Director of Quality Improvement​/Risk Management​/Performance Improvement at San Antonio Behavi

Overview

Director of Quality Improvement/ Risk Management/ Performance Improvement job at San Antonio Behavioral Healthcare Hospital. San Antonio, TX.

Job Summary

The Director of QI, Risk Management & PI is responsible for the development, planning, coordination and administration of a systematic program designed to reduce risk and injury. Also, responsible for developing, implementing and monitoring of a quality review program.

• Directs the collection, measurement and presentation of data required for monitoring quality indicators.
• Identifies and assesses quality management problems and refers to staff for action.
• Serves as resource to medical staff and facility committees regarding quality issues.
• Ensures the provision of in-service education to parties involved in quality assurance, familiarizing them with JCAHO standards, its interpretation, methods of data collection display and statistical analysis.
• Monitors compliance with JCAHO and other regulatory standards.
• Manages the identification, analysis and assessment of loss potential throughout the facility.
• Identifies legal risks related to professional and comprehensive general liability for the prevention and control of losses due to these legal risks.
• Analyzes, evaluates and communicates patterns and trends or professional and comprehensive general liability claims experience to the administrative and medical staff.
• Makes recommendations concerning facility operation to reduce exposure to liability and insurance claims.
• May represent the organization in litigation matters and coordinates with attorneys.
• Carries out the personnel management activities associated with direct staff supervision, including screening and selection, orientation training and development, performance management, and employee relations functions.
• Performs related duties, as requested.
• Upholds the Organization's ethics and customer service standards.

Education and/or Licensure – Bachelor’s degree in a related field preferred. High School degree or equivalent required. ART or certification as a Quality Improvement Professional preferred.

Experience – Joint Commission Experience Required. Knowledge of psychiatric service delivery system and treatment methods, with specific knowledge and skills in areas of risk management, infection control, and utilization review; strong oral and written communication skills, current knowledge of continuous Quality Improvement methodology; organizational and time management skills; skills in data collection, analysis, evaluation and interpretation; knowledge of applicable standards and regulations;

problem solving skills; teaching or training skills.

Additional Requirements – Bi-lingual (English/Spanish) a plus.

Knowledge

Skills and Abilities

• Must have basic PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word and Excel.
• Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards.
• Must have the ability to exercise a high degree of diplomacy and tact; excellent customer services and interpersonal communication skills;
  Cultural sensitivity and demonstrated ability to work with diverse people groups.
• Well-developed verbal and written communication skills in English;
  Additional language abilities desirable. Ability to work well under pressure with minimal supervision.
• Ability to effectively interact with persons of widely diverse roles, backgrounds, cultures, and socio-economic classes, those in crises or resistant or negative toward organization
• Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines.
• Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities.
• Must be able to work productively with other department heads and personnel.
• Ability to work with professionals from many outside partners and organizations.
• Usually works forty (40) hours per week, including weekends.
• Ability to successfully manage conflict, negotiating “win-win” solutions.
• Must be able to multi-task, prioritize with…