Bradford Health Services · 2 months ago
Director, Risk Management & Performance Impro
Bradford Health Services is focused on ensuring a safe environment for patients, clients, employees, and visitors. The Director of Risk Management & Performance Improvement is responsible for overseeing all risk management activities, implementing safety programs, and ensuring compliance with regulations and standards.
Addiction TreatmentHealth CareMedicalWellness
Responsibilities
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
Work with internal auditors, security contractors, and other staff to establish an internal control system
Monitor and analyze program performance data to determine program effectiveness and identify opportunities for improvement. Ensure compliance with all administrative requirements
Responsible for identifying high-risk areas that could cause harm to persons receiving services, visitors, and employees
Maintain database of full disclosure activities and provide oversight for review programs and provides technical support as needed
Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation
Serve as a resource and consultant for risk management activities, performance improvement, policy/procedure development and compliance initiatives
Collaborate with clinical staff and management for prevention of clinical risks throughout the facility. Develops effective working relationships with clinical staff and administrative personnel to facilitate the delivery of patient care
Create and implement policies and procedures that improve both patient care and employee safety. Ensure the application of institutional policies, especially those regarding patient rights, confidentiality and full disclosure
Develop, implement, coordinate and facilitates the Quality Assurance/Process Improvement (QAPI) Program for facility
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
Monitors and maintains compliance for accreditation for the facility
Monitors and maintains compliance for state licensure for the facility
Perform other functions and tasks as assigned
Qualification
Required
Bachelor's degree, risk management, business or a related field required
Five or more years' experience in risk management position
One or more years' supervisory experience required
Comfortable working with the public
If recovering, two (2) years of continuous, verifiable sobriety. (See Sobriety Policy.)
Must be able to work in a constant state of alertness as to perform the job in a safe manner
Regular attendance; including conference calls and onsite meetings, as necessary
Able to work in a cooperative manner with coworkers, managers, perspective patients, patients, and families
Pass a criminal background check
Maintain a valid driver's license, personal automobile liability insurance, and a driving record permitting coverage under company's automobile liability policy if necessary
Maintain appropriate professional boundaries and confidentiality, including a working knowledge of 45 CFR 'Health Insurance Portability and Accountability Act' and 42 C.F.R. Part 2 'Confidentiality of Alcohol and Drug Abuse Patient Records' with respect to patient and potential patient identifying information and health information
Ability to maintain composure with periodic exposure to high-risk behaviors that may result in agitation, aggression, or violence or exposure to critical incident, and possible sentinel events
CPR and de-escalation certification required (training available upon hire and offered by facility)
Preferred
Demonstrated knowledge of laws and regulations of federal, state and local governmental agencies and with the standards, rules and regulations of accrediting agencies as applicable to the facility preferred
Master's degree in health care management, nursing or related field preferred
First aid may be required based on state or facility
Benefits
CPR and de-escalation certification required (training available upon hire and offered by facility).
First aid may be required based on state or facility.
Company
Bradford Health Services
Bradford Health is one of the largest providers of substance abuse treatment and recovery services in the Southeastern United States.
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Centre Partners
2022-12-09Debt Financing
2022-10-28Acquired
2017-01-01Private Equity
Recent News
Behavioral Health Business
2025-10-28
2025-10-02
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