Manager - Quality Management

ESSENTIAL FUNCTIONS:

• Provide oversight of quality data collection, monitoring, analysis and reporting.
• Monitor and analyze QM data for review by facility management. Submit data to external agencies as required.
• Assist in annual preparation and evaluation of the facility Quality plan.
• Complete QM projects and incorporates the results into patient care improvements.
• Manage facility compliance with policies and applicable standards as required by regulatory/accrediting bodies.
• Submit monthly scorecard data to Acadia corporate office.
• Assist in 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.
• Manage customer satisfaction surveying.
• Collaborate with Risk Management regarding incidents and complaints including investigation, data gathering and data/situational analyses.
• Collaborate with Risk Management to align and implement strategic goals or the facility with corporate and regulatory goals.
• Prepare monthly and quarterly reports as required.
• Maintain complete confidentiality in all patient/program matters in accordance with facility policy.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Bachelor's degree in nursing or human services field required.
• Master's degree in nursing or human services preferred.
• Two or more years' experience in Quality Management required.
• One or more years' supervisory experience required.
• Experience in a behavioral health setting preferred.
• Experience with TJC accreditation and regulatory audits preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Certifications related to health care risk management, safety, and or process improvement preferred.
• CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).