Director of Behavioral Health Quality

HOW WE CARE FOR YOU:

At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.

• Pension Plan
• Retirement Plan
• Comprehensive Benefits Package
• Tuition Reimbursement
• Benefits Effective Date of Hire
• Same Day Pay through Daily Pay

SUMMARY

The Director is a key leadership position within the Behavioral Health Network at Rochester Regional Health System (RRH). The role is crucial to leading and advancing our commitment to providing high-quality healthcare services. The Director will be responsible for coordinating and facilitating quality improvement initiatives, ensuring compliance with regulatory standards, and fostering a culture of continuous improvement within our Behavioral Health Network. The Director will utilize knowledge of clinical, epidemiologic, improvement science and the clinical quality literature to provide leadership in improving and achieving superior outcomes.

STATUS: Full Time          

LOCATION: Evelyn Brandon Health Center

DEPARTMENT: Behavioral Health

SCHEDULE: Weekdays

REQUIRED ATTRIBUTES

• Master's degree in healthcare administration, nursing, or a related field required.
• Minimum of 5 years of experience in healthcare quality and patient safety (or other relevant experience), with at least 2 years in a leadership role (or other relevant experience) required.

RESPONSIBILITIES

• Quality Improvement Leadership & Strategy: Develop and implement a comprehensive clinical quality and safety strategy that aligns with the organization's overall quality goals and objectives. Aligns resources to drive performance improvement of required measures. Provides leadership, support and mentorship to clinical Quality professionals.  Provides technical support for quality improvement activities, specifically providing improvement teams with the necessary tools and approaches to improve measures of quality and safety. Participates in the development and management of budgets to support the Clinical Quality Program and in prioritization of resource allocation. Responsible for coordination and standardization of all aspects of clinical quality, performance improvement, and process redesign across aligned business areas.  Collaborates with stakeholders across the organization to develop an infrastructure and implement plans that focus on improving patient outcomes and ensuring clinical best practices.  Participate in coordination and management of hospital board quality meeting agenda planning, meeting prep and facilitation.

• Performance & Data Analysis: Establishes and monitors key performance indicators (KPIs) related to clinical quality.  Coordinate with business leadership on development of annual QAPSPI goals.  Coordinates data abstraction, extraction, analysis, and intervention for clinical quality measures. Use data-driven insights to recommend improvements.  Prepare and present regular reports on clinical quality metrics to leadership.

• Quality Metrics Monitoring: Tracks performance improvement initiatives to ensure that objectives are met and recommended actions are fully implemented. Oversees, and monitors metrics for externally reported quality programs. Coordinates with business leadership for opportunities for improvement. (Leapfrog, CMS Stars, CMS P4P, Excellus HPIP, QAPSPI goals, etc.). Lead and facilitate standardization of program compliance and implementation for aligned business area quality improvement programs.

• Regulatory Compliance: Coordinate with Quality Specialists and Office of Clinical Regulatory Compliance to ensure preparation and participation for accreditation visits. Provide support and guidance for unanticipated regulatory visits related to quality matters. Liaise with system regulatory and other relevant areas on ensuring appropriate internal audit planning and completion.

• Training & Education: Foster the use of performance improvement techniques to achieve optimum results. Offer guidance, education, and feedback to staff regarding quality improvement efforts, processes, and techniques. Provide ongoing educ