Job Details

Overview

San Jose Behavioral Health is a 133-bed inpatient mental health facility in Northern California. Stop by and meet our amazing leadership team, who are engaged with our staff and our patients' recovery. Growth opportunities are available and encouraged! Join a team of like-minded individuals who believe in providing compassionate and quality care. We offer employee recognition and incentive events to promote safety, healthy habits, and recognize commitment and hard work from our staff.

Conveniently located in the heart of San Jose, the hospital is easily accessible to residents in Santa Clara County, San Mateo County, and Alameda County. The hospital campus is situated amid gently rolling hills and features serene views of beautiful natural surroundings.

Responsibilities

ESSENTIAL FUNCTIONS:

1. Oversee operations, business planning, and budget development for the Risk department.
2. Investigate and analyze actual and potential risks in the facility; assess liability and probability of legal action for potential notification. Implement, educate, and encourage incident reporting system throughout the facility.
3. Implement risk management program throughout the facility.
4. Develop and implement infrastructures and systems that support patient safety.
5. Work closely with Clinical Department practice to ensure the organization's procedures and policies are being followed by all employees.
6. Work with internal auditors, security contractors, and other staff to establish an internal control system.
7. Monitor and analyze program performance data to determine program effectiveness and identify opportunities for improvement. Ensure compliance with all administrative requirements.
8. Responsible for identifying high-risk areas that could cause harm to persons receiving services, visitors, and employees.
9. Maintain database of full disclosure activities and provide oversight for review programs and provide technical support as needed.
10. Provide staff management including hiring, development, training, performance management, and communication to ensure effective and efficient department operation.
11. Serve as a resource and consultant for risk management activities, performance improvement, policy/procedure development, and compliance initiatives.
12. Collaborate with clinical staff and management for prevention of clinical risks throughout the facility. Develop effective working relationships with clinical staff and administrative personnel to facilitate the delivery of patient care.
13. Create and implement policies and procedures that improve both patient care and employee safety. Ensure the application of institutional policies, especially those regarding patient rights, confidentiality, and full disclosure.
14. Develop, implement, coordinate, and facilitate the Quality Assurance/Process Improvement (QAPI) Program for the facility.
15. Assess QAPI needs and trends for the facility program by reviewing current practices and gathering, compiling, and evaluating data related to employees, services, and patient feedback.
16. Delegate and support the QAPI and risk management activities of Department Directors to ensure desired, department-related outcomes for patient care and safety.
17. Develop processes for identification, collection, and analysis of performance measurement data.
18. Utilize collected data regarding the outcome of activities for delivering continuously improving services.
19. Develop written plans to improve and/or correct quality, safety, and appropriateness of patient care. Conduct routine evaluations of the effectiveness of services.
20. Develop and implement systems, policies, and procedures for the identification, collection, and analysis of performance measurement data and related information.

OTHER FUNCTIONS:

1. Perform other functions and tasks as assigned.

Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

1. Bachelor's degree in a clinical healthcare, risk management, business, finance, or a related field required. Master's degree in health information management, nursing, or related field preferred.
2. Five or more years of experience in a risk management position.
3. One or more years of supervisory experience required.
4. Three or more years of experience in a Quality or PI role required.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

1. CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
2. First aid may be required based on state or facility.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal, and local laws.

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