Director of Quality

Cost Center

Quality

Scheduled Weekly Hours

40

Work 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, you’ll be part of tight-knit team that believes in the healing power of your expertise and compassion. This 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 is dedicated 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 d