Risk Management and Quality Director

Copper Springs Hospital

Job Title: Risk Management and Quality Director
Job Type: Full Time, Exempt

How you'll contribute

Director is responsible for development/administration of Performance Improvement, Risk Management, and Staff Development activities throughout the hospital to ensure that all state, federal, TJC standards for care consistently met. Collects and analyzes data on hospital performance, incidents, and documentation to improve hospital performance and ensure provision of quality care. Works closely with all Department Director's to recommend/provide required staff development and tailored programs based upon data analysis. Monitors, investigates, and as required, reports all
hospital incidents.

What we offer

Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:

• Comprehensive medical, dental, and vision plans, plus flexible-spending and health- savings accounts
• Competitive paid time off
• Income-protection programs, such as life, accident, critical-injury insurance, short-and long-term disability, and identity theft coverage
• Tuition reimbursement, loan assistance, and 401(k) matching
• Employee assistance program including mental, physical, and financial wellness
• Professional development and growth opportunities

Qualifications and requirements

Education:

• Master's degree in a health related field preferred, or Bachelor's degree in a health related field with equivalent in a psychiatric hospital.

Licenses & Certifications:

• CPR certification and Crisis Prevention Training (CPI) within 30 days.
• If applicable, the candidate must hold a current, active, and unencumbered nursing license issued by the appropriate State Board of Nursing.

Skills & Experience:

• Previous experience in a psychiatric health care facility, with direct experience working with chemical dependency, dual diagnosis, psychiatric, and geriatric patients preferred.

ESSENTIAL FUNCTIONS:

• Monitor the hospitals quality program.
• Demonstrates an extensive knowledge of all regulatory standards including TJC, Medicaid, state, and federal laws.
• Advises and informs departments on regulatory standards.
• Works with hospital employees to identify risk/safety concerns and leads the team to take correction action as needed.
• Collects and analyzes data on hospital performance.
• Collects incident reports; records, analyzes, investigates data and reports to Quality Council and CEO.
• Utilizes the PDCA method to develop improvement plans for the hospital.
• Ensures hospital meets all regulatory standards and laws.
• All other duties assigned.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.