Resource Director - Quality & Patient Safety na Summitbhc

Resource Director - Quality & Patient Safety | Summit Healthcare Mgmt | Nashville, Tennessee

About the Job:

PURPOSE STATEMENT:
The Resource Director-Quality and Patient Safety leads and coordinates quality and performance improvement, regulatory compliance, and patient safety efforts across multiple behavioral healthcare sites. This role ensures that all programs operate within federal, state, and accreditation standards, while driving a culture of continuous improvement, clinical excellence, and risk reduction.
This is a travel-based position requiring the incumbent to serve as the interim Director of Quality and Safety at facilities in need of interim Quality and Safety leadership. The Resource Director of Quality and Safety fosters a culture of accountability, empathy, and professionalism, ensuring that organizational quality supports the mission of delivering safe clinical healthcare. The role is instrumental in advancing evidence-based practices, regulatory compliance, and performance excellence throughout the system.

This is a full-time position, requiring extensive travel. Travel expectation is 80%.

Roles and Responsibilities:

ESSENTIAL FUNCTIONS:

• Identifies, assesses, and prioritizes facilities in the areas of quality, risk, and patient safety.
• Completes onsite visits to each assigned facility routinely a minimum of once per quarter and more frequently for higher risk, problem prone facilities.
• Conducts weekly calls with each assigned facility for communication and collaboration, and to review Smart Sheets.
• Completes required reports such as Weekly Risk Report, Facility Smart Sheets, and other internal documents as requested.
• Attends and participates in scheduled weekly, biweekly, monthly, and quarterly meetings on camera or in-person.
• Participates in relevant start-up facility processes and readiness for licensing and accreditation.

• Ensures facility QAPI programs are aligned with strategic goals.
• Collects, analyzes, and reports key performance indicators (KPIs), dashboards, and outcome metrics.
• Leads root cause analyses (RCAs), failure mode and effects analyses (FMEAs), and other process evaluations.
• Collaborates with leadership and clinical teams to identify opportunities for improvement and develop action plans.
• Facilitates quality improvement (QI) committees and promote cross-site collaboration and learning.

• Leads the development and implementation of patient safety initiatives to reduce harm and improve outcomes.
• Oversees incident reporting processes and conducts trend analysis for adverse events, near misses, and sentinel events.
• Ensures follow-up and closure of safety-related investigations, including documentation and communication of lessons learned.
• Works in partnership with quality, operations, and clinical leadership to mitigate risks and implement corrective actions.
• Creates and submits external reporting of adverse events, as well as plans of correction.

• Ensures all programs maintain compliance with applicable standards (e.g., Joint Commission, CARF, SAMHSA) and State requirements.
• Coordinates and aids with external audits, surveys, and regulatory visits.
• Monitors changes in regulatory requirements and implements policy/procedural updates as needed.
• Assists with policy development and standard operating procedures to ensure implementation.
• Assists facilities with development and implementation of corrective action plans, evidence of standards compliance and other required submissions following mock and actual surveys.
• Conducts calls as needed with corporate leadership and hospital teams to discuss high risk events and action planning.
• Champions a just culture and foster a system of accountability and learning.
• Supports integration of evidence-based practices across disciplines and service lines.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Bachelor’s degree in nursing, behavioral health or related field required. Masters’ Degree (MPH, MSN, MHA, MSW or related) preferred.
• Three or more years’ experience in healthcare quality, patient safety, or risk management.
• Experience in behavioral health setting and multi-site operations required.
• Deep knowledge of QAPI frameworks (e.g. PDCA).
• Familiarity with behavioral health accreditation and regulatory requirements.
• Strong data analysis skills including proficiency with quality software/tools, Excel, Power BI, HC analytics.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

Certified Professional in Healthcare Quality (CPHQ) or Patient Safety (CPPS) preferred.

SUPERVISORY REQUIREMENTS:

• Three or more years of progressive nursing leadership experience, with at least three years in a behavioral health position in a nursing leadership role.

TRAVEL & WORK LOCATION EXPECTATIONS:

• This position requires extensive travel (80%) to behavioral health facilities across regions.
• Occasional remote work may be permitted when not actively assigned to a facility.
• Occasional evenings/weekends for audits, training, or investigations.

Why Summit Healthcare Mgmt?Summit Healthcare Mgmt offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Summit Healthcare Mgmt is an EOE.

Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.

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