Director, Quality and Risk Management - SP

Progressions; Philadelphia (Philadelphia County); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Paid Time Off

401K plan with company match

Job summary

Malvern Behavioral Health seeks a full-time Director of Quality and Risk Management at our South Philadelphia location. The role oversees PI and RM programs, drives regulatory readiness, and coordinates committees and incident investigations. Bachelor’s degree and healthcare quality/risk experience required.

Responsibilities include audits, root cause analyses, policy updates, and staff training. Travel up to 25% may be required; benefits include medical, dental, vision, life, PTO, and a 401K

Qualifications

• Bachelor’s degree is required.
• At least 3 years healthcare experience in quality and/or risk management.
• Knowledge of MS Office and Excel.
• Experience with The Joint Commission on Accreditation preferred.
• Experience with Children/Adolescents preferred.

Responsibilities

• Lead the facility in Performance Improvement and Risk Management programs.
• Complete external questionnaires for regulatory, accreditation, and licensing.
• Direct inspections by licensing agencies and surveyors; assist in plans of correction.
• Monitor ongoing compliance through audits.
• Perform Root Cause and Success Cause Analysis.
• Coordinate Medical Executive and Safety Committees.
• Coordinate response to patient complaints.
• Update changes to the P&P manual.
• Oversee investigation and reporting after incidents or serious events.
• Oversee the Peer Review process.
• Maintain PI and RM files; provide regulatory and safety training.
• May work off shifts as needed.

Skills

MS Office

Excel

Communication skills

Interpersonal skills

Planning and organizing

Education

Bachelor's degree

Job description

Job Details: Job Location: MBH-Philadelphia - Philadelphia, PA 19145, Position Type: Full Time, Education Level: 4 Year Degree, Travel Percentage: Up to 25%, Job Shift: Day, Job Category: Health Care, Malvern Behavioral Health is currently seeking a full-time Director of Quality and Risk Management at our South Philadelphia location at 1930 South Broad Street, Philadelphia, PA 19145. This full-time position offers a competitive salary; as well as a comprehensive benefit package including Medical, Dental and Vision benefits, paid time off, life insurance and a company sponsored 401K plan with a company match!

Position Summary:

Oversees the Performance Improvement (PI) and Risk Management (RM) programs for Malvern Behavioral Health South Philadelphia.

Summary of Essential Position Functions:

• Leads the facility in all activities related to the Performance Improvement and Risk Management Programs.
• Completion of external questionnaires including regulatory, accreditation, and licensing.
• Directs all inspections and requests by licensing/accrediting and managed care agencies including preliminary internal preparation, on-site assistance to surveyors and assistance in the development of a plan of correction as needed.
• Monitors on-going compliance with licensing/accrediting standards through audits.
• Performs Root Cause and Success Cause Analysis.
• Coordinate the activities of the Medical Executive and Safety Committees.
• Coordinates the response and analysis of patient complaints.
• Coordinates and updates changes made to the P&P manual.
• Oversees the investigation and reporting process following any incident or serious event.
• Oversees the Peer Review process.
• Maintains files and records as they relate to PI and RM.
• Provides regulatory and safety training as necessary.
• May be required to work during off shifts as needed.

Supervisory Responsibilities:

N/A

Benefits:

This position is a full time, benefit eligible position. Benefits offered include, but not limited to:

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Paid Time Off
• 401K plan with company match

Qualifications:

Qualifications: Qualifications: To perform this position successfully, an individual must be able to perform each essential duty satisfactorily. This position requires individuals that are client focused; team oriented; great interpersonal and communication skills; flexible to sudden changes in workload, emergency or staffing; dependable; problem solving skills; focused on compliance and performance enhancement. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

At least 3 years Healthcare experience/preferably in Quality and/or Risk Management. Bachelor’s degree Required.

Preferred experience with The Joint Commission on Accreditation

Preferred experience with The Joint Commission on Accreditation

Preferred experience with Children/Adolescents.

Preferred experience with Children/Adolescents.

Technical/Computer Skills:

Knowledge of MS Office. Proficient in Excel. Ability to plan and organize work and adequately to express ideas orally and in writing. Ability to establish and maintain effective working relationships with all staff, patients, outside agencies, families and general public.

Work Environment and Hazards:

No hazardous conditions. Weather protected.

Physical Requirements:

Sedentary work – lifting 20 lbs. and occasional lifting and/or carrying articles such as patient files. Involves sitting and a certain amount of walking and standing occasionally to carry out job functions. Communication is required. Talking, expressing or exchanging ideas by means of the spoken word. Hearing and perceiving the nature of sounds by ear is required.

Travel Required:

Up to 10% local travel

*Malvern Health, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.*