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Director of Quality and Performance Improvement

2 months ago


Battle Creek, Michigan, United States Acadia Healthcare Full time
Job Title: Director Quality and Performance Improvement

Bronson Behavioral Health Hospital offers a competitive compensation package and a range of benefits to support your career growth and well-being:

  • Three Medical Plan Levels, Dental and Vision Insurance
  • HSA with a Company Contribution
  • FSA Dependent Care Flexible Spending Account
  • Basic Life/AD&D and Supplemental Life Insurance
  • Short-Term and Long-Term Disability Insurance
  • 401k with a Company Match
  • EAP (Employee Assistance Program)
  • Employee Discount Program
  • Generous PTO, Sick Time, and Paid Holidays
  • Tuition Reimbursement
  • Access to continuing education credits at no cost to you
  • Paid training and professional development
Essential Job Responsibilities:Quality Improvement
  • Develop processes for identification, collection, and analysis of performance measurement data.
  • Utilize collected data regarding the outcome of activities for delivering continuously improving services.
  • Develop written plans to improve and/or correct quality, safety, and appropriateness of patient care. Conducts routine evaluations of the effectiveness of services.
Performance Improvement
  • Develop and implement systems, policies, and procedures for the identification, collection, and analysis of performance measurement data and related information.
  • Determine if services meet pre-determined quality improvement expectations and outcomes.
  • Ensure correction of any observed deficiencies identified through the quality improvement process.
Incident Evaluation
  • Conduct timely and regular evaluation of serious incidents, complaints, grievances, and related investigations to:
  • Identification of events, trends, and patterns that may affect client health, safety, and/or treatment.
  • Efficacy.
  • Committee evaluation findings and recommendations submitted to agency management for corrective action.
  • Implemented actions, outcomes, trends analyzed over time.
  • Identification of problems or potential problems to prevent risks to patients.
  • Proposes corrective steps that may include, but are not limited to:
  • Changes in policies/procedures.
  • Staffing and assignment changes.
  • Additional education or training for staff.
  • Addition or deletion of services.
Education/Experience/Skill Requirements:
  • Bachelor's Degree in Human Services or nursing required.
  • Master's degree in behavioral health/risk discipline, Registered Nurse preferred.
  • Three or more years' experience in a Quality or PI role required.
  • Two or more years' management experience required.
Licenses/Designations/Certifications:
  • Current licensure appropriate for the degree held required.
  • CPR and de-escalation/restraint certification required (training available upon hire and offered by Bronson).