Position Summary: Coordinates quality and performance improvement activities, including process improvements and outcomes of patient care. Leads in the collection of chart audits and other types of data that reflect process and outcomes of patient care, analyzes results, and initiates corrective action for deficiencies. Manages the analysis of statistical data. Maintains compliance for all federal, state, and regulatory requirements. Assists in the review, investigation and reporting of Incident Reports and related Risk Management activities.

Responsibilities:

• Demonstrates sound leadership skills and utilizes these skills in organizing the performance improvement activities
• Record of consistently high quality of interpersonal skills to be an exemplary role model to others
• Displays basic knowledge of treatment procedures
• Interventions common to acute psychotic as well as to non-violent crises intervention practice
• Basic knowledge of abnormal psychology;
• Basic knowledge of medical terminology; thorough familiarity of psychopharmacology and the use of psychotropic medications
• Basic teaching and training skills helpful
• Problem-solving; organizational and time-management
• Crisis intervention skills; written and oral communication skills; skills in facilitating and/or co-facilitating process oriented and didactic groups
• Eligible for CPR and CPI/NCI certification
• Skills in establishing and maintaining effective working relationships with a variety of clinical and support team members
• Empathy for patients and their families;
• Skills in maintaining information as highly confidential
• Skills in limit and boundary setting
• Assertive communication; skills at counseling staff; personnel management

Minimum Qualifications:

Experience: Minimum of (3) years of psychiatric experience preferred. Experience in Healthcare Quality/ Performance Improvement, Joint Commission accreditation and regulatory compliance preferred.

HIPAA: Has access to all PHIS necessary to perform job functions and assuring compliance with standards of care.

Work Demands/Environment:

Requires full range of body motion, including handling and lifting patients, manual and finger dexterity and eye-hand coordination. Requires standing and walking for extensive periods of time. In addition to lifting of patients, occasionally lifts and carries items weighing up to 50 pounds. Requires corrected vision and hearing to normal range. Requires working under stressful conditions and/or working irregular hours. Potential exposure to communicable diseases, toxic substances, body fluids and other conditions common to a hospital environment.