Palms Behavioral Health · 1 day ago
Director-Quality Management - Acute (RN, Licensed Clinician)
Harlingen, TX
Full-time
Onsite
Lead/Staff, Director/Executive
3+ years expPalms Behavioral Health is a healthcare organization focused on quality management in acute care settings. The Director of Quality Management is responsible for ensuring compliance with regulations and overseeing the hospital's quality assessment processes to promote safe and excellent client care delivery.
ChildrenHealth CareMen'sMental HealthPersonal HealthPsychologyWomen's
Responsibilities
Monitors and directs the day-to-day operations of quality management and compliance process within the organization to establish and maintain a culture of compliance and safety
Continually assesses the hospital survey readiness. Functions as survey coordinator during any regulatory survey. In consultation with key managers, prepares responses to survey and addresses recommendations and areas needing improvement
Coordinates regulatory activities including licensure and accreditation (OHFLAC, BHHF, CMS, Joint Commission, Office of Civil Rights, etc.). Serves as liaison to the regulatory agencies related to activities within the organization
Leads a team of highly engaged members thru hiring, orienting, performance assessment and management, motivating, training, scheduling, and coaching to meet department goals and ensure effective and efficient department operation
Sets expectations, develops plans, and manages processes to measure, assess and improve the quality of clinical programs and/or regulatory/accreditation compliance by measurable results
Develops, reviews, and updates internal clinical procedures, related outcomes measurement, client satisfaction, clinical/financial scorecards to ensure ongoing compliance with federal, state and other third-party regulatory requirements
Responds to alleged violations of rules, regulations, and policies, by evaluating and recommending investigations as appropriate. Coordinates resolution of ethics reports with appropriate staff/department
Maintains proficiency in regulatory planning strategy and the submission of regulatory plans. Develops corrective action plans for the resolution of problematic issues or to address areas of compliance vulnerability
Collects and provides data for compliance requests, dashboards, and scorecards. Prepares and submits accurate and comprehensive reports as required both internally and externally
Oversees the coordination of internal and external governmental compliance/privacy investigations or reimbursement reviews at the facility to ensure investigations/reviews are conducted appropriately and that responses to external entities are consistent with facility standards and expectations
Provides research, analysis, and consultation on regulatory requirements. Maintains current and updated facility accreditation and regulatory standards manuals
Ensures proper facility reporting of incidents and adverse clinical outcomes to duly authorized enforcement agencies or regulatory agencies as appropriate and/or required
Qualification
Required
Bachelor's Degree in Nursing or Human Services field required
Three or more years' experience in Quality Management, hospital licensure, survey and credentialing process required
Professional clinical license issued by the appropriate licensing body as required by the state
CPR and de-escalation and restraint certification required (training available upon hire and offered by facility)
At least two years' supervisory/management experience required
Preferred
Master's Degree in Human Services preferred
Experience in a behavioral health setting preferred
Experience with TJC accreditation and regulatory audits preferred
Benefits
Comprehensive benefit plan
Company
Palms Behavioral Health
Palms Behavioral Health is a mental and behavioural health facility that helps people with mental health needs.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase