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Director of Regulatory & Quality Behavioral Health

Company: Universal Health Services, Inc.
Location: Auburn Hills
Posted on: February 25, 2021

Job Description:

Director of Regulatory & Quality Behavioral Health Director of Regulatory & Quality Behavioral Health

  • Executive, Behavioral Health - Counselor
  • Varied
  • 67897
  • Havenwyck Hospital Job Description Responsibilities Havenwyck Hospital is a Joint Commission-accredited and licensed psychiatric hospital, overlooking Lake Galloway in Auburn Hills, Michigan. We specialize in providing comprehensive, compassionate behavioral health services to children, adolescents and adults. It is the ultimate goal of our dedicated staff to build strength, confidence and knowledge within each patient, in hopes that they may continue learning and understanding their needs and practicing self-care for the rest of their lives. Havenwyck Hospital UHS Benefits include:
    • Challenging and rewarding work environment
    • Competitive Compensation & Generous Paid Time Off
    • Excellent Medical, Dental, Vision and Prescription Drug Plans
    • 401(K) with company match and discounted stock plan
    • SoFi Student Loan Refinancing Program
    • Career development opportunities within UHS and its 300+ Subsidiaries!
    • Tuition Assistance If you would like to learn more about the position before applying, please contact Human Resources at 248-373-9200. What do our current employees value at Havenwyck Hospital & UHS? An environment that puts patient care first. One of the most rewarding aspects of working as an employee is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Supportive and responsive leadership. You are never alone, as you are part of a large network of peer nurses and nursing leaders that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement as an employee with UHS. One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. Havenwyck Hospital is seeking a dynamic and talented--Director of Regulatory and Quality to join our team of compassionate, dedicated professionals. The Director of Regulatory and Quality-- is responsible for the development, implementation, coordination, and aggregation of the hospital wide Performance Improvement Plan. Additionally, the individual is responsible to develop, implement and oversee all regulatory compliance activities to ensure compliance with all The Joint Commission, CMMS and State standards, rules and conditions of participation. Duties include, but are not limited to:
      • Collects, coordinates and maintains informational reports from all departments and committees as outlined in the Performance Improvement (PI) Plan.
      • Provides expertise in responding to quality requirements of external agencies, i.e. The Joint Commission. CMMS, etc.
      • Coordinates and monitors the hospital wide PI Plan in order to maintain compliance with The Joint Commission, CMMS, and other regulatory agencies.
      • Evaluates and improves the systems, forms, procedures, methods, and motions used in accomplishing all PI work.
      • Assists Medical Staff in evaluating the quality of patient care and in developing criteria and methods for such evaluation.
      • Provides ongoing communication, resources, education, and aggregated data/information to all department managers, related to issues involving quality, safety, and survey readiness.
      • Assist with annual evaluation (and revision if necessary) of the PI Plan.
      • Plans, develops, and presents in-services relevant to PI and survey readiness as necessary.
      • Responsible for the review, development, and implementation of the department policies and procedures.
      • Serves as a liaison between the medical staff, or committees and the Health Information Management Department.
      • Serves as the facility's Compliance Officer.
      • Ensures the hospital's environment is safe, clean, and well organized. Makes recommendations for resources and adequate space. Submits requests for repairs and for required equipment. Conducts quarterly safety rounds.
      • Maintains knowledge and understanding of The Joint Commission (CAMH, CAMBH) and CMMS Standards and strategies for compliance. Acts as the facility liaison during the survey process including other applicable state and federal regulatory agencies. Ensures timely response and oversees development and implementation of any required corrective actions. Assigns tasks as necessary to other departmental managers to assist in overall regulatory compliance.
      • Reviews and analyzes root causes, patterns, or trends in data collection and informs applicable Facility management staff; helps to identify and implement corrective action and performance improvement processes.
      • Provides continuous support in the analysis of performance improvement initiatives and re-establishing requirements which will facilitate continuous improvement. Fosters the development and tracking of performance indicators at the departmental level; encourages a facility-wide team effort in meeting performance improvement goals.
      • Assures that hiring, disciplinary actions and termination procedures are conducted in accordance with hospital policies. Qualifications
        • Bachelor's degree in Human or Health Services field required. MSN or advanced degree preferred.
        • Valid licensure in the State of Michigan as a RN, NP, MSW, MA, PhD in psychology, or PsyD required.
        • At least five years clinical experience required in a related setting.
        • 3 - 5 years of management experience required.
        • Relevant experience and demonstrated skill in data aggregation and interpretation, analysis and process improvement required.
        • Experience collecting and interpreting patient information required.
        • Experience collecting and analyzing performance and incident data at the medical staff and organizational level.
        • Thorough knowledge of regulatory and accrediting agency standards, rules and regulations (i.e., The Joint Commission, CMMS, DHHS, etc.) required.
        • Proficient in Microsoft Word, Excel and PowerPoint applications required.
        • Employees must be in good standing (employment/corrective action history, evaluation, etc.) to be considered for internal transfers. 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 subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career 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 feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449 UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc. --UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via- email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means. Are you interested in learning more about opportunities with Havenwyck Hospital? Havenwyck Hospital is owned and operated by a subsidiary of Universal Health Services, Inc. (UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation.

          UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS" or "UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including UHS of Delaware, Inc.

          Havenwyck Hospital is an Equal Opportunity Employer and as such, openly supports and fully commits to recruitment, selection, placement, promotion and compensation of all 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.

Keywords: Universal Health Services, Inc., Detroit , Director of Regulatory & Quality Behavioral Health, Healthcare , Auburn Hills, Michigan

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