Behavioral Health Quality & Compliance Leader

Deaconess Health System; Evansville (IN); On-site; USD 85,000 - 110,000; Full time

Job summary

Deaconess Health System is seeking a Clinical Quality Specialist focused on behavioral health to standardize quality practices across locations, maintain survey readiness, and drive improvements in patient outcomes and safety.

The role partners with facility quality leaders, operational leaders, and medical staff to align local efforts with system quality goals and COE strategy. Indiana licensee candidates preferred.

Qualifications

• Bachelor's in Nursing or related clinical degree.
• Active license in Indiana or multistate, in the corresponding clinical capacity.
• Active, unencumbered RN, LCSW, LMHC, or LCAC license (or equivalent behavioral health license) preferred.
• Behavioral health experience.

Responsibilities

• Keep all behavioral health sites ready for CMS, accrediting organization and state surveys, including mock surveys and on-site survey support.
• Lead corrective action plans from surveys, complaints and identified performance gaps.
• Support safety event review and root cause analysis. Lead suicide and ligature risk reduction efforts.
• Standardize documentation audits across sites, including treatment plans, psychiatric evaluations, suicide risk screening and restraint/seclusion.
• Submit required quality data, including CMS inpatient psychiatric (IPFQR) and state reporting.
• Build and maintain a behavioral health quality dashboard, and present results to leaders and committees.

Skills

Behavioral health knowledge

Education

Bachelor's in Nursing or related clinical degree

Job description

Deaconess Health System is seeking a Clinical Quality Specialist focused on behavioral health to standardize quality practices across locations, maintain survey readiness, and drive improvements in patient outcomes and safety.

The role partners with facility quality leaders, operational leaders, and medical staff to align local efforts with system quality goals and COE strategy. Indiana licensee candidates preferred.