Director of Quality Management

Geisinger; Pittsburgh (Allegheny County); On-site; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a dedicated Quality Management Director to oversee its facility's quality program. This role involves monitoring quality metrics, ensuring compliance with regulatory standards, and leading a team to enhance patient care. The ideal candidate will have a strong background in Quality Management, with experience in behavioral health settings and familiarity with accreditation processes. Join a forward-thinking organization that values quality and safety in healthcare, and make a significant impact on patient outcomes while enjoying a competitive salary and a generous sign-on bonus.

Benefits

Sign-On Bonus

Training provided for certifications

Health benefits

Flexible work schedule

Qualifications

• 3+ years of Quality Management experience required.
• Experience with TJC accreditation preferred.

Responsibilities

• Monitor and analyze QM data for facility management.
• Ensure compliance with regulatory standards and policies.
• Provide staff management and training for effective operations.

Skills

Quality Management

Data Analysis

Staff Management

Regulatory Compliance

Education

Bachelor’s Degree in Nursing or Human Services

Master’s Degree in Nursing or Human Services

Job description

Overview

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

Sign-On Bonus

$5,000 Sign-On Bonus

Shift

Monday - Friday

Responsibilities

ESSENTIAL FUNCTIONS:

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

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• 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/Designations/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.

AHMKT