Director of Performance Improvement and Risk Management

Houston Behavioral Healthcare Hospital is currently recruiting for a Director of Performance Improvement and Risk Management. This position is tasked with the development, planning, coordination, and administration of a structured program aimed at minimizing risk and injury. Additionally, responsible for the creation, implementation, and oversight of a quality review program. Ensures adherence to regulatory standards.

Responsibilities include:

Program Oversight:

Oversees the Performance Improvement (PI) and Risk Management Plans, as well as the collection and presentation of data necessary for tracking quality indicators.

Identifies and assesses quality management problems and refers to staff for action.

Incident Analysis:

Reviews incident reports, patient grievances, and safety information to identify patterns and address underlying issues. Oversees the identification, analysis, and evaluation of potential losses across the facility.

Recognizes legal risks associated with professional and general liability to prevent and manage losses stemming from these legal concerns.

Acts as a resource for medical personnel and facility committees on matters related to quality.

Regulatory Readiness:

Prepare the facility for surveys and audits by groups like CMS and The Joint Commission.

Ensures the provision of in-service education to parties involved in quality assurance, familiarizing them with TJC standards, its interpretation, methods of data collection display and statistical analysis.

Oversee adherence to TJC and other regulatory requirements..

Staff Training:

Educate employees and medical personnel on quality standards, privacy regulations, and risk mitigation strategies. Oversees the identification, analysis, and evaluation of potential losses across the facility.

Examines, assesses, and conveys patterns and trends related to professional and comprehensive general liability claims to both administrative and medical teams.

Provides recommendations regarding facility operations to minimize liability exposure and reduce insurance claims. May act on behalf of the organization in legal proceedings and collaborates with legal counsel.

Conducts personnel management tasks related to direct staff oversight, including recruitment and selection, orientation training and development, performance evaluation, and employee relations activities.

Leadership Collaboration:

Collaborate with healthcare professionals to collect data and inform strategic choices

Upholds the Organization's ethics and customer service standards.

Minimum Education Bachelors degree in a related field required. Master Degree preferred.

Minimum Work Experience Two years experience in psychiatric service delivery system and treatment methods, with specific knowledge and skills in areas of risk management.

Strong oral and written communication skills, current knowledge of continuous Quality Improvement methodology; organizational and time management skills; skills in data collection, analysis, evaluation and interpretation; knowledge of applicable standards and regulations; problem solving skills; teaching or training skills.

Required Licenses Certified Professional Healthcare Quality (CPHQ( and Certified Professional Healthcare Risk Management (CPHRM).

Skills: Strong data analysis, Leadership, and Knowledge of Health Regulations.

Medical

Dental

Vision

STD/LTD

EAP

401-K/Roth option

Paid Time Off (PTO)

Tickets at Work