JOB SUMMARY

Provide management and day-to-day oversight of the Agency's risk management activities, including health and safety, and the root cause analysis of Serious Incidents, to ensure compliance with applicable Agency policies and procedures as well as regulatory standards. Also responsible for identifying trends in service delivery that may benefit from Continuous Quality Improvement (CQI) activities and performance improvement planning and follow-up. Ensure the highest quality of person-centered services is being provided to individuals receiving services.

ESSENTIAL FUNCTIONS

(Maximum of Eight) Conduct and manage Agency's Risk Management Plan, annual plan review, and associated activities to include reviewing serious incident reports, provides documented recommendations to avoid future incidents and reduce risks; follows up with program leadership to ensure established procedures were followed and appropriate documentation completed; and maintains a tracking system to ensure recommendations are implemented. Complete reviews of serious incident reports to perform initial root cause analysis, more detailed root cause analysis, review of care concerns, and determine related trends. Make recommendations that may assist in preventing future similar incidents, and facilitate the Agency Serious Incident Review Committee. Identify trends or issues that may benefit from Continuous Quality Improvement (CQI) activities, and work with the Chief CQI Officer to create, implement, and follow-through with performance improvement plans. Conduct the agency's annual security risk assessment regarding the privacy and security of protected health information and environmental safety, in collaboration with other related CQI team members, Information Technology, and Buildings & Grounds team members. Collect, analyze, and report data related to Risk Management, systemic risk assessment, and oversee the Risk Management scorecard and associated quality improvement activities. Develop, coordinate, and revise Agency procedures and monitor compliance with established Agency policies and state and federal regulations in relation to quality, safety, risk management, and security. Responsible for the planning and implementation of risk management trainings for Agency staff, based on needs assessment, identified trends, and CQI activities. Develop and communicate prevention strategies and awareness campaigns promoting health, safety, risk management, and quality service provision. Development, implement, and conduct necessary follow-up of program-specific performance improvement plans; ensure reports are generated on a regular basis to assist in long-range program planning, development/preparation of grants, surveys, board reports, etc. Minimum Requirements

QUALIFICATIONS

Possess training and expertise in conducting investigations, root cause analysis, and data analysis. Good work skills involving independent judgment and planning; time management, and organizational ability. Ability to gather, organize, and analyze data and complete comprehensive reports. Extensive knowledge of mental disorders, developmental disabilities, and substance addictions. Knowledge of a broad range of treatment modalities. Skills in program planning, evaluation, and needs assessments. Ability to interpret Agency policy/procedures and state and federal regulations; ability to clearly communicate these requirements to others. Good oral and written communication skills. Though not a direct supervisor of others, knowledge and skill in the principles of management and supervision is preferred. Proficient in Microsoft Office Outlook; ability to work in Microsoft Word and Excel.

EXPERIENCE/EDUCATION REQUIRED

Bachelor's degree in a human services-related field or public health administration is preferred or equivalent education and/or experience. Two (2) years of experience in quality assurance or risk management is required. Must possess a valid driver's license.

MOUNT ROGERS IS AN EQUAL OPPORTUNITY

EMPLOYER