Quality Assurance Director

About the Role

Logansport State Hospital is a state-operated inpatient psychiatric hospital for adults with mental illness. Using an interdisciplinary approach and evidence-based programming, we promote recovery and return of the individual to the community.

Responsibilities

• Direct the writing of a facility-wide plan for the quality assurance program describing the facility’s objectives, organization, scope, and mechanisms for overseeing the effectiveness of monitoring, evaluating, and problem identification and solving.
• Provide data for a systematic clinical information system which facilitates patient/resident management and planning.
• Set priorities for studying identified problems according to established criteria.
• Approve quality assurance action plans developed by committees and departments.
• Analyze information provided by internal sources and outside agencies and communicate the dissemination of information to the appropriate areas.
• Monitor problem identification and resolution, communicating appropriate information from studies and data sources to other committees, departments, and persons affected by that information.
• Prepare summary reports of quality assurance activities for Superintendent and/or others as required.
• Assure that concurrent monitoring programs are in place in accordance with appropriate standards.
• Receive, analyze, and summarize monthly monitoring reports from departments and committees.
• Recruit, select, onboard, and train employees to ensure role responsibilities and expectations are clearly understood while providing opportunities to continue professional development.
• Set expectations, measure progress, provide ongoing feedback, and evaluate the performance of employees.
• Ensure work adheres to quality standards, deadlines, and proper procedures.
• Coordinate follow-up on reports of internal/external reviews, J.C.A.H., certification surveys, etc.

This position is exempt from overtime compensation for additional work hours which may be required to complete essential functions or other assigned work. Exempt employees may work more than 75 hours in a pay period without additional compensation and must report a minimum of 75 hours per pay period of work hours and/or paid leave taken to receive their base biweekly salary.

Requirements

• Demonstrated ability to develop, evaluate, implement, and monitor healthcare plans in a hospital, nursing home, institutional setting, or related experience.
• Thorough knowledge of hospital facility policies and procedures.
• Comprehensive knowledge of quality assurance principles in a hospital setting.
• Extensive knowledge of Department of Mental Health rules, regulations, and procedures.
• Extensive knowledge of various state and federal laws and regulations applicable to the facility’s practice.
• Comprehensive knowledge of various certification and accreditation requirements and standards as related to the Joint Commission and CMS.
• Ability to communicate effectively in a timely and concise manner.
• Ability to understand and interpret new and changing laws.
• Organizational ability and knowledge of management techniques as they relate to quality assurance programming.
• Ability to establish and maintain effective working relationships with facility staff at all levels.
• Ability to resolve conflicts, develop consensus on diverse issues, and form efficient partnerships towards program reduction strategies.
• Ability to delegate work, set clear direction, and manage workflow.
• Ability to effectively give feedback, provide guidance or corrective action, coach, and develop employee skillsets.
• Must obtain CPR and CPI certification, demonstrate ability to perform techniques, and maintain certification throughout employment.

A degree is not required. However, at least 6 years of experience applying the outlined knowledge, skills, and abilities in a similar role may be considered. Individuals should have the ability to perform essential functions with or without reasonable accommodation.

Pay

The salary for this position traditionally starts at $75,010.00.

Benefits

• Three (3) medical plan options (including RX coverage) as well as vision and dental plans
• Wellness Rewards Program: Complete wellness activities to earn gift card rewards
• Health savings account, which includes bi-weekly state contribution
• Deferred compensation 457(b) account (similar to 401(k) plan) with employer match
• Two (2) fully-funded pension plan options
• A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to:
  • 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers
  • Up to 15 hours of paid community service leave
  • Combined 180 hours of paid vacation, personal, and sick leave time off
  • 12 paid holidays, 14 on election years
• Education Reimbursement Program
• Group life insurance
• Referral Bonus program
• Employee assistance program that allows for covered behavioral health visits
• Qualified employer for the Public Service Loan Forgiveness Program
• Free Parking for most positions
• Free LinkedIn Learning access