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Compass Intervention Center · 12 hours ago

COO

Memphis, TN

Full-time

Onsite

Lead/Staff, Director/Executive

5+ years exp

Compass Intervention Center is a facility under Universal Health Services, dedicated to providing superior behavioral healthcare services. The Chief Operating Officer (COO) will assist the CEO in managing operations, develop departmental policies, and ensure compliance with healthcare standards while playing a vital role in strategic planning and overall performance improvement.

Health CareMedicalPersonal Health

Responsibilities

Develop and establish operational and departmental policies consistent with the overall corporate and Hospital policies, objectives and professional standards and ensure adequate execution

Consistently evaluate the results of overall operations and periodically report these results to the CEO

Coordinates with hospital leadership and Human Resources to the lead the designing, evaluating, planning, presenting, and reviewing educational programs to meet the needs of orientation, in-service education, and continuing education of hospital personnel. Coordinates and trains existing employees on new policies and procedures with assistance from department heads

Presents a yearly plan for staff development based on identified learning needs of personnel, licensing, OSHA, CMS and TJC standards. Conducts learning needs assessments, makes rounds on patient care units, interacts with all departments, and serves on committees in order to identify learning needs

Reviews journal articles, makes recommendations to CEO on evidence based practices to consider for implementation, and distributes to the appropriate departments

Works collaborative and presently with staff on all units and departments to provide education, information around Quality initiatives, and support for department leadership in meeting PI goals. Assist with ensuring all deficiencies identified through the Performance Improvement analysis are addressed with appropriate solving actions. Collects, coordinates and maintains informational reports from all departments and committees as outlined in the Performance Improvement (PI) Plan

Serves as the facility’s Compliance Officer

Ensures the hospital’s environment is safe, clean, and well organized. Makes recommendations for resources and adequate space. Submits requests for repairs and for required equipment. Conducts quarterly safety rounds. Assists with the coordination of offices for all personnel to be most streamlined and productive

Maintains knowledge and understanding of The Joint Commission and CMS Standards and strategies for compliance as hospital’s internal expert. Acts as the facility liaison during the survey process including other applicable state and federal regulatory agencies. Ensures timely response and oversees development and implementation of any required corrective actions. Assigns tasks as necessary to other departmental managers to assist in overall regulatory compliance

Reviews and analyzes root causes, patterns, or trends in data collection and informs applicable Facility management staff; helps to identify and implement corrective action and performance improvement processes

Provides continuous support in the analysis of performance improvement initiatives and re-establishing requirements which will facilitate continuous improvement. Fosters the development and tracking of performance indicators at the departmental level; encourages a facility-wide team effort in meeting performance improvement goals

Play an active role in the development and execution of the Hospital’s strategic plan

Participate in legislation, at the state and federal level that directly affects the Hospital and the mental health field in Michigan. Serve as an administrative representative at community meetings and events, as needed

Participates in developing the annual budget. Review operational costs and cost control opportunities, new operations and growth opportunities

Responsible for assisting with the administrative and contractual support of the Community Mental Health contracts

Plans and develops work assignments and special projects. Participates in daily operations meeting, Pharmacy & Therapeutics Committee, EOC/Safety Committee, Medical Executive Staff, Governing Board (consultative) meetings; Chairs Patient Safety Council and PI Committee. Attends additional meetings as requested by CEO

Consult with other departments within the Hospital and /or other agencies outside the Hospital, as may be needed, to render optimal services for the patients and the staff

Supports the CEO in efforts to enhance retention, improve culture, and increase positive reputation management (both internally and externally). Leads by example

Foster internal communications by attending and participating in Hospital-wide committees, Hospital Town Halls, and attends Hospital mandatory trainings/in-services as required

Complete other duties as assigned, including supervising other departments as indicated/assigned

Qualification

Senior leadership experienceData aggregationAnalysisRegulatory compliance knowledgeAdult education techniquesMicrosoft Office proficiencyTeamworkCommunication skillsProblem-solving

Required

Bachelor's degree required

A minimum of five to ten years of progressive senior leadership experience in a variety of functional areas in a hospital or other related setting required

Relevant experience and demonstrated skill in data aggregation and interpretation, analysis and process improvement required. Including: experience collecting and interpreting patient information and incident data at the medical staff and organizational level required

Thorough knowledge of regulatory and accrediting agency standards, rules and regulations (i.e., The Joint Commission, CMMS, DHHS, etc.) required

Knowledge of instructional skills, skill analysis, and group dynamics. Thorough knowledge of techniques and methods of adult education required

Proficient in Microsoft Word, Excel and PowerPoint applications required