Mount Carmel Behavioral Health, a joint partnership between Acadia Healthcare, is an 80-bed hospital that provides acute inpatient and outpatient care for adult men and women, age 18 and above, who have been experiencing mental or behavioral health challenges. We also offer focused care forindividuals whose primary psychiatric diagnosis is accompanied by co-occurring addiction. We are seeking a Quality and Risk Coordinator to join our fabulous team!ESSENTIAL FUNCTIONS:
- Monitor and audit program components to ensure compliance with contracts, licensing and accreditation standards. Responsible for obtaining and the renewal of accreditation and licensing for the facility.
- Collaborate with clinical staff and management fin review and entry of Incident Reports.
- Complete quality analysis reports and identify recommendation for improvement.
- Assist in the development and oversight of program improvement initiatives and corrective action plans. Assist with program and quality related training as appropriate.
- Maintain accreditation compliance, patient safety goals and other state or licensing requirements.
- Record and retain committee meeting minutes, performance improvement and risk management documentation. Facilitate document processing between managers and committees
- Track projects as assigned throughout the facility, which may include but is not limited to quality council, policies and procedures, safety committee, departmental monitors, board monitors and graphs.
- Assist in project implementation and system-wide education and compliance initiatives including compliance with State Licensing and CMS regulatory requirements
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)