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E00853 – Director of Performance Improvement – IP

Full-time Position

Corporate

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Position Overview: Under the supervision of the Vice President of Administrative Services, the Director of Performance Improvement: OP/Digital Health is responsible for planning, organizing, controlling, and directing the compliance, quality, and performance improvement activities across the OP/Digital Health Service line. This position will utilize organizational KPIS and expectations, industry best practices and benchmarks, and external regulations and laws to inform business practices and ensure the provision of high quality, effective, and efficient services.

 

 

Daily Responsibilities Include:

  • Plan, develop, organize, implement, direct and evaluate the OP/Digital Health Service Line compliance and quality functioning and performance.
  • Ensure ongoing maintenance of existing QA and Compliance Activities (incident report, quality committees, chart reviews, cross functional communication and treatment methods, patient satisfaction, regulatory readiness, etc)
  • Ensure timely, effective, and consistent communication that encompasses mission and values of the organization.
  • Participate in the development of immediate and strategic performance improvement plans through evaluating and advising on the impact of long-range planning and regulatory action on the areas of responsibility.
  • Implement and enforce policies and protocols of the Service Line via system and process development that will improve the overall operation and effectiveness of the organization.
  • Effectively develop solutions to Service Line compliance, quality, and/or business challenges to include systems, resources, and tools necessary to ensure high quality and efficient organizational functioning.
  • Evaluate the Service Line’s structure and plan for continual improvement of the efficiency and effectiveness of departmental functioning and services provided.
  • Provide proactive and continuous analysis of areas of risk and/or strength to include recommendations to the executive team for mitigation, standardization, and ongoing maintenance of quality service provision.
  • Work collaboratively with Executive Leadership and Site Leadership on new initiatives and project roll outs to include all stakeholders and departments, ensuring Continuous Quality Improvement feedback loop and monitoring
  • Establish and maintain ongoing communication with Site Leadership to ensure alignment with Corporate and Site level initiatives and priorities
  • Partner with Corporate Support teams (HR, IT, Operations, Managed Care, Clinical, Compliance Billing, Mission Center, Training) to ensure new initiatives and/or performance improvement strategies holistically address interrelated systems and communication pathways.
  • Provide guidance, interpretation, and information on organizational and/or site level regulatory, accreditation, payor, and/or best practice expectations.

 

Overall Strategic Responsibilities:

 

  • Strategic oversight encompasses all organizational areas to include but not limited to: risk management, patient satisfaction surveys, regulatory/payor/accreditation compliance, clinical outcomes management, clinical programming, quality management committees, coordination of care, models of supervision, system validity/reliability, and operational efficiency. Strategic oversight includes:

 

  • Implementation and monitoring of initiatives and action plans

 

  • Ongoing system analysis and development

 

  • Collaboration with leadership in completion of internal reviews to mitigate areas of risk; develop protocols and/or make recommendations for improvement

 

  • Work in a multidisciplinary manner to facilitate open communication across departments and roles

 

 

Education and Experience:

  • Master’s degree in a related field (healthcare management, psychology, social services, nursing)
  • Ten years of behavioral healthcare experience with a focus on healthcare adminsitration
  • Understanding of systems of quality measurement/management and evidence based practices (American Society of Addiction Medicine, Substance Abuse and Mental Health Services Administration, Healthcare Effectiveness Data Information Set, National Committee for Quality Assurance, National Institute on Drug Abuse, National Alliance on Mental Illness)
  • Understanding of Risk Management best practices as governed by the American Hospital Association, American Society for healthcare risk management
  • Previous experience implementing systems and process to include organizational change management
  • Understanding of managed care to include commercial insurance and CMS governance (Medicaid/Medicare)
  • Experience and knowledge of ongoing survey readiness and survey processes to include federal regulations, state regulations, Joint Commission, and Commission on Accreditation of Rehabilitation Facilities (CARF surveys and standards.
  • Experience working with and developing solutions within electronic health records
  • Proficiency in Microsoft Office products (Office, Excel, Project)
  • Excellent organizational skills required

 

 

Competencies:

 

Integrity: Upholds personal and professional ethics and values, considering the values of the organization and respecting the culture, beliefs, and abilities of individuals.

Confidentiality: upholds organizational, patient, and employee confidentiality at all times.

Customer Service: Demonstrates concern for meeting internal and external customers’ needs in a manner that provides satisfaction for the customer within the resources that can be made available.

Impact and Influence: Works effectively with and through others including those whom there is no formal authority over.

 

Communication: Communicates well both verbally and in writing, creates accurate and punctual reports, delivers presentations, shares information and ideas with others, has good listening skills.

 

Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The noise level in the work environment is usually moderate.

 

Physical Demands: The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, or kneel. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision and the ability to adjust focus.

 

Organization: Time Management: Determinates the appropriate allocation of time. Task Management: Balances conflicting priorities in order to manage workflow, ensure the completion of essential projects, and meet critical deadlines.

 

Judgment: Exhibits sound judgment and the ability to make reasonable decisions in the absence of direction; swiftly refers problems/issues to the appropriate person(s) when necessary; works effectively without constant and direct supervision or guidance.

 

Technical/Computer Skills: Displays proficiency using standard office equipment. Demonstrates advanced proficiency by quickly adapting to new technology and easily acquiring new technical skills

 

 

Project Management: Coordinates the diverse components of the project by balancing scope, time, cost, and quality.

 

Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The noise level in the work environment is usually moderate.

Physical Demands: While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands to finger, handle or feel objects, tools or controls. The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, or kneel. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision and the ability to adjust focus.

 

Travel: 50% travel is required which includes local, out-of-the-area, and overnight travel.

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