Responsibilities
Position Summary
As a member of Sr. Leadership this position ensures the development, implementation and evaluation of policies, programs and services consistent with the facility’s goals and objectives and actively participates in a leadership role by consulting with facility management in designing and providing total patient care and services. This role oversees Risk Management, Performance Improvement, and Compliance activities for Skywood Recovery Inpatient and Outpatient facilities.
The Director of Risk Management is responsible for assisting in the oversight of all compliance and improvement aspects of the facility.
The Director of Risk Management will analyze facility operations and needs to determine potential enhancements or improvements to clinical procedures and operational activities and will develop and/or recommend supporting policies and procedures. The Director of Risk Management will collaborate and coordinate in implementing plans and programs particularly in the areas of performance improvement for process and outcomes.
Skywood Recovery Center is a residential treatment facility offering integrated treatment for addiction and mental health conditions. Skywood Recovery provides individual and group therapy, experiential therapy, equine and art therapy, and yoga. Located in Augusta, MI, a convenient drive from Kalamazoo and Lansing, MI, the campus offers a restorative environment with opportunity to enjoy the outdoors.
Skywood is part of one the nation’s largest and most respected hospital management companies, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, UHS today has annual revenue exceeding $10.7 billion. In 2019, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2018, UHS ranked #268 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies.
Our operating philosophy is as effective today as it was 40 years ago, enabling us to provide compassionate care to our patients and their loved ones: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.
Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 350 inpatient acute care hospitals and behavioral health facilities and 30 outpatient and other facilities located in 37 states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information on the Company, visit our web site: http://www.uhsinc.com.
Qualifications
Essential Duties and Responsibilities
Joint Commission
- Serves as in-house expert on Joint Commission Standards requiring in-depth knowledge of policies and procedures within the Facility to ensure compliance.
- Proactively audits and monitors practices within the Facility to ensure that appropriate standards are in place and are being implemented effectively.
- Works with leadership team to address and resolve operational issues as they arise.
- Develops and oversees action plans to prepare for periodic surveys.
- Conducts training and education related to Joint Commission standards.
- Drafts policies as needed for compliance with standards within Facility.
Manages the Facilities compliance program to include privacy, security, safety/risk management, fraud and abuse monitoring, tracking, trending and reporting.
- Responds effectively to potential violations of applicable standards and develops and oversees a corrective action plan for resolving them.
Oversees Quality and Risk Management processes of the facility to include the following:
- Maintain T E R M Agreement through UHS Risk Management requirements.
- Receives incident reports and other information regarding occurrences in the facility; pulls information available in Midas and collates to perform analysis. Presents information and makes recommendations in the monthly quality meeting and possibly the patient safety council meeting when applicable.
- Reviews data to identify trends regarding accidents and/or occurrences and recommends corrective action plans to management.
- Directly refers to all incidents with claims involving actual or potential injury to patients, visitors and staff to higher authority.
- Responsible for conducting Root Cause analysis investigations and prepares summary reports to include recommendations based upon the learnings obtained from the investigation.
- Prepares monthly reports for Quality Council meeting and the Patient Safety Council meetings.
- Maintains Risk Management files and statistics in compliance with The Joint Commission, state and federal agencies. Verify all information is accurate, available and secure.
- Provides training at New Hire Orientation and throughout the year for personnel to enhance their awareness of their role in reducing liability.
- Participates in FLASH treatment team meetings.
- Leads Quality and Patient Safety committees.
Responsible for the technical writing and preparation of board reports, state and federal reports for facility license.
Provides support to Facility CEO as needed.
- Prepares agendas, notices and minutes for leadership meetings and monitors action plans to accomplish meeting goals.
Performs all other duties as assigned.
Knowledge, Skills And Abilities
- Develops and maintains in depth knowledge of Joint Commission standards.
- Must be able to meet quality expectations for accuracy and thoroughness and monitor own work to ensure quality.
- Must be able to meet timeliness expectations for completing work as scheduled, demonstrating self-paced performance and adjusting priorities as needed without direction.
- Must represent the company in a manner which conveys a professional, courteous, caring and cooperative attitude, reflective of the company’s Mission Statement and Values.
- Must maintain a neat, professional appearance.
- Must have ability to identify and resolve problems in a timely manner, gather and analyze information skillfully and maintain confidentiality.
- Must have strong written and oral communication skills.
- Must be able to adapt by managing competing demands and deal with frequent change, delays or unexpected events.
Education And Experience
- Bachelor’s Degree in Business Administration or related field required.
- Minimum seven (3) years of experience
- Minimum three (2) years of experience in a health system’s quality or compliance role
- Minimum one (1) year supervisory experience required.
- Experience must reflect a strong understanding of compliance, legal, quality management, risk and regulatory requirements applicable to health care providers, preferably in behavioral health.
- Must be highly proficient with software and application programs.
Work Environment and Physical Demands
- Ability to be physically mobile; climb stairs, traverse the campus on uneven, hilly terrain. However, long periods of sitting will be required.
- Must be able to lift, push, pull and/or move up to 40 pounds.
- Position requires a great deal of work on the computer requiring manual dexterity and visual acuity.
- Ability to read, write and analyze detailed and complex information.
- Must be able to communicate effectively by telephone.
- A current, valid driver’s license and a clean driving record is required for use of company vehicles as well as occasional business travel may arise.
- Due to the 24/7 operational demands, must be available after normal working hours and on holidays to manage emergencies that may arise.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
