Division Director, Quality

Schedule: Days: M-F

Job Location Type: [Remote]

Your experience matters

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier ^®.

More about our team

The Division Director of Quality is responsible for overseeing and ensuring the highest standards of quality and compliance across the Behavioral Health Division.

This role involves the development, implementation, and management of quality programs, quality assurance, staff development plans and improvement programs, ensuring adherence to industry regulations (State, TJC, CMS), a fostering a culture of continuous improvements.

The Director will lead a team of quality professionals, collaborate with cross-functional teams, and work closely with leadership to develop strategies that enhance patient safety, operational efficiency, and overall healthcare outcomes for the patients served. will focus on optimizing the delivery of care, improving patient outcomes, and enhancing overall service quality across the organization.

How you'll contribute

A Division Director of Quality who excels in this role:

• Demonstrates an extensive knowledge of all regulatory standards including TJC, Medicaid, state, and federal laws

• Responsible for assisting the Facility Director of Quality and Risk Management in development/administration of Performance Improvement, Risk Management, and Staff Development activities throughout the Facilities to ensure that all state, federal, and Joint Commission (TJC) standards for care are consistently met

• Supports the regulatory and accreditation surveys and outcomes; advises and informs facilities on regulatory standards

• Works with facility employees to identify risk/safety concerns and leads the team to take corrective action as needed

• Collects and analyzes data on facility quality performance monthly, and reports results to division leadership

• Monitors their region's performance monthly and report to division leadership the analysis of their data along with any action plans for Facilities to bring them in to compliance with applicable standards

• The Director monitors, investigates, and as required, reviews any reports collaboratively with the facility leadership

• Provides onsite assistance for monitoring compliance and survey activities

• Design and oversee data collection methods and analysis to assess performance metrics and identify opportunities for improvement

• Establish and monitor quality benchmarks and performance indicators; developing reports and presenting findings to division leadership

• Collaborate in the development of and participate in facilitation of training programs to staff to ensure an understanding of quality improvement initiatives and foster a culture of continuous improvement

• Proactively works with facilities for regulatory readiness-both onsite and remotely

• Collects serious event reports; ensures appropriate follow up occurs at the Facility and reviews state notifications with the Facility Quality Director

• Monitors the Performance Improvement projects at the facility level; ensures facilities meet all regulatory standards and laws

• Develop and oversee programs to ensure implementation of standards and monitoring of clinical outcomes

• Identifies and delivers training opportunities to improve clinical outcomes based off the analysis of identified trends

• Leads and coordinates quality improvement projects, collaborating with cross-functional teams to identify areas for improvement and implement best practices across the division

• Facilitates continuous quality improvement by implementing evidence-based practices and initiatives to ensure compliance with regulatory requirements and industry standards

• Develops training programs, onboarding plans for quality directors; provides coaching and mentoring for new quality directors

• Other duties as assigned.

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.

• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.

• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.

• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).

• Professional Development: Ongoing learning and career advancement opportunities.

What we're looking for

Applicants should have a Master's degree in a health-related field preferred, or Bachelor's degree in a health-related field with five years' experience in a behavioral health care Facility with direct experience working with chemical dependency, dual diagnosis, psychiatric, and geriatric patients preferred.

Additional requirements include:

• Healthcare quality management and compliance, in a behavioral health setting; Multi facility management preferred, but not required.

• License: Unencumbered license to practice by the State Board of Nursing or Social work

• May be required to work flexible hours.

• CPHQ Preferred.

• Up to 60% Travel Required
  
  

EEOC Statement

"Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

You must be authorized to work in the United States without employer sponsorship.

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.