Director of Quality and Patient Safety - TRAVEL

Director of Quality and Patient Safety - TRAVEL | Summit Healthcare Mgmt | Franklin, Tennessee

About the Job:

Salary Range: $110-120k

• Substance use disorder or acute psych quality experience required
• Travel required- overseeing 5-6 SUD treatment facilities and their outpatient clinics
  
  
  

The Director of Quality and Patient Safety- Corporate is responsible for overseeing and managing all aspects related to quality improvement, patient safety, risk management, and regulatory compliance for Summit facilities. This role involves developing and implementing policies and strategies to ensure high standards of care, minimize risks, and improve patient outcomes across all healthcare services.

Roles and Responsibilities:

• Responsible for leading the development, implementation, and monitoring of quality and safety programs within the organization.
• Provide leadership and guidance in quality improvement, initiatives, patient safety measures, risk management and clinical performance monitoring.
• Ensure that patient safety initiatives and quality of care are aligned with national, state, and local regulatory standards, accreditation bodies, and payor contracts (e.g., Joint Commission/CARF, Payors etc.).
• Identify, assess, and prioritize facilities in the areas of quality improvement, risk, survey preparedness, and clinical programming.
• Provide support for facility Quality/Compliance/Risk functions by assisting with onboarding De Novo projects, acquisitions, and existing facilities.
• Assist facility staff in coordinating the investigation, processing, and defense of complaints for accrediting bodies, regulatory agencies and MCOs.
• Monitor the timely submission and trending of required report to external agencies and internal corporate entities.
• Complete onsite visits to assigned facilities to assist with quality improvement, survey preparation, regulatory compliance, and patient safety initiatives.
• Responsible for completion of standardized compliance audit and follow-up.
• Assist with review and development of policies and procedures and EMR/documentation.
• Ensure Quality Meetings/Committee of the Whole/Governing Board are occurring timely as required.
• Provide orientation and on-going training to facility QI/Risk Management Directors/Managers and as needed to facility leadership, including, but not limited to CEO, DON/CNO, Clinical Director, Plant Operations, and Infection Control.
• Design, implement, and evaluate quality improvement programs to improve patient outcomes.
• Identify and address trends in clinical outcomes, patient safety events, and quality deficiencies and assist with corrective action plan implementation and monitoring.
• Monitor the effectiveness of quality improvement initiatives and safety programs, adjusting strategies as needed.
• Oversee and participate in risk analyses for patient safety incidents, ensuring corrective actions are implemented, tracked, and that follow-up is being completed.
• Collect and analyze data related to quality and patient safety metrics, audits, to include patient outcomes, incident reports, and clinical performance.
• Develop and oversee ongoing education and training programs for clinical and non-clinical staff on quality and patient safety practices.
• Support the VP of Quality and Patient Safety with various projects, meetings, and reports as required.
  
  
  

Education/Experience/Skill Requirements:

• Bachelor’s Degree in Nursing or Human Services field required. Master’s Degree in Human Services preferred.
• Four or more years’ experience in Quality Management, PI role, hospital licensure, survey and credentialing process required.
• Professional clinical license preferred.
• Two or more years’ supervisory/management experience preferred.
• Experience with TJC accreditation and regulatory audits preferred.
• Working knowledge of Regulatory Compliance.
  
  
  

Why Summit Healthcare Mgmt?Summit Healthcare Mgmt offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Summit Healthcare Mgmt is an EOE.

Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.