Director-Quality Management Position Available In Shelby, Tennessee
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Job Description
Description The Director-Quality Management role also includes the following
ESSENTIAL FUNCTIONS
+ Monitor and analyze QM data for review by facility management. Submit data to external agencies as required. + Conduct annual preparation and evaluation of the facility Quality plan. + Complete QM projects and incorporates the results into patient care improvements. + ensure facility compliance with policies and applicable standards as required by regulatory/accrediting bodies. + Submit monthly scorecard data to Acadia corporate office. + Complete monthly safety rounds and submit results/corrective actions to Acadia corporate office + Review incident/safety concerns with the leadership team to identify systemic issues and facilitate the development of corrective actions. Facilitate/oversee investigation and Root Cause Analyses into all serious and/or sentinel events. + Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation. + Coordinate the abstraction of clinical data according to Joint Commission specifications and data entry via vendor database for Inpatient Psychiatric Core Measures (HBIPS).
OTHER FUNCTIONS
+ Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS
+ Bachelor’s degree in nursing or human services field required. Master’s degree in nursing or human services preferred. + Three or more years’ experience in Quality Management required. + Experience in a behavioral health setting preferred. + Experience with TJC accreditation and regulatory audits preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS
+ CPR and de-escalation/restraint certification required (training available upon hire and offered by facility). + First aid may be required based on state or facility.
ADDITIONAL REGULATORY REQUIREMENTS
As per the facility standards. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
