Job Description

Director of Performance Improvement & Risk Management

The Director of PI & Risk Management is responsible for the development, planning, coordination and administration of a systematic program designed to reduce risk and injury. Also, responsible for developing, implementing and monitoring of a quality review program.

The essential duties of the Director of Clinical Services include:

• Directs the collection, measurement and presentation of data required for monitoring quality indicators
• Identifies and assesses quality management problems and refers to staff for action
• Serves as resource to medical staff and facility committees regarding quality issues
• Ensures the provision of in-service education to parties involved in quality assurance, familiarizing them with JCAHO standards, its interpretation, methods of data collection display and statistical analysis
• Monitors compliance with JCAHO and other regulatory standards
• Manages the identification, analysis and assessment of loss potential throughout the facility
• Identifies legal risks related to professional and comprehensive general liability for the prevention and control of losses due to these legal risks
• Analyzes, evaluates and communicates patterns and trends of professional and comprehensive general liability claims experience to the administrative and medical staff
• Makes recommendations concerning facility operation to reduce exposure to liability and insurance claims
• May represent the organization in litigation matters and coordinates with attorneys
• Carries out personnel management activities associated with direct staff supervision, including screening and selection, orientation training and development, performance management, and employee relations functions
• Upholds the Organization's ethics and customer service standards

This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the hospital.

Screening: Must successfully pass background check, drug screen, physical and be able to provide positive employment references.

Physical Demands: With or without reasonable accommodations, must be able to stoop, kneel, crouch, reach, stand for sustained period of time, walk, pull, lift, raise and move objects from position to position (up to 50 lbs), finger grasp; feel sizes, shapes, temperatures, and textures; express or exchange ideas orally and potentially loudly, accurately, or quickly; visually detect, determine, perceive, identify, recognize, judge, observe, inspect, assess; perceive the nature of sound with or without correction; perform repetitive motions of the wrist, hands, or fingers.

Georgetown Behavioral Health Institute is an equal opportunity employer and makes employment decisions exclusively on the basis of merit. We prohibit unlawful discrimination based on race, color, creed, sex, religion, age, national origin or ancestry, physical or mental disability, veteran status, marital status, medical condition including genetic characteristics, sexual orientation, gender identity, gender expression, transitioning status, or any other category protected by federal, state, or local laws.

Requirements

• Minimum Education: Bachelors degree in a related field preferred. High School degree or equivalent required.
• Experience: Knowledge of psychiatric service delivery system and treatment methods, with specific knowledge and skills in areas of risk management, infection control, and utilization review; 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: Certification in Performance Improvement or Risk Management helpful but not required.

Benefits

Full-time employees are eligible for medical, dental, vision, company paid disability, 401(k) and a generous amount of paid time off.

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