Overview

​Join our team at Lakeview Behavioral Health as a Director of Risk Management. Lakeview Behavioral Health provides a full continuum of care for adults and adolescents who have been struggling with psychiatric health and addiction concerns.

PURPOSE STATEMENT:

​Direct the facility Quality Management program which includes oversight of Accreditation and Credentialing Activities.

Responsibilities

​ESSENTIAL FUNCTIONS: 

• ​Monitor and analyze QM data for review by facility management. Submit data to external agencies as required. 
• ​Conduct annual preparation and evaluation of the facility Quality plan. 
• ​Complete QM projects and incorporates the results into patient care improvements. 
• ​ensure facility compliance with policies and applicable standards as required by regulatory/accrediting bodies. 

• ​Submit monthly scorecard data to Acadia corporate office. 
• ​Complete monthly safety rounds and submit results/corrective actions to Acadia corporate office 
• ​Review incident/safety concerns with the leadership team to identify systemic issues and facilitate the development of corrective actions. Facilitate/oversee investigation and Root Cause Analyses into all serious and/or sentinel events. 
• ​Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation. 
• ​Coordinate the abstraction of clinical data according to Joint Commission specifications and data entry via vendor database for Inpatient Psychiatric Core Measures (HBIPS). 

​OTHER FUNCTIONS:  

• ​Perform other functions and tasks as assigned. 

Qualifications

​EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

• ​Bachelor’s Degree in Nursing or Human Services field required. Master’s Degree in Nursing or Human Services preferred.
• ​Three or more years’ experience in Quality Management required. 

• ​Experience in a behavioral health setting preferred. 
• ​Experience with TJC accreditation and regulatory audits preferred. 

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​LICENSES/DESIGNATIONS/CERTIFICATIONS:  

• ​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. 

AHMKT

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