The Candidate that is chosen will support a large portfolio of facilities from our Behavioral Health Division nationwide.
This exciting position is critical to the clinical integrity and regulatory compliance of our facilities. As a corporate senior leader, you will support, train and consult your facilities’ clinical and regulatory support teams and staff. We are seeking a clinical/nursing professional that is interested in sharing his/her expertise in a consultative manner to ensure the success of Behavioral Health Division. This is a hybrid opportunity that requirestravel, as generally three weeks each month will be spent traveling to and supporting our facilities.
The successful Regional Director of Clinical Services will:
Facilitate, coordinate and oversee Joint Commission/CARF accreditation processes, to ensure satisfactory completion, and to improve compliance.
Assure that the facility is compliant with the regulations of all federal, state, local and other regulatory bodies with jurisdiction over its clinical activities.
Assist in the development of Performance Improvement practices in facilities and maintenance of same including analysis of data and prioritization of efforts—HBIPS; Outcome Measures
Set expectations, develops plans, and manages processes to measure, assess and improve the quality of clinical programs and/or regulatory/accreditation compliance by measurable results in assigned facilities.
Seek methods to improve current facility practices/processes/clinical products by identifying problems and proposing solutions, as necessary to include program review and clinical systems review.
Investigate, in collaboration with the hospital any quality concerns such as those received from state and federal agencies including the Corporate Compliance program. Prepare, in collaboration with appropriate disciplines, action plans and submits responses within designated time frame.
Work collaboratively with corporate staff, physicians, risk management, and other corporate leaders to address performance improvement and safety issues.
Ensure that JC Sentinel Event Alerts are addressed and changes implemented as necessary. Presents alert information in applicable committees.
Act as a quality/clinical resource to the facilities, other Divisional staff, and the Corporate office.
Coordinate efforts with Corporate Risk Management, Corporate Loss Control regarding implementation of Best Practices.
Provide orientation and ongoing education/training for facility clinical and quality leadership as needed.
Provide timely and thorough verbal and written feedback from site visits to facilities and appropriate Regional VPs/Group Directors and facility CEOs
Maintain regular communication with clinical/leadership staff at assigned facilities regarding clinical and regulatory/accreditation issues.
Provide oversight and coordination for assigned special projects
Total Benefits & Rewards for our Senior Leaders include:
Paid Holidays
Tuition savings to continue your nursing education with Chamberlain University
Career development opportunities across UHS and our 300+ locations!
Diverse programming to expand your experience
HealthStream online learning catalogue with plenty of free CEU courses
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
Pet Insurance
SoFi Student Loan Refinancing Program
More information is available on our Benefits Guest Website: uhsguest.com
If you would like to learn more before applying, please contact Scott Errickson, Divisional Director-Clinical Recruitment at (484) 584-2725, or via email at Scott.Errickson@UHSinc.com
Qualifications
Requirements for this position include:
Five to ten years of regulatory/accreditation experience in a free-standing mental health hospital setting, with a working knowledge of regulatory standards, team development, clinical services and quality tools (preferably healthcare) required.
Licensed as a Registered Nurse, with MSN or Doctorate strongly preferred.
Knowledge of performance improvement principles including data analysis required.
Knowledge of risk management principles required.
Knowledge of psychiatric clinical programming required
Experience with various treatment environments and regulations including inpatient, outpatient, and residential preferred
Highly developed organizational, interpersonal, management and communication skills required.
Strong skills in oral and written communication and proficiency in Microsoft Office is required.
This position requires moderate national travel, typically Monday-Thursday three weeks/month.
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.
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Important Information for CPHQ Recertification
The recertification process has been streamlined. Unlike previous years, you don’t need to list out your CE activities at the time of completing your application. Instead, you will be asked to attest to having met the requirements, further aligning with the honor-based system of recertification. In the event that your application is randomly selected for audit, you may be required to list your CE activities and submit supporting documentation.
