Director of Quality & Patient Safety (RN)

Oceans Healthcare; Jackson (MS); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Medical/Dental/Vision

401(k) with match

Tuition Reimbursement

Daily Pay

PTO

Competitive compensation

Short/Long Disability

Life Insurance

Employee Assistance Program

Job summary

Oceans Behavioral Hospital of Jackson, part of Oceans Healthcare, is seeking a Director of Quality and Patient Safety to lead system-wide quality initiatives and oversee QAPI programs. This role reports to the Hospital CEO and aligns clinical governance with regulatory standards.

Responsibilities include coordinating data collection, training staff on quality tools, and guiding performance improvement projects to enhance patient safety and care quality in a high-demand behavioral health setting.

Qualifications

• Associate degree or RN diploma required.
• Healthcare leadership experience in quality assessment and PI.
• Behavioral health experience preferred.
• CPHQ certification preferred.
• CPR certification and de-escalation training required.

Responsibilities

• Works with leadership implementing organization-wide quality programs at hospital level.
• Facilitates hospital QAPI committee activities.
• Prepares annual evaluation of hospital QAPI plan with processes and outcomes.
• Oversees hospital-wide performance improvement projects driven by data.
• Coordinates data collection and educates staff on QAPI tools and reporting requirements.
• Acts as resource to medical staff and administrators; participates in root cause analyses.
• Completes assignments accurately, timely and per guidelines.
• Coordinates education on QAPI principles and regulatory standards; conducts staff training.
• Participates in Joint Commission accreditation activities and action tracking.

Skills

Training program development

Regulatory knowledge

Project management

CPHQ certification

CPR certification

De-escalation training

Education

Associate degree or RN diploma

Tools

MS Office

QAPI software

Job description

Oceans Healthcare will expand behavioral health services in Jackson. Oceans Behavioral Hospital of Jackson, a 77-bed facility will expand inpatient capacity for adult and senior behavioral health patients and add new services, including an intensive outpatient program. The freestanding hospital will be located on the St. Dominic's campus.

The Director of Quality and Patient Safety plans, develops, implements and manages comprehensive and effective systems to monitor and evaluate the quality and appropriateness of patient services and programs in support of the organizational mission and goals. This position will work closely under the supervision of the Hospital CEO, functions as a support person in the coordination and organization of administrative processes in a high quality efficient and cost-effective manner. All duties to be done in accordance with Joint Commission, Federal and State regulations, Oceans' Mission, policies and procedures and quality standards.

Benefits We Offer:

• Medical, Dental, Vision Coverage (Multiple Plan Options) - Eligible first of the month after 30 days.
• 401 (k) Retirement Savings Plan with Discretionary Company Match
• Tuition Reimbursement
• Daily Pay
• Paid Time Off
• Competitive Market Compensation
• Short Term Disability, Long Term Disability
• Life Insurance
• Employee Assistance Program

Essential Functions:

• Works with VP, Quality and Patient Safety implementing organization-wide quality programs at the hospital level.
• Facilitates the hospital Quality Assessment and Performance Improvement (QAPI) committee.
• Prepares an annual evaluation of the hospital QAPI plan, including process and outcomes.
• Oversees hospital-wide performance improvement (PI) projects identified through on-going data driven quality assessment.
• Coordinates the hospital’s data collection procedures and provides on-going support and education to staff regarding QAPI tools and reporting requirements; utilizes data and collaborates with leadership to set priorities and provide guidance in their development of quality improvement work plans.
• Serves as a resource to the medical staff, administrators and other staff including participation in root cause analyses, as indicated, to investigate potentially avoidable sentinel events.
• Completes assignments accurately, in a timely manner and within procedural guidelines.
• Coordinates education for QAPI principles and regulatory standards as indicated. Conducts training for staff.
• Participates in Joint Commission Accreditation process including plan of action tracking and completion.
• Performs other duties and projects as assigned by the facility administrator and corporate office.

Requirements

Education / Experience:

• Associate degree or RN diploma required.
• Healthcare experience related to clinical leadership and/or quality assessment and performance improvement.
• Behavioral health experience preferred.

Qualifications / Skills:

• Demonstrates proficient computer skills with MS office products and electronic QAPI software solutions.
• Ability to create and provide training programs on related quality performance topics.
• Ability to work with minimal supervision and simultaneously manage multiple projects.
• Knowledge of state and federal regulatory requirements, Joint Commission Accreditation.
• CPHQ certification preferred.
• Must successfully complete CPR certification and an Oceans approved behavioral health de-escalation program.

Work Environment:

Subject to many interruptions. Occasional pressure due to multiple calls and inquiries. This position can be high paced and stressful; must be able to cope mentally and physically to atmosphere. Work requires spending approximately 90% or more of the time inside a building that offers protection from weather conditions but not necessarily from temperature changes.