PURPOSE STATEMENT:
The Director of Quality, Compliance and Risk Management will direct the facility Quality Management program which includes oversight of Accreditation, Licensing and Credentialing Activities. They will also plan, organize, direct and control all aspects of risk management activities and ensure a safe environment for the protection of clients, employees and visitors to the facility in such a manner as to comply with laws, regulations and the standards of the accrediting and approval agencies.

BENEFITS:

The Camp Recovery Center provides a comprehensive package of benefits for our Director of Quality, Compliance and Risk Management.

Current benefits include:

• Competitive hourly rate
• Medical, dental, and vision insurance
• Acadia Healthcare 401(k) plan
• Excellent training program
• Professional growth opportunity that is second to none in the industry.

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 accreditation bodies specifications and data entry
• Investigate and analyze actual and potential risks in the facility; assess liability and probability of legal action for potential notification. Implement, educate and encourage incident reporting system throughout the facility.
• Implement risk management program throughout the facility.
• Develop and implement infrastructures and systems that support patient safety.
• Work closely with Clinical Department practice to ensure the organization's procedures and policies are being followed by all employees.
• Assess QAPI needs and trends for the facility program by reviewing current practices and gathering, compiling and evaluating data related to employees, services, and patient feedback.
• Delegate and support the QAPI and risk management activities of Department Directors to ensure desired, department-related outcomes for patient care and safety.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Bachelor's degree in a business, Nursing or Human Services or a related field required. Master's Degree in Nursing or Human Service , or related field preferred.
• Three or more years’ experience in Quality and Risk management position required.
• One or more years’ supervisory experience required.
• Experience with accreditation and regulatory audits preferred.
• One year or more experience in a behavioral health setting required.

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.

ADDITIONAL REGULATORY REQUIREMENTS:While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.

Education

Required

• Bachelors or better in Human Services or related field
• Bachelors or better in Nursing/Healthcare or related field
• Bachelors or better in Business or related field

Preferred

• Masters or better in Nursing/Healthcare or related field

Skills Required

Problem Solving

Planning & Organizing

Leadership

Communication

Attention to Detail

Behaviors Required

Team Player: Works well as a member of a group

Leader: Inspires teammates to follow them

Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Dedicated: Devoted to a task or purpose with loyalty or integrity

Motivations Required

Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work

Self-Starter: Inspired to perform without outside help

Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization.

Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Job Type: Full-time

Pay: $80,000.00 - $120,000.00 per year

COVID-19 considerations:
All staff remain masked. Applicants must disclose their Covid-19 vaccine status if an offer of employment is extended. Twice weekly testing required by OSHA if unvaccinated.

Ability to commute/relocate:

• Scotts Valley, CA 95066: Reliably commute or planning to relocate before starting work (Required)

Education:

• Bachelor's (Required)

Experience:

• supervisor: 1 year (Required)
• Behavioral health/substance use treatment: 1 year (Required)

Work Location: One location

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