DIR - PERFORMANCE IMPROVEMENT

Responsibilities

The Director of Performance Improvement and Quality Assurance is a liaison to department directors and administration to ensure that the provision of quality care is monitored and continuously improved. Core functions include:

Coordination of the facility-wide Quality Assurance & Performance Improvement Program.

Facilitation of the medical staff components of the program in conjunction with the Chief Medical Officer.

Planning and chairing the PI/QA function and reporting findings and activities to the Medical Executive Committee and the Board of Trustees.

Assistance in maintaining ongoing compliance with regulatory requirements throughout the facility

Assistance provided to managers and leadership in establishing best practices based on research and data analysis

Promoting, planning, designing, coordinating, and evaluating training and educational activities for all staff.

Leads facility Joint Commission and regulatory compliance

Qualifications

QUALIFICATIONS:

Education/Training:

Masters Social Worker or graduate of an accredited nursing program. MSN Preferred. 10 years experience Joint Commision and state regulatory agency.

Licensure/Certification:

RN license (if applicable).

Experience:

Three years of clinical experience with a psychiatric mental health population.

Previous management and training experience to assure an understanding of systems management, time management, and staff development.

Knowledge and Skills:

Advanced knowledge in psychiatric treatment theory and practice.

Demonstration of skills in problem-solving, critical thinking, written and verbal communication, interpersonal relationships.

Knowledge in team facilitation.

Thorough knowledge of data collection, aggregation, statistical analysis, and use of statistical display tools.

Thorough knowledge of techniques, and methods of adult education.

Basic computer and mathematic skills.