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Signet Health · 2 days ago

Director of Quality / Risk / Infection Control - Midland / Odessa Texas

Midland, TX

Full-time

Onsite

Lead/Staff, Director/Executive

5+ years exp

Signet Health is seeking an experienced Director of Quality / Risk / Infection Control for the new hospital - Permian Basin Behavioral Health Center, located between Midland and Odessa, Texas. The role involves leading initiatives to ensure patient safety, high-quality care, and regulatory compliance in healthcare, focusing on improving outcomes and educating staff.

ConsultingHealth Care

Responsibilities

Develop, implement, and annually review the improvement of the behavioral health facility’s performance, risk management, and infection prevention and control plans

Ensure continuous survey readiness and compliance with the Texas Department of State Health Services (DSHS), Centers for Medicare & Medicaid Services (CMS), and other regulatory and accrediting bodies

Oversee the systematic collection and analysis of data related to infectious outcomes and adverse events to identify trends and areas for improvement

Conduct comprehensive risk assessments, prioritize potential risks, and recommend evidence-based strategies for risk reduction in patient and staff safety

Develop, maintain, and enforce policies and procedures related to quality, safety, and infection control, integrating evidence-based practices and current best practices

Provide orientation and ongoing education to staff regarding infection control principles, safety protocols, and performance improvement initiatives

Lead and facilitate the facility's preparation and response to emergent infectious diseases, including investigation of clusters and outbreaks

Chair or participate in relevant committees (e.g., Quality Committee, Infection Control Committee, Medical Executive Committee) to present findings and coordinate activities

Manage department staff, including planning, hiring, training, and performance evaluation

Qualification

Quality ImprovementRisk ManagementInfection ControlHealthcare ComplianceData AnalysisLeadershipCommunication

Required

Bachelor's degree in a health-related field

Significant experience (often 5-7+ years) in a healthcare setting, with direct experience in quality improvement, risk management, or infection prevention roles is necessary

Specific knowledge and skills in behavioral health service delivery systems and treatment methods are often required for behavioral health settings

Previous management or progressive leadership experience is generally required

An unencumbered TX license to practice by the State Board of Nursing (RN) or other relevant healthcare license/registration is frequently a requirement

Comprehensive understanding of healthcare regulatory and compliance requirements

Knowledge of performance improvement methodologies (e.g., Lean, Six Sigma, PDSA)

Strong analytical skills for data collection, analysis, evaluation, and interpretation

Effective communication and leadership skills to foster a culture of safety and collaboration across departments

Preferred

Master's degree (e.g., MSN, MHA, MPH) strongly preferred

Certification in Infection Control (CIC), Certified Professional in Healthcare Quality (CPHQ), or certification in risk management is often required or highly desirable