Director of Quality Improvement/ Risk Management/ Performance Improvement

Job Summary

The Director of QI, Risk Management & PI is responsible for the development, planning, coordination and administration of a systematic program designed to reduce risk and injury. Also, responsible for developing, implementing and monitoring of a quality review program.

Essential Duties:

• Directs the collection, measurement and presentation of data required for monitoring quality indicators.
• Identifies and assesses quality management problems and refers to staff for action.
• Serves as resource to medical staff and facility committees regarding quality issues.
• Ensures the provision of in-service education to parties involved in quality assurance, familiarizing them with JCAHO standards, its interpretation, methods of data collection display and statistical analysis.
• Monitors compliance with JCAHO and other regulatory standards.
• Manages the identification, analysis and assessment of loss potential throughout the facility.
• Identifies legal risks related to professional and comprehensive general liability for the prevention and control of losses due to these legal risks.
• Analyzes, evaluates and communicates patterns and trends or professional and comprehensive general liability claims experience to the administrative and medical staff.
• Makes recommendations concerning facility operation to reduce exposure to liability and insurance claims.
• May represent the organization in litigation matters and coordinates with attorneys.
• Carries out the personnel management activities associated with direct staff supervision, including screening and selection, orientation training and development, performance management, and employee relations functions.
• Performs related duties, as requested.
• Upholds the Organization's ethics and customer service standards.

Requirements

Education and/or Licensure – Bachelor’s degree in a related field preferred. High School degree or equivalent required. ART or certification as a Quality Improvement Professional preferred.

Experience – Joint Commission Experience Required. Knowledge of psychiatric service delivery system and treatment methods, with specific knowledge and skills in areas of risk management, infection control, and utilization review; strong oral and written communication skills, current knowledge of continuous Quality Improvement methodology; organizational and time management skills; skills in data collection, analysis, evaluation and interpretation; knowledge of applicable standards and regulations; problem solving skills; teaching or training skills.

Additional Requirements – Bi-lingual (English/Spanish) a plus.

Knowledge Skills and Abilities

• Must have basic PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word and Excel.
• Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards.
• Must have the ability to exercise a high degree of diplomacy and tact; excellent customer services and interpersonal communication skills; Cultural sensitivity and demonstrated ability to work with diverse people groups.
• Well-developed verbal and written communication skills in English; Additional language abilities desirable. Ability to work well under pressure with minimal supervision.
• Ability to effectively interact with persons of widely diverse roles, backgrounds, cultures, and socio-economic classes, those in crises or resistant or negative toward organization
• Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines.
• Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities.
• Must be able to work productively with other department heads and personnel.
• Ability to work with professionals from many outside partners and organizations.
• Usually works forty (40) hours per week, including weekends.
• Ability to successfully manage conflict, negotiating “win-win” solutions.
• Must be able to multi-task, prioritize with strong time management skills.
• Exceptional follow through on tasks and assignments
• Must possess leadership qualities and be able to supervise and secure the cooperation of staff.

Physical Requirements/Environmental Conditions

Perform the following with or without reasonable accommodations:

• Ability to stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, grasp, and be able to perceive the attributes of objects such as size, shape, temperature, and/or texture by touching with skin, particularly that of the fingertips.
• Ability to express and exchange ideas via spoken word during activities in which they must convey detail or important spoken instructions to others accurately, sometimes quickly and loudly.
• Hearing to perceive the nature of sound with no less than 40 db loss @ Hz, 1000 Hz, and 2000 Hz with or without correction; ability to perceive detailed information orally and make fine discriminations in sound.
• Perform repetitive motions with wrists, hands, and fingers. Individual must be able to exert up to 100 pounds of force occasionally and to be able to lift, carry, push, pull, or otherwise move objects.
• Work requires a minimum standard of visual acuity with or without correction that will enable people in the role to complete administrative and clerical tasks, as well as inspect and analyze.
• Must be able to work and concentrate amidst distractions such as noise, conversation and foot traffic; ability to handle interruptions often and be able to move from one task to another
• While worker may possibly be subjected to temperature changes, the worker is generally not substantially exposed to adverse environmental conditions as the work is predominantly inside.

Benefits

• Health Insurance
• Vision Insurance
• Dental Insurance
• 401K Retirement Plan
• Healthcare Spending Account
• PTO Plan
• Life Insurance (Supplemental Life, Term, and Universal plans are also available.)
• Short and Long-Term Disability (with additional buy-in opportunities)