Director of Quality Management

Acadia Healthcare; Pittsburgh (Allegheny County); On-site; USD 70,000 - 110,000; Full time

Job summary

An established industry player is seeking a Director of Quality Management to lead their Quality Management program. This role involves overseeing accreditation and credentialing activities, monitoring quality data, and ensuring compliance with regulatory standards. You will manage a team, conduct evaluations, and implement improvements to enhance patient care. If you have a passion for quality management in healthcare and a strong background in behavioral health, this is an exciting opportunity to make a significant impact in a supportive environment.

Qualifications

• 3+ years of experience in Quality Management in a behavioral health setting.
• Knowledge of TJC accreditation and regulatory audits.

Responsibilities

• Monitor and analyze QM data for facility management review.
• Ensure compliance with policies and standards required by regulatory bodies.

Skills

Quality Management

Data Analysis

Compliance Management

Staff Management

Education

Bachelor’s Degree in Nursing

Master’s Degree in Nursing

Job description

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PURPOSE STATEMENT: Direct the facility Quality Management program, including oversight of Accreditation and Credentialing Activities.

Shift: Monday - Friday.

Responsibilities:

1. Monitor and analyze QM data for review by facility management. Submit data to external agencies as required.
2. Conduct annual preparation and evaluation of the facility Quality plan.
3. Complete QM projects and incorporate the results into patient care improvements.
4. Ensure facility compliance with policies and applicable standards as required by regulatory/accrediting bodies.
5. Submit monthly scorecard data to Acadia corporate office.
6. Complete monthly safety rounds and submit results/corrective actions to Acadia corporate office.
7. 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.
8. Provide staff management, including hiring, development, training, performance management, and communication to ensure effective and efficient department operation.
9. 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:

• Bachelor’s Degree in Nursing or Human Services field required. Master’s Degree in Nursing or Human Services preferred.
• Three or more years’ experience in Quality Management required.
• Experience in a behavioral health setting preferred.
• Experience with TJC accreditation and regulatory audits preferred.

Licenses/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.

We are committed to providing equal employment opportunities to all applicants for employment regardless of characteristics protected by applicable laws.