Director, Risk Management & Performance Improvement in Smithville, Texas at ADDICTION AND MENTAL HEALTH SERVICES, LLC

• Investigate and analyze actual and potential risks in the facility; assess liability and probability of legal action for potential notification
• Implement, educate and encourage incident reporting system throughout the facility
• Implement risk management program throughout the facility
• Develop and implement infrastructures and systems that support patient safety
• Work closely with Clinical Department practice to ensure the organization's procedures and policies are being followed by all employees
• Work with internal auditors, security contractors, and other staff to establish an internal control system
• Monitor and analyze program performance data to determine program effectiveness and identify opportunities for improvement
• Ensure compliance with all administrative requirements
• Responsible for identifying high-risk areas that could cause harm to people receiving services, visitors, and employees
• Maintain database of full disclosure activities and provide oversight for review programs and provide technical support as needed
• Provide staff management to include hiring, development, training, performance management and communication to ensure effective and efficient department operation
• Serve as a resource and consultant for risk management activities, performance improvement, policy/procedure development and compliance initiatives
• Collaborate with clinical staff and management for prevention of clinical risks throughout the facility.
• Develop effective working relationships with clinical staff and administrative personnel to facilitate the delivery of patient care
• Create and implement policies and procedures that improve both patient care and employee safety. Ensure the application of institutional policies, especially those regarding patient rights, confidentiality and full disclosure
• Develop, implement, coordinate and facilitate the Quality Assurance/Process Improvement (QAPI) Program for facility
• Assess QAPI needs and trends for the facility program by reviewing current practices and gathering, compiling and evaluating data related to employees, services, and patient feedback
• Delegate and support the QAPI and risk management activities of Department Directors to ensure desired, department-related outcomes for patient care and safety
• Monitors and maintains compliance for accreditation for the facility
• Monitors and maintains compliance for state licensure for the facility

• Bachelor’s degree, risk management, business or a related field required
• Five or more years’ experience in risk management position
• One or more years’ supervisory experience required
• Demonstrated knowledge of laws and regulations of federal, state and local governmental agencies and with the standards, rules and regulations of accrediting agencies as applicable to the facility preferred
• Comfortable working with the public
• If recovering, two (2) years of continuous, verifiable sobriety
• Maintain appropriate professional boundaries and confidentiality, including a working knowledge of 45 CFR “Health Insurance Portability and Accountability Act” and 42 C.F.R. Part 2 “Confidentiality of Alcohol and Drug Abuse Patient Records”
• Ability to maintain composure with periodic exposure to high-risk behaviors that may result in agitation, aggression, or violence or exposure to critical incident, and possible sentinel events

• Master’s degree in health care management, nursing or related field preferred

At Bradford Health Services, we are committed to providing exceptional care to our patients while fostering a supportive and rewarding workplace for our employees. We believe that taking care of our team allows them to take better care of others, which is why we offer a comprehensive benefits package designed to support their well-being.