Director of Quality and Compliance

Responsibilities

Forest View Hospital, located just seven miles southeast of downtown Grand Rapids, Michigan, is a private 108 bed psychiatric facility that serves children, adolescents and adults. We are licensed by the State of Michigan, fully accredited by The Joint Commission and we bring more than 45 years of experience to the evaluation, diagnosis and treatment of a wide range of behavioral health problems. As a part of our continued success and growth, we are seeking a Director of Quality and Compliance

The Director of Quality and Compliance coordinates and guides all employees in interpretation of State, Federal and Managed Care regulatory guidelines and gives assistance on how to attain compliance of regulation. They serve as the facility's primary resource regarding regulatory compliance, and oversees effective implementation of quality and performance improvement processes.

Key Job Duties and Responsibilities:

• Ensure facility is up to date on latest quality, regulatory and compliance initiatives
• Policy changes, additions, updates as needed
• Facilitate and respond to all regulatory surveys, investigations, visits, etc
• Routine chart audits for quality improvement and Medical staff OPPE
• Educate workforce on Compliance, Code of Conduct, and Privacy
• Respond to all workforce compliance complaints, investigate and report back to UHS
• Facilitate Quarterly Compliance meetings
• Track data/reporting on various compliance requirements
• Update facility compliance and privacy policies as dictated by UHS
• Schedule and Facilitate monthly Performance Improvement (PI) meeting
• Educate departments about quality improvement processes and opportunities
• Assist with developing plans for auditing, tracking and reporting quality data
• As Chairperson of PI, this role is also the Chairperson of the Complaints and Grievances Committee (sub-committee to PI) and responds to and investigates complaints/grievances timely, including data tracking
• Acts as Ethics Committee Chairperson

Benefits Highlights:

• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• Generous Paid Time Off (PTO)
• Basic Life Insurance of 1x your salary
• Short-Term Disability (STD) and Long-Term Disability (LTD)
• Student Loan Reimbursement Program (Up to $200 per month)
• Pet Insurance and much more

About Universal Health Services:

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.’ Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications

• Master’s degree in Psychology, Social Work or related field or RN licensed in the state of Michigan.
• 3 - 5 Years of Psychiatric experience required.
• 3 - 5 Years of Supervisory experience required. 
• 3 - 5 years of experience in quality and risk management/improving organizational performance within an acute medical or psychiatric treatment setting.
• A strong knowledge of JOINT COMMISSION, TDSHS, CMS standards, and any other applicable federal and state laws and regulations governing mental health care facilities.

Required Skills:

• Possesses ability to identify and analyze problems collect data, establish facts, and draw valid conclusions.
• Possess knowledge of risk identification and prevention techniques.
• Effective administrative and management skills.
• Proficient with Root Cause Analysis methodology
• Knowledge of healthcare facility operations, functions, and staffing requirements.
• Knowledge of medical/professional staff by-laws and governing board issues.
• Knowledge of insurance and loss control theory and practice in a healthcare environment
• Knowledge and understanding of the principles and procedures for the investigation and processing of professional liability/ medical malpractice claims

• Ability to use independent judgment and to manage and impart confidential information

EEO Statement

Forest View Hospital is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. Forest View Hospital is an equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At Forest View Hospital, our Human Resources department is here to help prospective candidates by matching skillset and experience with the best possible career path.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning Forest View Hospital, UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertlin

Salary : $12