<p>Current Saint Francis Employees - Please click HERE to login and apply.</p> <p>Full Time</p> <p>Job Summary: The Manager, Behavioral Health Quality is responsible for the organization's performance improvement activities related to the quality of patient care and safety. This role manages regulatory agency compliance functions consistent with administrative, medical staff and board approved plans and ensures data collection and reporting meets state, federal and regulatory agency guidelines. Minimum Education: Bachelor's degree. Master's degree in Healthcare, Social Work or clinical related field, preferred. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, Licensed Professional Counselor (LPC), or Licensed Clinical Social Worker (LCSW), preferred. Work Experience: Minimum 1 year in healthcare quality field. behavioral health experience, preferred. Knowledge, Skills and Abilities: Knowledge in performance improvement techniques and methods. Excellent communication skills, both written and verbal that present clear and concise information. Strong analytical skills. Ability to work independently and collaboratively in a fast-paced environment, managing multiple priorities with competing deadlines. Sound ability to maintain professional and courteous and demonstrate flexibility and adaptability in adynamic work environment. Ability to utilize assertiveness, political intuitiveness, and be self- motivated. Demonstrates strong leadership skills relative to motivating and developing multi- disciplinary teams to be successful. Ability to apply performance improvement strategies and methods effectively. Essential Functions and Responsibilities: Collaborates with physicians and organization leaders to design programs to improve quality and safety of patient care. Directs implementation, administration, and analysis of clinical outcomes and service data trends; compares performance to established standards; identifies variances and undesirable performance; recommends and monitors strategies for improvement; reports findings and makes recommendations to appropriate oversight bodies, including medical executive committee, quality improvement committee, and patient safety committee. Oversees core measure abstraction and ensure timely submission. Develops, implements, and monitors hospital-wide continued readiness activities for regulatory survey preparation, follow-up, tracking, and reporting to assure continual compliance with Joint Commission standards, as well as federal and state regulations such as the Centers for Medicare and Medicaid Services, Oklahoma Department of Human Services, Oklahoma Department of Human Services Office of Juvenile Oversight, Oklahoma Department of Health, and Oklahoma Department of Mental Health and Substance Abuse Services. Maintains accurate documentation and ensure timely submission of information as required by regulatory agencies. Oversees the annual Joint Commission self-assessment process (i.e. Facility Self-Assessment, Integrated Care Management). Manages process to ensure entity specific policies and procedures are kept current and in compliance with relevant standards of care and regulations. Interfaces with Epic IT team to develop documentation and workflows to monitor and evaluate the quality and appropriateness of care furnished to include intake/admissions screening, psychosocial assessment/reassessment, high social risk case finding, continuity of care, discharge planning, and exchange of appropriate information with sources outside the hospital. Collaborates closely with manager of nursing and other clinical managers to ensure staff training and educational activities ensure organization's quality of patient care standards and compliance with regulatory standards. Manages the variance reporting system in Verge, including grievances and complaints, to investigate and implement corrective action plans to improve quality. Coordinates the physician peer review process in conjunction with the executive manager and medical executive committee. Manages human and material resources and completes budget plans in a timely fashion with analysis of cost reduction. Continuously monitors overall utilization of resources and manages corrective action related to fiscal management. Collaborate with entity clinical leadership and provide consultative services to other system behavioral units regarding state and federal regulations, data collection, submission and reporting. Conducts regular visits to offsite locations to ensure safety and quality processes are established. Interface with the credentialing coordinators at Warren Clinic and Saint Francis Health System to ensure hospital privileging and provider enrollment is conducted in a timely and accurate manner to ensure all regulations and provider contract requirements are met. Serves as the Licensed Professional Clinical Counselor and the administrative point of contact for the LPCH Medical Executive Committee and Credentials Committee. Manages policy and procedure development to support staff training and educational activities to achieve the organization's quality of patient care standards and compliance with regulatory standards. Decision Making: Independent judgment in making minor decisions where alternatives are limited and standard policies/protocols have been established. Working Relationships: Direct Supervision of others. Prepares and gives performance evaluations. Works directly with patients and/or customers. Works with internal/external customers. Works with other healthcare professionals and staff. Works frequently with individuals at Director level or above. Special Job Dimensions: None. Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.</p> <p>Quality Improvement - Laureate Campus</p> <p>Location:</p> <p>Tulsa, Oklahoma 74136</p> <p>EOE Protected Veterans/Disability</p>