[Hiring] Division Director of Quality @Acadia Healthcare

Role Description

The Division Director of Quality is a new and expanded role at Acadia Healthcare that is responsible for ensuring patient safety and quality of care as measured by survey readiness, treatment program fidelity, and compliance with state and federal laws and regulations and accreditation standards, including CARF, Joint Commission behavioral health accreditation, and DEA.

As such, the Division Director of Quality is responsible for providing expert guidance and advice on all aspects of policy development.

• Substance Abuse/ASAM and Eating Disorders clinical protocol and program implementation (Detox, RTC, PHP/IOP)
• Critical incident reporting; regulatory engagement, including development and submission of plans of correction.
• Certification achievement and maintenance
• Quality assurance and process improvement initiatives
• On-going regulatory readiness strategies to support all assigned Acadia facilities
• Ensure a proactive focus on quality and safety within the assigned facilities through routine physical presence, remote data and documentation monitoring, and sharing of deep subject-matter expertise.

Qualifications

• Bachelor’s Degree in healthcare or related field required; RN or LPN, Master’s degree preferred
• A minimum of five years’ experience in behavioral healthcare operations at the administrative/leadership level
• Previous Medicare/Medicaid Operations/healthcare industry experience preferred
• Knowledge of the Joint Commission, CMS, CARF, DEA, and relevant local/state standards and regulations
• Experience in conducting complex, healthcare-focused Root-Cause Analyses and Failure Mode and Effects Analyses
• Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint
• Knowledge of office administration procedures with the ability to operate most standard office equipment
• Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality
• Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external
• Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level
• Self-motivated with strong organizational skills and superior attention to detail
• Must be able to manage multiple tasks/projects simultaneously within inflexible time frames
• Ability to adapt to frequent priority changes
• Capable of working within established policies, procedures and practices prescribed by the organization
• English sufficient to provide and receive instructions/directions

Requirements

• Monitor the day-to-day regulatory readiness, patient safety, and service excellence in the assigned facilities
• Implement sustainable survey preparation and ongoing monitoring processes
• Support and teach facility leadership to sustainably implement best-practices in regulatory/accreditation compliance
• Develop and maintain proficiency in regulatory planning strategy for all standards
• Develop corrective action plans for the resolution of areas of regulatory vulnerability
• Ensure proper facility reporting of violations or potential violations
• Initiate and lead communications with regulatory agencies as appropriate
• Assist in the development of Performance Improvement practices
• Teach facility leadership best-practices in self-monitoring, auditing, and process improvement
• Collaborate with Division and Corporate entities and external parties
• Serve as a technical advisor, educator and internal consultant
• Assess fidelity and identify root-causes for gaps/lapses in fidelity to Acadia standards
• Develop, review, and educate on internal clinical procedures
• Translate standards, requirements, and policies into meaningful terms
• Ensure thorough adoption of Acadia’s selected technology platforms
• Respond to alleged violations of rules, regulations, policies, & Codes of Conduct
• Develop and evaluate the goals of the Company
• Maintain regular communication with leadership at assigned facilities
• Work collaboratively with corporate staff, physicians, Risk management, and other corporate leaders
• Perform other duties as assigned

Benefits

• Complies with organizational policies, procedures, performance improvement initiatives
• Communicate clearly and effectively to person(s) receiving services and their family members
• Develop constructive and cooperative working relationships with others
• Encourages and builds mutual trust, respect and cooperation among team members
• Maintains regular and predictable attendance