Job Details

Job Title: Quality, Risk, Incidents Director- West Central Regional Hospital- Columbus
Pay Grade: N

Workplace: West Central Regional Hospital

Travel: 10%
Job Summary:

• Under the supervision of the Director of the Office of Quality, Risk, Incidents, and Investigations, Implements the vision and mission of the Office of Quality, Risk, Incidents, and Investigations at the assigned DBHDD State Hospital.
• Provides direction to the local OQRI Staff.
• Directly supervises the Risk Manager and Quality Improvement Manager.
• Implements state-wide processes to ensure consistency between DBHDD State Hospitals.
• Coordinates with other QRI Directors to identify and implement DBHDD Hospital System Performance Improvement needs.
• Participates in Hospital Executive Leadership Team, Hospital Medical Executive Committee, and other designated committees.
• Provides oversight and ongoing monitoring of CAPs related to internal and external surveys to confirm that the action steps have been fully implemented.
• On behalf of Hospital Executive Leadership team, facilitates monthly hospital Quality Council and prepares other quality, risk, and incident related reports as deemed necessary
• As part of Hospital Executive Leadership team, implements required TJC and CMS standards and educates hospital staff regarding regulations and compliance expectations in conjunction with State and Federal Law.

• As part of Hospital Executive Leadership team:
• Works to improve safety and quality of care provided to individuals served at the hospital.
• Contributes to biannual reports for Governing Body.
• Prepares, organizes, and coordinates TJC Accreditation and CMS Certification Surveys
• Actively participates in hospital leadership meetings and works with hospital project leaders to provide guidance and assistance in developing and implementing solutions to quality, risk, and incident issues.
• selects key performance indicators
• Under the direction of the Hospital RHA, coordinates reporting of Sentinel Events to regulatory entities and facilitates hospital Root Cause Analysis
• Position requires up to 10% travel within state hospital system
• Actively Participate in assigned Hospital System Meetings
• Other duties as assigned

Preferred Qualifications

Master's in Public Admin, Social Work, Nursing, Business Admin or related field or Master's in healthcare management or related field OR
5 years experience in Quality Management, Risk Management, project management, or related experience.
• Experience in Performance Improvement
• Knowledge of TJC (HAP, NCC, BHC) accreditation requirements and CMS certification standards
• Experience in organizing and preparing for TJC Accreditation (HAP, BHC, NCC) and CMS Certification Surveys
• Experience in overseeing established structures and processes in relation to quality management & assurance, performance improvement, risk reporting & mitigation, incident management and Health & Safety within a psychiatric inpatient facility
• Experience in Data Analysis
• Good communication (verbal and written) and interpersonal skills
• Certification in Performance Improvement or Project Management
• Experience in Microsoft Office programs
• Experience with Microsoft SharePoint and Teams

For benefits information, please visit:

Employment Requirements
To ensure the safety and wellbeing of our employees, individuals and communities we serve, certain positions within DBHDD may require evaluations, vaccinations, professional licensure and certifications. Licenses must be current and enable providers to practice within the State of Georgia.

The following are a listing of evaluations and vaccinations that may be required for employees, including those not involved with direct care:

• Drug Screening
• TB Evaluation
• Annual Influenza*

*Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.

DBHDD is an Equal Opportunity Employer
It is the policy of DBHDD to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.

Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process.

This position is subject to close at any time once a satisfactory applicant pool has been identified.

FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A NATIONAL AND STATE BACKGROUND CHECK AS A CONDITION OF EMPLOYMENT.

High school diploma/GED and six (6) years of professional level experience related to the area of assignment.