Belmont Behavioral Hospital is a premiere provider of comprehensive treatment for mental health conditions and substance use disorders. Having been in operation for over 75 years as one of the most prominent providers of behavioral healthcare treatment services, Belmont is proud to offer high quality and specialized programming options for children, adolescents, adults, and older adults who are suffering from psychiatric concerns and chemical dependency.

Belmont Behavioral Health System is seeking a dedicated and experienced Quality Manager responsible for regulatory compliance and managing performance improvement activities for the health system. The ideal candidate will have a strong background in quality assurance and project management with a foundational understanding of The Joint Commission accreditation and regulatory audits. This role will report to the Director of Quality and Regulatory Affairs.

ESSENTIAL FUNCTIONS:

• Provide oversight of quality data collection, monitoring, analysis and reporting.
• Monitor and analyze QM data for review by facility management. Submit data to external agencies as required.
• Assist in annual preparation and evaluation of the facility Quality plan.
• Complete QM projects and incorporates the results into patient care improvements.
• Manage facility compliance with policies and applicable standards as required by regulatory/accrediting bodies.
• Submit monthly scorecard data to Acadia corporate office.
• Assist in investigation and root cause analyses into all serious and/or sentinel events.
• Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
• Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Bachelor’s Degree in Nursing or Human Services field required. Master’s Degree in Nursing or Human Services preferred.
• Two or more years’ experience in Quality Management required.
• One or more years' supervisory experience required.
• Experience in a behavioral health setting preferred.
• Experience with TJC accreditation and regulatory audits preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
• First aid may be required based on state or facility.

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