Behavioral Health Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Risk Management and Quality Director joining our team, you’re embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. A Risk Management and Quality Director who excels in this role: Is responsible for development/administration of Performance Improvement, Risk Management, and Staff Development activities throughout the hospital to ensure that all state, federal, TJC standards for care consistently met. Collects and analyzes data on hospital performance, incidents, and documentation to improve hospital performance and ensure provision of quality care. Works closely with all Department Director’s to recommend/provide required staff development and tailored programs based upon data analysis. Monitors, investigates, and as required, reports all hospital incidents. Monitor the hospitals quality program. Demonstrates an extensive knowledge of all regulatory standards including TJC, Medicaid, state, and federal laws. Advises and informs departments on regulatory standards. Works with hospital employees to identify risk/safety concerns and leads the team to take correction action as needed. Collects and analyzes data on hospital performance. Collects incident reports; records, analyzes, investigates data and reports to Quality Council and CEO. Utilizes the PDCA method to develop improvement plans for the hospital. Ensures hospital meets all regulatory standards and laws. All other duties assigned.
Requirements
- Applicants should possess a Master’s degree in a health-related field (preferred) or have equivalent work experience in lieu of education.
- CPR certification and Crisis Prevention Training (CPI) within 30 days.
- Previous experience in a psychiatric health care facility, with direct experience working with chemical dependency, dual diagnosis, psychiatric, and geriatric patients preferred.
Nice To Haves
- Previous experience in a psychiatric health care facility, with direct experience working with chemical dependency, dual diagnosis, psychiatric, and geriatric patients preferred.
Responsibilities
- Responsible for development/administration of Performance Improvement, Risk Management, and Staff Development activities throughout the hospital to ensure that all state, federal, TJC standards for care consistently met.
- Collects and analyzes data on hospital performance, incidents, and documentation to improve hospital performance and ensure provision of quality care.
- Works closely with all Department Director’s to recommend/provide required staff development and tailored programs based upon data analysis.
- Monitors, investigates, and as required, reports all hospital incidents.
- Monitor the hospitals quality program.
- Demonstrates an extensive knowledge of all regulatory standards including TJC, Medicaid, state, and federal laws.
- Advises and informs departments on regulatory standards.
- Works with hospital employees to identify risk/safety concerns and leads the team to take correction action as needed.
- Collects and analyzes data on hospital performance.
- Collects incident reports; records, analyzes, investigates data and reports to Quality Council and CEO.
- Utilizes the PDCA method to develop improvement plans for the hospital.
- Ensures hospital meets all regulatory standards and laws.
- All other duties assigned.
Benefits
- Comprehensive medical, dental, and vision plans, plus flexible-spending and health- savings accounts
- Competitive paid time off
- Income-protection programs, such as life, accident, critical-injury insurance, short-and long-term disability, and identity theft coverage
- Tuition reimbursement, loan assistance, and 401(k) matching
- Employee assistance program including mental, physical, and financial wellness
- Professional development and growth opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Director
