Director of Quality Management

Position Summary:

The Director of Quality Management (DQM) position works under the direct supervision of the CEO and works closely with the

DBH CS&QM

team. This position also collaborates with company executives and operations staff. The DQM maintains the highest professional and ethical standards, interfacing with all company staff, patients and stakeholders in a collegial manner. The DQM acts as a resource to the CEO and

DBH CS&QM

team as well as being a resource to facilities regarding policy and procedure adherence, regulatory compliance, risk reduction, accreditation conformance and evaluating and enhancing overall facility operations. This position assists the CEO in all regulatory aspects within the scope of the facility; and works directly with all facility departments by furnishing support inclusive of staff training, policy development, process/system implementation, utilization of best practices and assisting with clinical services and quality management functions. The DQM works with the CEO and the

DBH CS&QM

team to collect and aggregate data, furnish reports, identify trends, develop action plans and make recommendations to the CEO and facility operations staff, as appropriate, regarding the status of the quality management components of all facility departments, related training needs, identified action steps, and the status of progress and follow-up efforts. This position is also responsible for conducting COE reviews, developing quality action plans and providing guidance for compliance. Emphasis for this role is also on performing duties that maintain adherence to accreditation standards and state regulations specifically in the areas of Policies and Procedures as well as Complaints and Grievances.

Essential Job Functions:

• Assist the CEO in a leadership role and oversees any/all regulatory compliance initiatives within all departments.
• Assist in coordinating communications with the DBH Clinical Services and Quality Management Team members' activities to improve productivity and increase efficiency in providing facility support.
• Responsible for handling the complaints and grievances process including response, monitoring of trends and providing reports for review and improvement.
• Responsible for the development and monitoring of various reports, CAPs, QAPs, and other quality and compliance instruments.
• Guide standardization and uniformity in department tools and facility interventions.
• Provide ongoing development of processes/systems to increase efficiency and uniformity within the department and across the company.
• Identify trends and patterns in data collected to maximize certainty in the delivery of quality clinical results and enhanced regulatory compliance.
• Provide guidance, as needed, to department staff and field staff for emergent issues.
• Identify department, division and company training needs and implement and deliver trainings to address these needs.

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