What are the responsibilities and job description for the Director of Quality Management position at TrustPoint Hospital?
Overview
Join our team at TrustPoint Hospital as Director of Quality Management! We are seeking passionate professionals that are dedicated to behavioral health. If you are looking for unparalleled growth opportunities and are wanting to make a meaningful impact in your community, this is the position for you!
TrustPoint Hospital is a 217-bed, state-of-the-art treatment center providing comprehensive medical and psychiatric services on both inpatient and outpatient bases. We deliver exceptional care to patients needing acute physical medicine and rehabilitation, adult, adolescent, geriatric psychiatry, and medical psychiatry.
TrustPoint Hospital offers an extensive array of benefits to our valued team members. Current offerings encompass:
- Medical, Dental, and Vision Insurance coverage
- Health Savings Account (HSA) and Flexible Spending Account (FSA) options
- Company-paid Basic Life & AD&D insurance
- Disability benefits
- 401(k) Retirement Plan with a company match
- Employee Assistance Program (EAP) and Employee Discount Program
- Paid Holidays for work-life balance
- Paid Time Off (PTO)
- Tuition Reimbursement opportunities for career advancement
PURPOSE STATEMENT:
Direct the facility Quality Management program which includes oversight of Accreditation and Credentialing Activities.
Responsibilities
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.
Qualifications
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.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
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