Director, Quality & Patient Safety

Centerstone is among the nation's leading nonprofit behavioral health systems with thousands of employees dedicated to delivering care that changes people's lives. A dynamic, well-established organization, we offer rewarding opportunities to serve all ages in a variety of settings. Come talk to us about joining the Centerstone team!

JOB DESCRIPTION:

SUMMARY OF POSITION

Responsible for the overall management of quality improvement functions for Centerstone; including the supervision of department staff and ensuring a just culture of patient safety. Responsible for performing, coordinating and facilitation quality assurance and performance improvement activities identified as a result of compliance monitoring of organization systems, metrics, and/or processes. Acts as the designated Patient Safety Contact for the Patient Safety Organization and collaborates with necessary others regarding risk management activities. Assures conformance to expectations of the local, state and federal regulatory authorities, certification, licensure and accreditation standards, and contractual requirements to support funding and payment for services to clients

The Director of Quality and Patient Safety is required to use discretion and judgment when performing job tasks/providing services. As part of Centerstone's team-oriented philosophy, the Director of Quality and Patient Safety is expected to actively participate in variety of cross-functional teams and performance improvement initiatives.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Demonstrates ability to coordinate and direct the daily operation of quality and patient safety program. Assesses and identifies staffing needs for Quality and Patient Safety team. Ensures quality and patient safety team has necessary staff coverage at all times. Ensuring that staffing levels and credentials are appropriate to support required team activities.
• Participates in recruitment and hiring, and maintains primary responsibility for training, supervision, performance management and staff development of assigned staff. Provides supervision to department staff.
• Develops and implements processes necessary to maintain ongoing readiness for necessary regulatory organizations, including but not limited to local, state and federal authorities, certification, licensure and accreditation.
• Monitors and operates within service area budgetary guidelines. Performs fiscal budget tasks including submission, defending, negotiating, drafting, and monitoring of program budgets.
• Assists in the development, implementation, coordination and monitoring of the continuous quality improvement system of the organization.
• Develops and oversees implementation of quality management metrics to support high quality, effective clinical practices necessary to inform business functioning and effective service delivery.
• Continuously strives for a just culture that fosters a fair and safe environment that provides support, guidance and accountability for all staff
• Ensures the organization is operating in accordance with all funding, regulatory and accreditation standards and that policies and procedures are developed to maintain those standards in regard to clinical records and processes.
• Ensures review of documents by quality and patient safety team to ensure that clinically appropriate terminology to complete forms and records is used, accurately documenting consumer assessment, planning, and progress. Monitors assessment, recovery planning, service implementation and follow-up through review of clinical records. Provides feedback to staff and management regarding assessment, recovery planning and service delivery compliance. Conducts or oversees focused reviews to determine problem areas and compliance with documentation regulations and billing expectations.
• Directs the planning and coordination of client input processes ensure performance improvement of the organization. Works cooperatively with other Centerstone staff in planning and directing stakeholder satisfaction surveys, grievance procedures, or other means of soliciting feedback to ensure performance improvement of the organization as requested.
• Oversees the development of written program descriptions that adequately represent clinical programs.
• Oversees incident management processes including recording of events, facilitating root cause analysis and performance improvement and/or training activities necessary to minimize or prevent risk.
• Works collaboratively with necessary subject matter experts to develop workflows in practice and in the electronic medical record to ensure quality documentation and efficient workflows for service providers.
• Oversees implementation of policies and procedures aimed at improving patient care and quality throughout the organization.
• Represents the quality and patient safety department on internal organizational committees and functions. Acts as a representative of Centerstone externally with key stakeholders relevant to work of the Quality and Patient Safety Department.

OTHER DUTIES AND RESPONSIBILITIES

• Supports the strategic goals and mission/vision/values of Centerstone at all times when interacting with clients, co-workers and professionals from other organizations and presents a positive and professional demeanor.
• Participate in training designed to enhance job-related skills.
• Keep updated on effective management practices.
• Perform activities necessary to procure and enhance funding.
• Perform other duties, not inconsistent with qualifications and regular duties, as assigned.

ESSENTIAL KNOWLEDGE AND SKILLS

• Knowledge of clinical best practices
• Knowledge of applicable regulatory guidelines and codes, agency policies and procedures, and Federal and state laws pertaining to position
• Knowledge of managed care practices
• Knowledge of rules, statutes, codes, and regulations
• Knowledge of proper licensure and accreditation requirements from various funding sources
• Knowledge of personnel regulations and policies
• Skills in decision making and problem solving
• Skills in team building
• Skills in problems solving, including negotiating
• Skills in oral communication and public speaking, written, verbal, in person and virtual methods
• Skills in customer service techniques
• Skills in written communication including drafting summaries, memos, analyses, reports and program proposals
• Skill in organizational diplomacy
• Skills in responsible delegation
• Skills in time management and prioritizing tasks

DIFFICULTY

• Complexity: The Director of Quality and Patient Safety is responsible for a plurality of tasks which require prioritization and direction. The position requires the ability to work under pressure, to handle complex decision-making, and to defend his/her position on issues that may arise. The Director of Quality and Patient Safety has the prerogative to propose changes in practice, procedures and policies to improve the organization.
• Scope & Effect: The work of the Director of Quality and Patient Safety directly affects everyone in the organization, as well as its public image. His/her prime consideration is maintaining the overall agency systems necessary to meet accreditation, licensure and utilization management standards and to assure the provision of quality services.

QUALIFICATIONS

Education Level

• Bachelor's Degree is required.
• Master's degree in behavioral healthcare, statistics or related field is preferred.

Years of Experience

• Minimum of 3 years direct clinical experience and a minimum of 3 years' experience working in quality improvement or organizational statistics

Certification/Licensure

• Willingness to pursue appropriate licensure or Certificate of Healthcare Quality Professional
• Clinical Licensure (LCPC/LCSW) also desired

PHYSICAL REQUIREMENTS

Physical Requirements:

The work is primarily sedentary

Must be able to lift up to 25 lbs.

Occasional kneeling, lifting and bending

Position requires regular travel between sites

Work Environment:

This is a hybrid role working both remotely and with some physical presence in our Florida office locations.

Time Type:

Pay Range:

Delivering care that changes people's lives starts with our employees. Below are just some of the great benefits Centerstone employees enjoy:

• Medical, dental, and vision health coverage
• Flexible Spending and Health Savings Accounts
• 403b retirement plan with company match
• Paid time off and ten paid holidays
• AD&D Insurance, Life Insurance, and Long Term Disability (company paid)
• Diversity, Equity, and Inclusion employee resource groups
• Continuing education opportunities
• Employee Assistance Program

Centerstone is an equal opportunity employer. Employment at Centerstone is based solely on a person's merit and qualifications directly related to professional competence. Centerstone does not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), or any other basis protected by law.

At Centerstone, we use our values as a guide for what we do. Respect, Expertise, Integrity and Empowerment are at the heart of every interaction at Centerstone, and particularly rooted in our beliefs toward diversity and inclusion.

Our approach to diversity is simple-it's about embracing everyone. Together, we continue to develop an inclusive culture that encourages, supports and celebrates the diverse voices and experiences of our employees. It powers our innovation and connects us closer to each other, to our clients and the communities we serve. We strive to create a workplace that reflects the growing world around us, and where everyone feels empowered, safe and welcomed.

Centerstone is also committed to a strong culture of quality and safety, celebrating role-models who champion best practices for quality, clinical risk, and patient safety.