Job Description

Job Title:  Quality, Risk, and Incidents Director- East Central Regional Hospital- Augusta

Pay Grade: N

Reporting: East Central Regional Hospital

Job Summary:

  Participates in Hospital Executive Leadership team, Hospital Medical Executive Committee, and other designated committees
 Supervises Risk Manager and Quality Improvement Manager
 Provides oversight and ongoing monitoring of CAPs to confirm that the action steps have been fully implemented.
 Coordinates with other QRI Directors to identify and implement DBHDD Hospital System PI and survey activities
 Directs Hospital Safety and Security Risks in collaboration with Hospital Leadership
 As part of Hospital Executive Leadership team, implements all required TJC and CMS standards and educates hospital staff regarding regulations and compliance expectations in conjunction with State and Federal Law
 As part of Hospital Executive Leadership team, prepares biannual reports for Governing Body
 On behalf of Hospital Executive Leadership team, facilitates monthly hospital Quality Council and prepares other quality and risk related reports as deemed necessary
 As part of Hospital Executive Leadership team, prepares, organizes, and coordinates TJC Accreditation and CMS Certification Surveys
 As part of Hospital Executive Leadership team, actively participate in hospital leadership meetings and works with hospital project leaders to provide guidance and assistance in developing and implementing solutions to quality and risk issues
 As part of Hospital Executive Leadership team, under the direction of the Hospital RHA, coordinates reporting of Sentinel Events to regulatory entities and facilitates hospital Root Cause Analysis
 As part of Hospital Executive Leadership, selects key performance indicators
 Position requires up to 10% travel within state hospital system
 Actively Participate in assigned Hospital System Meetings
 Other duties as assigned

 Preferred Qualifications

Master’s in Public Admin, Social Work, Nursing, Business Admin or related field or Master’s in healthcare management or related field
 5 years of QM or related experience or 5 years of risk management or related experience
 5 years of experience in project management or supervision of healthcare programs
 Experience in Performance Improvement
 Knowledge of TJC (HAP, NCC, BHC) accreditation requirements and CMS certification standards
 Experience in organizing and preparing for TJC Accreditation (HAP, BHC, NCC) and CMS Certification Surveys
 Experience in overseeing established structures and processes in relation to quality management & assurance, performance improvement, risk reporting & mitigation, incident management and Health & Safety within a psychiatric inpatient facility
 Experience in Data Analysis
 Good communication (verbal and written) and interpersonal skills

Certification in Performance Improvement or Project Management
 Experience in Microsoft Office programs
 Experience with Microsoft SharePoint

For benefits information, please visit: https://careers.dbhdd.ga.gov/why-dbhdd/  

Employment Requirements
To ensure the safety and wellbeing of our employees, individuals and communities we serve, certain positions within DBHDD may require evaluations, vaccinations, professional licensure and certifications. Licenses must be current and enable providers to practice within the State of Georgia.

The following are a listing of evaluations and vaccinations that may be required for employees, including those not involved with direct care:

• Drug Screening
• TB Evaluation
• Annual Influenza*

*Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.

DBHDD is an Equal Opportunity Employer
It is the policy of DBHDD to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.

Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process.

This position is subject to close at any time once a satisfactory applicant pool has been identified.

FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A NATIONAL AND STATE BACKGROUND CHECK AS A CONDITION OF EMPLOYMENT.