Summit BHC · 6 hours ago
Director of Quality Assurance, Process Improvement, and Patient Safety - Behavioral Health
United States
Full-time
Remote
Lead/Staff, Director/Executive
4+ years expSummit BHC is a healthcare management company focused on behavioral health, and they are seeking a Director of Quality Assurance, Process Improvement, and Patient Safety. This role leads quality and performance improvement efforts, ensures compliance with standards, and drives a culture of continuous improvement across multiple behavioral healthcare sites.
Addiction TreatmentHealth CareMedicalMedical Device
Responsibilities
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
Become familiar with each assigned facility’s State licensing and reporting requirements
Interviews, onboards and conducts weekly 1:1 supervision to facility Quality and Risk Directors
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
Lead 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
Lead the development and implementation of patient safety initiatives to reduce harm and improve outcomes
Oversees incident reporting processes and conduct 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
Monitors the timely submission and escalation of both internal and 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 implement policy/procedural updates as needed
Assists with policy development and standard operating procedures to ensure standardization across sites
Assists facilities with development and implementation of corrective action plans, evidence of standards compliance and other required submissions following mock and actual surveys
Supports and mentors site-level Quality staff
Conducts multisite, multidisciplinary leadership calls
Serves as a key advisor to facility leadership on quality and safety strategy
Champions a just culture and foster a system of accountability and learning
Supports integration of evidence-based practices across disciplines and service lines
Qualification
Required
Bachelor's Degree in Nursing, Behavioral Health or related field required
Four 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
Preferred
Masters' Degree (MPH, MSN, MHA, MSW or related) preferred
Certified Professional in Healthcare Quality (CPHQ) or Patient Safety (CPPS) preferred
Two Or More Years' Supervisory/management Experience Preferred
Benefits
Comprehensive benefit plan
Company
Summit BHC
Summit Behavioral Healthcare is an Atlanta-based provider of addiction treatment and behavioral health services. It is a sub-organization of Valley Recovery Center at Fresno.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$11.73M2021-09-09Acquired
2017-10-11Private Equity
2015-03-25Series Unknown· $2M
Leadership Team
David Vandewater
President and CEO
B
Brian Walton
Chief Operating Officer
Recent News
Behavioral Health Business
2025-09-25
2025-09-05
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