Behavioral Health & Quality Manager

Episcopal Health Services, Inc.; New York (NY); On-site; USD 85,000 - 110,000; Full time

Job summary

A leading healthcare provider in New York seeks a qualified professional to manage and improve quality programs within behavioral health. Responsibilities include overseeing the development of initiatives, ensuring compliance with regulatory standards, and conducting audits to promote care quality. Candidates should hold a master's degree in a related field and possess at least three years of relevant experience in inpatient/outpatient environments. This role requires strong collaboration skills and a commitment to sustainable quality improvement.

Qualifications

• Master's degree in a relevant field with applicable NYS license.
• Three years of experience in behavioral health medical record review and quality improvement.

Responsibilities

• Support the management of behavioral health quality programs.
• Investigate reportable events in collaboration with Risk Management.
• Ensure regulatory compliance with TJC, OMH, and CMS.
• Implement audits for standards compliance in behavioral health.
• Lead NYS OMH collaborative projects and conduct risk assessments.

Skills

Quality improvement

Data analysis

Regulatory compliance

Collaboration

Education

Master's Degree in social work, psychology, mental health counseling, or nursing

Job description

Responsibilities

• Responsible for supporting the development and management of quality programs and initiatives across behavioral health programs
• Investigate and complete RCA for all NYSOMH/Justice Center reportable events for both inpatient and outpatient behavioral health in collaboration with Risk Management Department
• Collaborate with leadership to ensure all corrective actions are completed.
• Work with the leadership team to achieve full regulatory compliance including TJC, OMH and CMS.
• Collaborate with hospital quality initiatives to ensure alignment for the behavioral health areas with the organization's strategic priorities.
• Responsible for all data collection, working with Information Technology to ensure data is collected timely and accurately.
• Implements routine, standardized audits of medical record documentation, environment of care, and other audits as required for inpatient behavioral health and emergency department behavioral health with the goal of facilitating standards compliance, quality of care monitoring and problem identification.
• Supports Behavioral Health Leadership in monitoring Hospital Based Inpatient Psychiatric Services (HBIPS) Core Measures, develops performance improvement plans, and education to drive improvement.
• Drive sustainable quality improvement strategies and projects, working with leadership, team members and patients/families to identify priority areas and improve outcomes.
• Project lead on all NYS OMH collaborative projects such as “Zero Suicide” & “PSYCKES”. Assess areas for risk potential, completing proactive risk assessments.
• Complete all treatment over objection for the inpatient behavioral health units.
• Assist in departmental performance improvement activities & projects as assigned by supervisor.

Requirements

• Master Degree in social work, psychology, mental health counseling, nursing and applicable NYS license
• Three years experience in medical record review, regulatory incident management and reporting, quality data analysis, performance improvement activities and survey readiness working within behavioral health departments in licensed inpatient and/or outpatient treatment settings is required.