Director, Quality and Risk Management - SP

Malvern Behavioral Health; Philadelphia (Philadelphia County); Hybrid; USD 110,000 - 170,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Paid Time Off

401K with company match

Job summary

Malvern Behavioral Health seeks a full-time Director of Quality and Risk Management at our South Philadelphia location. You will oversee the Performance Improvement and Risk Management programs, coordinate licensing surveys, and assist with plans of correction to ensure regulatory compliance.

You will monitor ongoing compliance, perform root cause analyses, oversee incident reporting and peer review, and provide training as needed. A Bachelor's degree and healthcare experience are required.

Qualifications

• Bachelor’s degree required; healthcare experience preferred in quality or risk management.
• At least 3 years in healthcare, familiarity with Joint Commission standards.
• Strong communication, organization, and problem-solving skills.
• Proficient in MS Office; Excel proficiency expected.

Responsibilities

• Lead PI and RM programs and coordinate audits and surveys.
• Coordinate responses to licensing and accrediting surveys and develop plans of correction.
• Monitor compliance through audits and root cause analyses.
• Oversee incident reporting and peer review processes.
• Maintain PI/RM files and provide regulatory training.

Skills

MS Office

Excel

Communication

Teamwork

Problem Solving

Compliance

Education

Bachelor's degree

Job description

# Director, Quality and Risk Management - SPMBH-Philadelphia - Philadelphia, PA 19145## OverviewPosition TypeFull TimeJob ShiftDayEducation Level4 Year DegreeTravel PercentageUp to 25%CategoryHealth Care## Description**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:** 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 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.*