Apalachee Center · 20 hours ago
Administrative Services Director
Apalachee Center, Inc. is dedicated to assisting individuals and families in North Florida with emotional, psychiatric, and substance abuse challenges. The Administrative Services Director will oversee various administrative functions, including safety and performance improvement processes, risk management, and compliance with health regulations while coordinating departmental activities and supervising staff.
Child CareHealth CareHospitalMedicalMental HealthNon Profit
Responsibilities
Coordinates the departmental functions of the UR, PI, Clinical Trials, and Disclosure Management departments including supervision of assigned staff
Oversees scheduling, agenda development, Coordination, meeting documentation and follow-up for the Centerwide Performance Improvement Committee, Patient Safety Committee and UR Subcommittee
Coordinates agenda development for the quarterly Clinical Staff Meetings and attends Monthly Peer Review Meetings
Coordinates Center-wide safety processes in consultation with the Safety Director in accordance with policies and procedures, including the Safety Suggestion Program
Responds to concerns/e-mails received through the Apalachee website as well as calls and letters
Follow-up as indicated on all safety issues
Serves as Patient Safety Coordinator
Oversees annual Failure modes and Effects Analysis (FMEA) including selecting workgroup members, documenting process, recommendations, and follow-up
Completes formal annual review and update of safety policies and plans (170 series) in conjunction with key staff to ensure compliance with applicable regulations and standards (e.g. Joint Commission, OSHA, CDC, AHCA licensure, etc.)
Serves as the Agency’s designated Risk Manager for hospital licensure purposes
Coordinates Agency Risk Management Program pursuant to applicable sections of Florida Statutes and Florida Administrative Code
Completes and submits annual report of incidents to the Governing Board and Agency for Health Care Administration
Provides for or arranges for orientation and annual in-service training to staff regarding incident reporting and risk management
Completes quarterly, written PI / Risk Management Report for submission to the Board of Directors
Preserves confidentiality and security of all information related to incidents, complaints, claims, investigations, and other risk management responsibilities
Coordinates Root Cause Analysis (RCA) reviews for identified incidents
Completes reports, monitors implementation of identified improvements
Coordinates internal and external site visits and offsite record requests, including development of any needed corrective action plans, monitoring and follow-up (i.e., Joint Commission, Program Review, ME, AHCA, etc.)
Oversees designated external Agency reporting requirements in accordance with C&F contracts and standards
Coordinates data collection and reporting of HBIPS data
Coordinates completion of assigned sections of the Joint Commission Periodic Performance Review Process
Monitors corrective active plans for identified standards
Coordinates annual reviews and updates of Centerwide Policies and Procedures
Coordinates annual updates of the Agency’s written Strategic Plan, PI Plan, and UR Plan
Conducts Seclusion/Restraint review and monitoring including receipt of all placement forms corresponding with logs, follows up with any variances
Reviews placement forms for completion of all essential items and congruence with supervisory review forms
Tabulation of utilization data, preparation of trending charts, dissemination of reports to program directors and Patient Safety Committee
Qualification
Required
Coordinates designated activities and functions of the Centerwide Safety and Performance Improvement, Utilization Review, Disclosure Management, Clinical Trial and related Administrative functions and processes in accordance with Agency Policies & Procedures
Coordinates the departmental functions of the UR, PI, Clinical Trials, and Disclosure Management departments including supervision of assigned staff
Oversees scheduling, agenda development, Coordination, meeting documentation and follow-up for the Centerwide Performance Improvement Committee, Patient Safety Committee and UR Subcommittee
Coordinates agenda development for the quarterly Clinical Staff Meetings and attends Monthly Peer Review Meetings
Coordinates Center-wide safety processes in consultation with the Safety Director in accordance with policies and procedures, including the Safety Suggestion Program
Responds to concerns/e-mails received through the Apalachee website as well as calls and letters
Serves as Patient Safety Coordinator
Oversees annual Failure modes and Effects Analysis (FMEA) including selecting workgroup members, documenting process, recommendations, and follow-up
Completes formal annual review and update of safety policies and plans (170 series) in conjunction with key staff to ensure compliance with applicable regulations and standards (e.g. Joint Commission, OSHA, CDC, AHCA licensure, etc.)
Serves as the Agency's designated Risk Manager for hospital licensure purposes
Coordinates Agency Risk Management Program pursuant to applicable sections of Florida Statutes and Florida Administrative Code
Completes and submits annual report of incidents to the Governing Board and Agency for Health Care Administration
Provides for or arranges for orientation and annual in-service training to staff regarding incident reporting and risk management
Completes quarterly, written PI / Risk Management Report for submission to the Board of Directors
Preserves confidentiality and security of all information related to incidents, complaints, claims, investigations, and other risk management responsibilities
Coordinates Root Cause Analysis (RCA) reviews for identified incidents
Completes reports, monitors implementation of identified improvements
Coordinates internal and external site visits and offsite record requests, including development of any needed corrective action plans, monitoring and follow-up (i.e., Joint Commission, Program Review, ME, AHCA, etc.)
Oversees designated external Agency reporting requirements in accordance with C&F contracts and standards
Coordinates data collection and reporting of HBIPS data
Coordinates completion of assigned sections of the Joint Commission Periodic Performance Review Process
Monitors corrective active plans for identified standards
Coordinates annual reviews and updates of Centerwide Policies and Procedures
Coordinates annual updates of the Agency's written Strategic Plan, PI Plan, and UR Plan
Conducts Seclusion/Restraint review and monitoring including receipt of all placement forms corresponding with logs, follows up with any variances
Reviews placement forms for completion of all essential items and congruence with supervisory review forms
Tabulation of utilization data, preparation of trending charts, dissemination of reports to program directors and Patient Safety Committee
Benefits
Health
Dental
Vision
Basic life insurance
Long term disability
Paid time off
And more