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Summit BHC · 9 hours ago

Resource Director of Quality & Patient Safety - Corporate

Franklin, TN

Full-time

Hybrid

Lead/Staff, Director/Executive

3+ years exp

Summit BHC is a healthcare management company focused on delivering quality care across its facilities. The Resource Director of Quality and Patient Safety leads quality improvement and regulatory compliance efforts, ensuring that all programs meet necessary standards while fostering a culture of safety and excellence.

Addiction TreatmentHealth CareMedicalMedical Device

Responsibilities

Identifies, assesses, and prioritizes facilities in the areas of quality, risk, and patient safety

Completes onsite visits to each assigned facility routinely a minimum of once per quarter and more frequently for higher risk, problem prone facilities

Conducts weekly calls with each assigned facility for communication and collaboration, and to review Smart Sheets

Completes required reports such as Weekly Risk Report, Facility Smart Sheets, and other internal documents as requested

Attends and participates in scheduled weekly, biweekly, monthly, and quarterly meetings on camera or in-person

Participates in relevant start-up facility processes and readiness for licensing and accreditation

Ensures facility QAPI programs are aligned with strategic goals

Collects, analyzes, and reports key performance indicators (KPIs), dashboards, and outcome metrics

Leads root cause analyses (RCAs), failure mode and effects analyses (FMEAs), and other process evaluations

Collaborates with leadership and clinical teams to identify opportunities for improvement and develop action plans

Facilitates quality improvement (QI) committees and promote cross-site collaboration and learning

Leads the development and implementation of patient safety initiatives to reduce harm and improve outcomes

Oversees incident reporting processes and conducts trend analysis for adverse events, near misses, and sentinel events

Ensures follow-up and closure of safety-related investigations, including documentation and communication of lessons learned

Works in partnership with quality, operations, and clinical leadership to mitigate risks and implement corrective actions

Creates and submits external reporting of adverse events, as well as plans of correction

Ensures all programs maintain compliance with applicable standards (e.g., Joint Commission, CARF, SAMHSA) and State requirements

Coordinates and aids with external audits, surveys, and regulatory visits

Monitors changes in regulatory requirements and implements policy/procedural updates as needed

Assists with policy development and standard operating procedures to ensure implementation

Assists facilities with development and implementation of corrective action plans, evidence of standards compliance and other required submissions following mock and actual surveys

Conducts calls as needed with corporate leadership and hospital teams to discuss high risk events and action planning

Champions a just culture and foster a system of accountability and learning

Supports integration of evidence-based practices across disciplines and service lines

Qualification

Healthcare QualityPatient SafetyRisk ManagementQAPI FrameworksData AnalysisBehavioral Health ExperienceRegulatory ComplianceCertified Professional in Healthcare QualityCertified Patient SafetyLeadership ExperienceCommunication SkillsCollaboration Skills

Required

Bachelor's degree in nursing, behavioral health or related field required

Three or more years' experience in healthcare quality, patient safety, or risk management

Experience in behavioral health setting and multi-site operations required

Deep knowledge of QAPI frameworks (e.g. PDCA)

Familiarity with behavioral health accreditation and regulatory requirements

Strong data analysis skills including proficiency with quality software/tools, Excel, Power BI, HC analytics

Three or more years of progressive leadership experience in behavioral health

This position requires extensive travel (80%) to behavioral health facilities across regions

Preferred

Masters' Degree (MPH, MSN, MHA, MSW or related)

Certified Professional in Healthcare Quality (CPHQ) or Patient Safety (CPPS)

Benefits

Comprehensive benefit plan

Company

Summit BHC

Summit Behavioral Healthcare is an Atlanta-based provider of addiction treatment and behavioral health services. It is a sub-organization of Valley Recovery Center at Fresno.

Founded in 2013

Franklin, Tennessee, USA

1001-5000 employees