Hospital Quality Assurance Director

Dept Behavioral Health/Develop
Rockbridge, VA Full Time
POSTED ON 9/26/2023 CLOSED ON 3/6/2024

What are the responsibilities and job description for the Hospital Quality Assurance Director position at Dept Behavioral Health/Develop?

Title: Hospital Quality Assurance Director

State Role Title: 49170

Hiring Range: $53,351 to $137,189

Pay Band: 5

Agency: Dept Behavioral Health/Develop

Location: Western State Hospital

Agency Website: https://dbhds.virginia.gov/facilities/wsh/

Recruitment Type: General Public - G

Job Duties

Western State Hospital is seeking a Hospital Quality Assurance Director. This position will direct the overall administration, management, and supervision of the Quality Management program; direct and coordinate the hospital efforts to meet the Joint Commission and Center for Medicare and Medicaid Services Accreditation (CMS) Standards; coordinates a Performance Improvement Plan (IP) which meets the requirements set forth by the Joint Commission and further hospital quality of care goals; and provide independent validation of the effectiveness of departmental performance and ensure remedial corrective actions are taken as directed.

The Hospital Quality Assurance Director will also develop quality management policies and procedures; coordinate, implement, and evaluate hospital-wide program effectiveness and compliance for meeting and sustaining all Joint Commission Standards; advise Hospital administration of resources and budgetary needs, including personal equipment, renovations, etc.; coordinate WSH Quality/Patient Safety Council assuring issues are followed through; track identified problems to assure improvement or resolution of issues; serve as tertiary backup for Risk Manager to assess all patient and visitor incidents; monitor compliance with the Medicare Exclusion list; serve as liaison to Human Rights Committees (Local and State); and develop/coordinate the hospital response to specific issues and fact finding conferences.

This position is eligible for:

  • retirement with cash match
  • heath, vision, and dental insurance
  • paid time off

Minimum Qualifications

The minimum qualifications for this position are:

  • prior work experience in data management and analysis, developing quality management plans and annual reports, writing policies and procedures, teaching and training skills, chairing work groups, committees, or teams
  • prior supervisory/management experience
  • experience in Joint Commission/CMS standard compliance programs
  • knowledge of State and Federal Policy, Procedures, Rules, and Regulations regarding Quality Management
  • knowledge of standards of external review monitoring bodies of hospitals
  • ability to collect, interpret, manipulate, and present data
  • effective investigative and interview skills and abilities
  • ability to communicate effectively, both orally and in written form with a variety of individuals from a variety of professional backgrounds
  • ability to write in clear, concise and extremely organized manner
  • extensive administrative and clinical knowledge base
  • high degree of independent initiative, decision making, and teaching/training skills


Additional Considerations

Additional considerations will be given to applicants who possess:

  • degree in clinical, behavioral, or public administration field
  • experience directing/overseeing Quality Management/Performance improvement program
  • experience with performance improvement teams, understanding high reliability organizations, or lean six sigma
  • bilingual
veteran

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

The successful applicant must pass a criminal background investigation, drug screening test and employment reference check. The applicant must have the ability to perform at the level of physical demands noted on the Employee Work Profile and the verified ability to perform the essential functions of the position.

Commonwealth’s Alternate Hiring Process: In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their Certificate of Disability (COD) provided by a Vocational Rehabilitation Counselor within the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their Certificate of Disability. If you need to get a Certificate of Disability, use this link: https://www.vadars.org/drs/cpid/PWContact.aspx, or call DARS at 800- 552-5019, or DBVI at 800-622-2155.

DBHDS is a healthcare organization and must comply with the federal CMS Omnibus COVID-19 Health Care staff Vaccination Regulation which requires all employees to be vaccinated or receive an exemption. Upon acceptance of a job offer, new recruits will be asked to disclose their vaccination status (and for those fully vaccinated, proof of vaccination) during the pre-employment process. New staff who are not vaccinated for any reason or choose not to disclose their vaccination status, will need to request a medical or religious accommodation. If you have questions, please contact the Office of Human Resources.

Contact Information

Name: Samantha Leep

Phone: 540-332-8306

Email: samantha.leep@dbdhs.virginia.gov


In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their Certificate of Disability (COD) provided by a Vocational Rehabilitation Counselor within the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their Certificate of Disability. If you need to get a Certificate of Disability, use this link: Career Pathways for Individuals with Disabilities, or call DARS at 800-552-5019, or DBVI at 800-622-2155.

Salary : $53,351 - $137,189

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