AVP, Behavioral Health Quality & Compliance

Stony Brook University; New York (NY); On-site; USD 180,000 - 210,000; Full time

Job summary

Stony Brook Medicine is seeking a strategic AVP for Behavioral Health Quality and Regulatory Affairs to oversee quality, compliance, and performance improvement across Behavioral Health services. This role leads FMEA/RCA activities, regulatory readiness, and incident reporting in line with NYS OMH, CMS, and DOH standards.

The AVP partners with executive leadership to advance patient safety, data-driven performance improvements, and collaborative risk reduction strategies across SBELIH and

Qualifications

• Bachelor’s degree in nursing or social work required; with Master’s degree within five (5) years from an accredited college or university in Business/Healthcare Administration, Social Work, Nursing Leadership and Administration, Behavioral Health discipline or approved related program.
• Minimum of ten (10) years of combined clinical and administrative experience in a Behavioral Health setting.
• Knowledge of clinical documentation review and physician engagement strategies.

Responsibilities

• Support the VP in managing daily operations of the Quality and Regulatory Affairs department to maintain compliance with The Joint Commission, CMS, NYS DOH, OMH, OASAS, NYSJC and other accrediting bodies.
• Coordinate Behavioral Health accreditation readiness activities, regulatory surveys, follow-up corrective actions, and continuous survey preparedness efforts.
• Provide oversight of all Behavioral Health regulatory compliance, ensuring alignment with OMH, OASAS, NYSJC, NIMRS, WISR NYS Web Submission of Investigation Report, AARM NYS Administrative Action Reporting Mechanism and DOH reporting requirements.
• Submit, complete and monitor reporting into the NYSJC, NIMRS, and WISR as required.
• Respond to and manage timely submission of Behavioral Health incidents and sentinel events to required regulatory agencies.
• Provide supporting documentation including investigation reports, case reviews, and timelines to appropriate regulatory agencies in accordance with state and federal regulations.

Skills

Leadership

Regulatory compliance

Clinical governance

Data analysis

Communication

Education

Bachelor's degree in nursing or social work

Master's degree within five years in related field

Tools

Regulatory frameworks

Job description

Stony Brook Medicine is seeking a strategic AVP for Behavioral Health Quality and Regulatory Affairs to oversee quality, compliance, and performance improvement across Behavioral Health services. This role leads FMEA/RCA activities, regulatory readiness, and incident reporting in line with NYS OMH, CMS, and DOH standards.

The AVP partners with executive leadership to advance patient safety, data-driven performance improvements, and collaborative risk reduction strategies across SBELIH and