Director, Risk Management & Performance Improvement

The Last Resort

Smithville (TX)

Presencial

USD 120.000 - 160.000

Jornada completa

Hace 5 días

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Ventajas ofrecidas por este puesto de trabajo

Medical coverage

Expanded coverage

Mental health support

Voluntary benefits

Student loan repayment

Retirement plan

Generous PTO

Part-time voluntary benefits

Descripción de la vacante

The Last Resort Recovery Center seeks a Director of Risk Management & Performance Improvement to lead risk, QA, and compliance across the facility in Smithville, TX. You will design and oversee risk programs, incident reporting, and policy development to safeguard patients and staff.

You will partner with clinical leadership to sustain high-quality care, ensure regulatory compliance, and drive improvement initiatives.

Formación

Bachelor’s degree in risk management, business or related field
Five or more years’ experience in risk management position
One or more years’ supervisory experience
Demonstrated knowledge of laws and regulations of federal, state and local governmental agencies and accrediting bodies
Ability to maintain confidentiality and handle high-risk situations

Responsabilidades

Investigate and analyze actual and potential risks in the facility; assess liability and probability of legal action for potential notification
Implement incident reporting system throughout the facility
Develop and implement risk management program throughout the facility
Create infrastructures and systems that support patient safety
Collaborate with clinical staff to ensure procedures are followed by all employees
Establish internal control systems with auditors and security contractors
Monitor program performance data to determine effectiveness and identify improvements
Ensure compliance with administrative requirements and regulatory standards
Identify high-risk areas that could harm patients, visitors, or staff
Oversee documentation and review programs for full disclosure activities
Provide staff management including hiring, training, and performance management
Serve as resource for risk management, policy development, and compliance initiatives
Work with clinical management to prevent clinical risks across the facility
Develop relationships to improve patient care delivery and safety
Create policies to improve patient care and confidentiality
Oversee QAPI program development and data analysis
Delegate QAPI and risk management activities to department directors
Monitor accreditation and state licensure compliance

Conocimientos

Risk management

Regulatory compliance

Leadership

Incident investigation

Quality assurance

Staff development

Educación

Bachelor’s degree in risk management or related field

Master’s degree in healthcare management or related field

Descripción del empleo

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Director, Risk Management & Performance Improvement

Full Time TLR- Smithville- IP, Smithville, TX, US

2 days ago Requisition ID: 5965

The Last Resort Recovery Center offers a comprehensive range of treatment options designed to meet the diverse needs of men and their families struggling with many different types of substances. From personalized therapy sessions that integrate evidence-based practices like Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) to holistic approaches that emphasize mindfulness, nutrition, and physical wellness, our programs are designed to support clients every step of the way. The Last Resort offers a unique and powerful approach to addiction recovery through our Equine Therapy program. Nestled in the serene outskirts of Austin on our 55-acre ranch, our campus provides men with the opportunity to heal and grow from drug and alcohol abuse.

We are seeking a Director of Risk Management & Performance Improvementto add to our team. This individual will oversee the planning, organizing, directing and control all aspects of risk management activities. They will ensure a safe environment for the protection of patients, clients, employees and visitors to the facility in such a manner as to comply with laws, regulations and the standards of the accrediting and approval agencies.

Responsibilities

Investigate and analyze actual and potential risks in the facility; assess liability and probability of legal action for potential notification
Implement, educate and encourage incident reporting system throughout the facility
Implement risk management program throughout the facility
Develop and implement infrastructures and systems that support patient safety
Work closely with Clinical Department practice to ensure the organization's procedures and policies are being followed by all employees
Work with internal auditors, security contractors, and other staff to establish an internal control system
Monitor and analyze program performance data to determine program effectiveness and identify opportunities for improvement
Ensure compliance with all administrative requirements
Responsible for identifying high-risk areas that could cause harm to people receiving services, visitors, and employees
Maintain database of full disclosure activities and provide oversight for review programs and provide technical support as needed
Provide staff management to include hiring, development, training, performance management and communication to ensure effective and efficient department operation
Serve as a resource and consultant for risk management activities, performance improvement, policy/procedure development and compliance initiatives
Collaborate with clinical staff and management for prevention of clinical risks throughout the facility.
Develop effective working relationships with clinical staff and administrative personnel to facilitate the delivery of patient care
Create and implement policies and procedures that improve both patient care and employee safety. Ensure the application of institutional policies, especially those regarding patient rights, confidentiality and full disclosure
Develop, implement, coordinate and facilitate the Quality Assurance/Process Improvement (QAPI) Program for facility
Assess QAPI needs and trends for the facility program by reviewing current practices and gathering, compiling and evaluating data related to employees, services, and patient feedback
Delegate and support the QAPI and risk management activities of Department Directors to ensure desired, department-related outcomes for patient care and safety
Monitors and maintains compliance for accreditation for the facility
Monitors and maintains compliance for state licensure for the facility

Qualifications

Bachelor’s degree, risk management, business or a related field required
Five or more years’ experience in risk management position
One or more years’ supervisory experience required
Demonstrated knowledge of laws and regulations of federal, state and local governmental agencies and with the standards, rules and regulations of accrediting agencies as applicable to the facility preferred
Comfortable working with the public
If recovering, two (2) years of continuous, verifiable sobriety
Maintain appropriate professional boundaries and confidentiality, including a working knowledge of 45 CFR “Health Insurance Portability and Accountability Act” and 42 C.F.R. Part 2 “Confidentiality of Alcohol and Drug Abuse Patient Records”
Ability to maintain composure with periodic exposure to high-risk behaviors that may result in agitation, aggression, or violence or exposure to critical incident, and possible sentinel events

Preferred Qualifications

Master’s degree in health care management, nursing or related field preferred

At Bradford Health Services, we are committed to providing exceptional care to our patients while fostering a supportive and rewarding workplace for our employees. We believe that taking care of our team allows them to take better care of others, which is why we offer a comprehensive benefits package designed to support their well‑being.

Medical Coverage

Three new BCBSAL medical plans with better rates, improved co-pays, and enhanced prescription benefits.

Expanded Coverage

Options for domestic partners and a wider network of in‑network providers.

Mental Health Support

Improved access to services and a new Employee Assistance Program (EAP) featuring digital wellness tools like Cognitive Behavioral Therapy (CBT) modules and wellness coaching.

Voluntary Coverages