Director of Quality Management

4 weeks ago


Conway, United States Conway Behavioral Health Full time

Overview: ?

PURPOSE STATEMENT: ?

Direct the facility Quality

Management

program

which includes oversight of Accreditation and Credentialing Activities.

Responsibilities: ?

ESSENTIAL FUNCTIONS: ?

Monitor

and analyz

e

QM data for review

by facility

management. Submit

data to external agencies as

required

. ?

Conduct a

nnual

preparation an

d

evaluation of the facility

Quality

plan. ?

Complet

e

QM projects and

incorporates

the results into

patient care

improvements

. ?

ensure facility c

ompliance with policies and applicable standards

as

required by regulatory/accrediting bodies. ?

Submit

monthly scorecard data to Acadia corporate office. ?

Complet

e

monthly safety rounds and

submi

t

results/corrective actions to Acadia corporate office ?

Review incident/safety concerns with the leadership team to

identify

systemic issues and

facilitate

the development of corrective actions

.

Facilitate/oversee investigation and Root Cause Analyses into all serious and/or sentinel events. ?

Provide

staff management to

including

hiring, development, training, performance management and communication to ensure effective and efficient department operation. ?

Coordinate

the abstraction of clinical data according to Joint Commission specifications and data entry via vendor database for Inpatient Psychiatric Core Measures (HBIPS). ?

OTHER FUNCTIONS: ?

Perform other functions and tasks as assigned.

Qualifications: ?

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: ?

Bachelors Degree

in Nursing or Human

Services field

required

.

Masters Degree

in Nursing or Human

Services

preferred

. ?

Three

or more

years experience in

Q

uality

Management

required

. ?

Experience in a

behavioral health setting preferred. ?

Experience with TJC accreditation and regulatory audits preferred. ? ?

LICENSES/DESIGNATIONS/CERTIFICATIONS: ?

CPR and de-escalation/restraint certification

required

(training available upon hire and offered by facility). ?

First aid may be

required

based on state or facility.

AHMKT

We are committed to

providing equal

employment opportunities to all applicants for employment regardless of an individuals characteristics protected by applicable state, federal and local laws.

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