ESSENTIAL FUNCTIONS:

• Develop processes for identification, collection and analysis of performance measurement data.
• Utilize collected data regarding the outcome of activities for delivering continuously improving services.
• Develop written plans to improve and/or correct quality, safety and appropriateness of patient care. Conducts routine evaluations of the effectiveness of services.
• Develop and implement systems, policies, and procedures for the identification, collection, and analysis of performance measurement data and related information.
• Determine if services meet pre-determined quality improvement expectations and outcomes.
• Ensure correction of any observed deficiencies identified through the quality improvement process.
• Identify key aspects of care relevant indicators and evaluation of data using formal and informal feedback from consumers of services and other collateral sources is aggregated and used to improve management strategies and service delivery practices.
• Conduct timely and regular evaluation of serious incidents, complaints, grievances and related investigations to:
  • Identification of events, trends and patterns that may affect client health, safety and or treatment
  • efficacy
  • Committee evaluation findings and recommendations submitted to agency management for corrective action
  • Implemented actions, outcomes, trends analyzed over time
• Identification of problems or potential problems to. prevent risks to patients. Proposes corrective steps that may include, but are not limited to:
  • Changes in policies/procedures
  • Staffing and assignment changes
  • Additional education or training for staff
  • Addition or deletion of services

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Bachelor’s Degree in Human Services or nursing required. Master’s degree in behavioral health/risk discipline, Registered Nurse preferred.
• Three or more years’ experience in a Quality or PI role required.
• Two or more years’ management experience required.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Current licensure appropriate for the degree held required.
• CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
• First aid may be required based on state or facility.

ADDITIONAL REGULATORY REQUIREMENTS: Proof of Covid Vaccination or approved exemption status.

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)