Tewksbury Hospital, operated by the Department of Mental Health (DMH) is seeking a dynamic and experienced professional to provide effective, strong, and accountable leadership of quality management functions to assure that quality and risk management are integrated into all aspects of the Psychiatric Service operations. The selected candidate will collaborate with the Hospital Director of Quality Management, assisting in the development and implementation of all Hospital wide Quality Management activities including Performance Improvement (PI), utilization review/management, risk management, and the collection, integration, and analysis of data. The Quality Assurance Manager requires a high degree of autonomy/creativity and must be able to work in a fast-paced environment. The incumbent works with Department Heads to confirm that all PI activities are current and relevant to the mission and initiatives of both the Department of Public Health (DPH) and the DMH. Additionally, to ensure that the Psychiatric Service maintains compliance with all Hospital Policies and all statutory and regulatory agencies including Centers for Medicare and Medicaid, the Joint Commission, and the Departments of Public Health, Department of Mental Health and Public Safety. Please Note: This position is full time, 37.5 hours per week, 8:00am-4:00pm. Days off are Saturday and Sunday /_ Duties and Responsibilities (these duties are a general summary and not all inclusive):_/ * Oversees and coordinates quality management activities to ensure DMH standardized processes, workflows, protocols specific to the psychiatric units are integrated into the hospital's systems. * Establishes and maintains open communication with and works collaboratively with the Hospital Director of Quality Management. * Updates, maintains, and reviews reports; ensures that all data and records are correct and reported. * Produces reports and benchmark data for key stakeholders and shares findings; Utilizes data to develop recommendations and best practices for improvement. * Remains current with new standards or statues from regulatory agencies such as the Joint Commission and CMS; Develops strategies to ensure hospital’s policies and practices are compliant. * Identifies processes and procedures that support quality and safe patient care as well as those process that contribute to patient and staff safety concerns. * Develops and implements the Quality Management Department’s annual plan that is reviewed and approved by the Executive Committee. * Provides supervision to Utilization Review, Risk Management, and administrative support staff. * Consults with staff as necessary to obtain information necessary to complete fact findings for complaints and reports. * Provides orientation and annual review training to facility employees regarding the facility Quality Management Program. * Works collaboratively with performance improvement leaders; assists with performance improvement projects. * Supports all HIPPA Compliance and ongoing audits. _ /Preferred Qualifications:/_ * At least two (2) years supervisory administration of managerial experience. * Prior experience working in a quality and/or performance and process improvement role. * Strong data management skills. * Comprehensive knowledge and skills of Quality Improvement Processes and Tools. * Demonstrated practice in understanding and communicating how operational and clinical outcomes foster organizational strategy and growth. * Skilled in strong, effective communication, statistical interpretation, and development of positive/productive working relationships. * Knowledge of TJC, SAMHSA, CMS Conditions of Participation and regulatory agencies requirements for quality improvement and patient safety. * Ability to identify and analyze trends, complete reports, and make recommendations for actions based on analysis. * Solid workload management and problem-solving skills; capacity to balance workload. * Strong communications and interpersonal skills; problem solving, sound judgment and ability to prioritize and delegate multiple responsibilities. * Working knowledge of all Microsoft Office applications, including Word, Excel, Outlook, Teams and PowerPoint. * Working knowledge of Tableau. * Given the population served, bilingual or multilingual fluency. /_ About Tewksbury Hospital:_/ Tewksbury Hospital operates a 370-bed facility and a campus of over 700 acres of land. Its patient care services are provided under the auspices of the Department of Public Health and Mental Health. Joint Commission accredited LTAC hospital that provides high quality, comprehensive treatment, care, and comfort to adults with chronic medical and mental illness. A full range of services are provided including 24/7 Nursing, Nurse Practitioners, Medicine as well as psychiatric and psychological services, a 6- bed dialysis unit, clinical laboratory, radiology, respiratory care, nutrition, speech/language, pathology, occupational therapy, physical therapy, therapeutic recreation and arts, and pharmacy. * Learn more:/_/* https://www.mass.gov/locations/tewksbury-hospital */ DMH Mission Statement:/* The Department of Mental Health assures and provides access to services and supports to meet the mental health needs of individuals of all ages, enabling them to live, work and participate in their communities. The Department establishes standards to ensure effective and culturally competent care to promote recovery. The Department sets policy, promotes self-determination, protects human rights, and supports mental health training and research. * Pre-Hire Process:* A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori and click on "Information for Job Applicants." Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines. Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website. If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form For questions regarding this requisition, please contact the Executive Office of Health and Human Services Human Resources at 1-800- 510-4122 Ext. #4 MINIMUM ENTRANCE REQUIREMENTS: Applicants must have at least (A) four (4) years of full-time or, equivalent part-time, professional, professional internship, administrative, supervisory, or managerial experience in business administration, business management, public administration, public management, clinical administration or clinical management or (B) any equivalent combination of the required experience and substitutions below. Substitutions: I. A certificate in a relevant or related field may be substituted for one (1) year of the required experience. II. An Associate’s degree in a related field may be substituted for one (1) year of the required experience. III. A Bachelor’s degree in a related field may be substituted for two (2) years of the required experience. IV. A Graduate degree in a related field may be substituted for three (3) years of the required experience. V. A Doctorate degree in a related field may be substituted for the required experience. _*Comprehensive Benefits* When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future. Want the specifics? Explore our Employee Benefits and Rewards! COVID Vaccine: As a condition of employment, depending on job assignment and location, employees may be required to have received COVID-19 vaccination and/or other vaccinations, or to have been approved for a vaccination exemption prior to their start date. Details relating to demonstrating compliance with this requirement will be provided to applicants selected for employment. An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply. The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role. *Job: Administrative Services *Organization: Department of Mental Health *Title: *Quality Assurance Manager for Psychiatric Services Location: Massachusetts-Tewksbury-365 East Street Requisition ID: 240000H8