Job description

Manage the facility Quality Management program. Coordinate and lead the facility's Infection Prevention and Control program.

• Monitor and analyze QM data for review by facility management. Submit data to external agencies as required.
• Conduct annual preparation and evaluation of the facility Quality plan.
• Complete QM projects and incorporate the results into patient care improvements.
• Ensure facility compliance with policies and applicable standards as required by regulatory/accrediting bodies.
• Complete monthly safety rounds and submit results/corrective actions to Acadia corporate office.
• Review incident/safety concerns with the leadership team to identify systemic issues and facilitate the development of corrective actions. Facilitate/oversee investigation and Root Cause Analyses into all serious and/or sentinel events.
• Coordinate the abstraction of clinical data according to Joint Commission specifications and data entry via vendor database for Inpatient Psychiatric Core Measures (HBIPS).
• Conduct ongoing surveillance of infections. Responsible for determining, preventing and containing infectious outbreaks within the facility.
• Gather, interpret and accurately record data on all infections, notifying designated medical, administrative staff and appropriate health department authorities of all reportable communicable disease.
• Monitor and update facility supervisors and staff on area specific policies, procedures and protocols important to infection prevention principles. Assess and re-enforce infection prevention practices.
• Investigate all exposure incidents, oversee post-exposure evaluation and follow-up process.

Three or more years' experience in Quality Management required. Experience in a behavioral health setting preferred. Experience with TJC accreditation and regulatory audits preferred. One or more years' experience in infection control preferred.

Bachelors Degree in Nursing/Healthcare Required

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Chattanooga, TN 37404: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Quality Management: 3 years (Required)

License/Certification:

• RN License (Required)

Work Location: In person

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