Job Posting for Director of Quality, Compliance and Risk at sstar
Job Description:
SUMMARY
The Director of Quality, Compliance and Risk requires a high degree
of autonomy. This role provides oversight of all Compliance, Quality
Assurance, and Risk Management initiatives. The Director investigates
causes, diversions, and variations from practices. This role is
responsible for the process of quality improvement efforts focusing on
clinical quality, reviewing performance measures, and addressing
patient complaints. In this role the Director serves as the champion
of constant improvement.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
The Director of Quality, Compliance and Risk promotes an
environment in which the healthcare team can work cooperatively
toward achieving departmental and facility goals and objectives.
Responsible for identifying and supporting best practices
throughout the organization.
The Director of Quality, Compliance and Risk manages risk by
assuring agency follows, and factually interpretates all federal,
state, and local laws, rules, and regulations including CMS
Conditions of Participation, BSAS, Joint Commission and HRSA
Director prepares the agency for survey readiness by conducting
survey activities and functioning as a Survey Coordinator along with
other team members during surveys.
Assist with the development and monitoring of corrective action
plans for regulatory statements and PI improvements.
The Director of Quality, Compliance and Risk maintain quality and
outcome data and uses the data to identify opportunities for improvement.
Reviews all event reports and notifies management of any incidents
of high-risk significance followed by an intensive investigation and
preparation of a root cause analysis.
The Director of Quality, Compliance and Risk assists the CIO in
the management of EHR and other data collection platforms as it
applies to user compliance and quality outcomes.
Responsible for the maintenance, development and monitoring of all
facility-wide policies and procedures.
The Director of Quality, Compliance and Risk monitors and reports
on the effectiveness of services through Performance Improvement,
KPI’s and other data collection methods.
Promotes a planned and systematic approach to Quality with the
least amount of duplication and in the most cost-efficient manner.
Educates and trains Administration, Medical Staff, and employees
on a full scope of PI Initiatives and their roles in performance improvement.
Oversees and works collaboratively with directors on all data
collection and reporting processes.
Collects data, reviews, and reports all adverse incidents.
Coordinates principals to gather information related to patient
complaints to ensure they are resolved and prepares written
responses to patients. Trends complaints and provides meaningful
insight for process or procedural improvements.
Coordinate and facilitate all SSTAR licensing and accreditation reviews.
Reviews/advises on proposed legislative and regulatory changes.
Drafts comments/responses as requested.
Serves in the leadership for responding to Patient Grievances and
the development of P&P.
Responsible for providing meaningful feedback to departments,
committees, and Medical Staff on a regular basis and timely manner.
Demonstrates tact and discretion in this communication.
Will assume leadership/administrative responsibility for the
coordination of or participating in the preparation of grant proposals.
Assists directors in the writing and updating of all policies and procedures.
Functions as a liaison, ensuring cooperation and effective
interdepartmental relations as it relates to QA/PI.
Participates with Senior Leadership in the planning and
development of programs as requested.
Chairs both the Risk Management and Compliance Committees and
serves on the Performance Improvement Committee. Prepares quarterly
and annual Board Reports.
Develop and maintain effective working relationships with outside
agencies and departments.
Assists CEO and Directors with oversight supervision of contracted services.
Attends networking and educational opportunities for personal and
organizational development.
Assists the CEO with non-payer facility contracting issues
including securing Business Associate Agreements.
Other duties as assigned.
SUPERVISORY RESPONSIBILITY
None
Experience and Skills:
QUALIFICATIONS
Masters preferred. Bachelor’s Degree in Business/Healthcare
Administration, Statistical Analysis, Quality Management, or related field,
EDUCATION, EXPERIENCE, & SKILLS
Healthcare Compliance Certification preferred.
Minimum of 5 years’ experience in quality/process improvement with
a minimum of 4 years in the healthcare or SUD treatment field.
Previous quality assurance, compliance and performance improvement
experience required as well as experience working with
regulatory/licensing authorities.
Strong analytical and computer skills.
Must be able to meet deadlines and managing multiple tasks
adapting to shifts in priorities.
Strong written and verbal skills
Job Benefits:
403B
Dental insurance
Disability insurance through Massachusetts PFML
Employee discounts, cell phone, eyewear etc.
Health insurance
Life insurance
Paid time off
Vision insurance
Flexible Spending Account
Opportunities to earn CEU's
Voluntary Benefits including Term and Whole Life, Accident,
Critical Illness and Disability.
Salary.com Estimation for Director of Quality, Compliance and Risk in River, MA
$178,739 to $244,495
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