Quality Director

About the role

At Oceans Behavioral Hospital Permian Basin, we are passionate about helping adults and seniors manage the challenges associated with anxiety, depression, and other mental health issues. The Director of Quality and Patient Safety plans, develops, implements, and manages comprehensive systems to monitor and evaluate the quality and appropriateness of patient services and programs in support of the organizational mission and goals. This position works closely under the supervision of the Hospital CEO, coordinating and organizing administrative processes in a high-quality, efficient, and cost-effective manner, in accordance with Joint Commission, Federal, and State regulations, Oceans’ Mission, policies, and quality standards.

Responsibilities

• Works with the VP of Quality and Patient Safety to implement organization-wide quality programs at the hospital level.
• Facilitates the hospital Quality Assessment and Performance Improvement (QAPI) committee.
• Prepares an annual evaluation of the hospital QAPI plan, including process and outcomes.
• Oversees hospital-wide performance improvement (PI) projects identified through ongoing data-driven quality assessment.
• Coordinates the hospital’s data collection procedures and provides ongoing support and education to staff regarding QAPI tools and reporting requirements; collaborates with leadership to set priorities and guide quality improvement work plans.
• Serves as a resource to medical staff, administrators, and other staff, including participation in root cause analyses to investigate potentially avoidable sentinel events.
• Completes assignments accurately, in a timely manner, and within procedural guidelines.
• Coordinates education on QAPI principles and regulatory standards as indicated and conducts training for staff.
• Participates in the Joint Commission Accreditation process, including plan of action tracking and completion.
• Performs other duties and projects as assigned by the facility administrator and corporate office.

Requirements

• Associate degree or RN diploma required.
• Healthcare experience related to clinical leadership and/or quality assessment and performance improvement.
• Behavioral health experience preferred.

Skills

• Proficient computer skills with MS Office products and electronic QAPI software solutions.
• Ability to create and provide training programs on related quality performance topics.
• Ability to work with minimal supervision and simultaneously manage multiple projects.
• Knowledge of state and federal regulatory requirements, Joint Commission Accreditation.
• CPHQ certification preferred.
• Must successfully complete CPR certification and an Oceans-approved behavioral health de-escalation program.

Work Environment

• Subject to many interruptions and occasional pressure due to multiple calls and inquiries.
• This position can be high-paced and stressful; must be able to cope mentally and physically with the atmosphere.
• Work requires spending approximately 90% or more of the time inside a building that offers protection from weather conditions but not necessarily from temperature changes.