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QualityScheduled Weekly Hours
40Work Shift
First Shift (United States of America)Shift & Status
Who Are We
We at Pine Rest believe in the power of healing and that everyone in our community has the right to expert care for mental health and substance use disorders. We are much more than just the third largest non-profit behavioral health system in the country our 220-acre main campus and our network of clinical sites across Michigan. We are a tight-knit community of healers who witness the impact of our life-changing work each day.
Each day we are closing the gaps in access to care. We are innovating through leading-edge research testing programs and treatment modalities that others replicate across the country. Our services include a state-of-the-art psychiatric urgent care center and a soon-to-be-built pediatric behavioral health center outpatient inpatient partial hospitalization (day programs) assessment and testing residential addiction treatment and specialty services such as crisis response employee assistance programs forensic psychiatry and psychology and neuromodulation. On-the-job educational programs for nurses psychologists advanced practice providers psychiatrists and chaplains are equipping the next generation of care providers.
We are passionate about serving and are honored to be a part of this incredible work.
What Will You Do
As the Director of Quality at Pine Rest youll be part of tight-knit team that believes in the healing power of your expertise and role is responsible for the creation implementation and management of the Quality Department projects and the formation of clinical improvement teams. This work includes the assessment analysis planning implementation and evaluation of a large number of interventions programs and data while targeting improvement strategy initiatives and facilitating change through internal team building. The Director of Quality isdedicated to excellent customer service enthusiastic about the care we offer and foster a sense of belonging and empowerment in a diverse workplace.
Principal Duties and Responsibilities:
Oversee and monitor the development and implementation of the quality programs in collaboration with the Vice President or Chief Nursing Executive (CNE) Department Leaders and other staff
Implement systems to ensure that services conform to regulatory requirements contractual obligations and policies.
Be knowledgeable in Hospital Adult Foster Care Child Caring Institution program requirements.
Responsible for conformance to all applicable CARF and The Joint Commission accreditation standards and requirements as well as education for staff in accreditation requirements.
Responsible for survey readiness to assess the achievements of Pine Rest and provide feedback related to the quality programs.
Perform investigation of complaints mitigating as appropriate to severity and integrate opportunities for improvement into quality measures
Perform statistical and data analysis of quality and risk factor reports
Round regularly to foster relationships and safe environment for reporting engage staff in continuous quality improvement with a focus on prevention of patient harm and consistent patient care and ensure that quality activities are documented and reported
Maintain the quality and process improvement initiatives data base
Work with leadership to ensure Pine Rest preparedness for external audits and surveys demonstrating compliance with required standards and as appropriate follow up actions plans
Provide quality orientation and continuing education programs for providers and staff to enhance their awareness of their role in patient safety and performance improvement
What Does This Role Require
Education/Experience:
Masters prepared in equivalent field.
Experience with Joint Commission or CARF
Minimum of 5 years experience in management of a quality department and behavioral health experience.
Experience in the formation of highly successful productive and collaborative relationships with interdisciplinary teams physicians and other health care providers.
Benefits:
Medical dental vision & life insurance plans
403(b) retirement match contribution by Pine Rest
Generous PTO for full and part time employees
Tuition assistance & loan forgiveness
Employee Assistance Program offering many free and discounted services for therapy legal accounting gym membership etc.
Partnership with Davenport University provides generous discount on tuition for employees and family members.
Notice:
Pine Rest provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.
All new employees are subject to a criminal background check and education verification which may include sending a copy of your high school diploma GED or college transcripts.
Successful completion of a drug screen prior to employment is also part of our background process.
Pine Rest Christian Mental Health Services requires all employees to receive the COVID-19 vaccinations subject to certain exclusions. Pine Rest is committed to granting reasonable accommodations in accordance with applicable laws.
Required Experience:
Director
Full-Time