While you may participate in NAHQ learning opportunities (Learning Labs, JHQ articles, etc.), you can only claim CE credit once for each activity. Therefore, if you’ve previously earned CE from a NAHQ learning opportunity, you can’t claim it again, nor will you see the repeat CE appear in your “My Learning� tab. This includes activities used in previous recertification cycles.
Remember, if you’re recertifying during the grace period (1/1/24-1/31/24), you already had to earn your CE hours by Dec 31, 2023.
You still have time! Register today for a multi-day virtual event that addresses the most urgent and important issues facing healthcare today that offers a full schedule of educational sessions organized around NAHQ’s twice-validated healthcare quality competency framework.
We are excited to announce the release of the book “UNSTOPPABLE: Inspiring Stories of Perseverance, Triumph and Joy from Trailblazing Women in Healthcare“.
Be inspired by nine leading healthcare trailblazers, including our own CEO Stephanie Mercado, who empower us all with their vision and passions.
You’ll notice we’ve simplified the application process to recertify. You will not have to list your CE activities at the time of applying*. Simply attest that you met the requirements to complete the application.
*In the event of an audit, CPHQs may need to list activities and upload documentation in their NAHQ account.
Quality Education Resources
Join this informative session, “Quality Education Resources� Thursday, June 22 from 11-11:30 a.m. CT. You will learn about the range of NAHQ quality education resources available to you and hear directly from universities about the benefits they realized from implementing NAHQ’s content within their courses.
Maintain a Pulse on the Latest Quality & Safety Benchmarking Data
Learn more about NAHQ’s enhanced Quality and Safety Benchmarking Program, which provides timely insights to help U.S. hospitals and health systems create data-driven business cases for their quality and safety resourcing.
Understand the Variability Among Your Quality Team Through Workforce Accelerator
Join us Tuesday, May 2, at 11 a.m. CT, to learn more about the different options available to engage with NAHQ’s enterprise-wide solution, Workforce Accelerator®. Options range in size and scope and are designed to meet the various budgetary and timing needs of health systems as they embark on their quality journeys. Register today!
Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development
The National Association for Healthcare Quality® (NAHQ) has conducted groundbreaking research on the advancement of the quality and safety agenda and has published the results in a new workforce report. NAHQ’s Healthcare Quality and Safety Report answers the question: “Is today’s healthcare workforce doing the work that will advance critical priorities of quality, safety, equity, value, and system sustainability?� The answer is no.
Updated Maintenance Dates: Sunday, February 5, 2023
Maintenance is planned for Sunday, February 5, from 11 p.m.-4 p.m. CT. During this time, you will not have access to the “My Learning” section of your NAHQ account. We apologize for any inconvenience this may cause and thank you for your patience.
NAHQ’s Organizational Membership Subscription will serve as a one-stop shop for healthcare quality and safety training and education. Attend the February 2, at 11 a.m. CT, info session to further understand the new offering that will continue NAHQ’s focus of “Quality in Action.�
NAHQ has published an updated version of the CPHQ exam content outline.
The new exam content will take effect on March 15, 2023. Candidates planning to take the exam before March 15, 2023, can access the current CPHQ exam content outline and related resources on our website.
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Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development
Member Briefing Workshop and Healthcare Quality Week Webinar
October 7, at 12 p.m. CT
NAHQ will host an exclusive member briefing workshop where NAHQ CEO Stephanie Mercado and NAHQ President-Elect Nidia Williams will review the workforce report in-depth and prepare you to discuss it with your team and leadership during Healthcare Quality Week.
October 17, at 12 p.m. CT
To kick off Healthcare Quality Week, (HQW) NAHQ will host a complimentary webinar with NAHQ leaders to discuss the report, its impact and how you can leverage the report to your advantage.
You still have time! Register today for a multi-day virtual event that addresses the most urgent and important issues facing healthcare today that offers a full schedule of educational sessions organized around NAHQ's twice-validated healthcare quality competency framework.