Vice President, Quality and Compliance – Acute and Youth Residential Facilities in Franklin, TN at Acadia Healthcare

Date Posted: 11/28/2021

Job Snapshot

Job Description

Overview

The Vice President, Quality and Compliance, oversees quality and clinical programs, assesses compliance requirements, and guides the implementation of evidence-based programs. The position works closely with facility leadership and clinical teams on accreditation standards and federal/state regulations. The position supports and supervises a clinical team in key areas of patient care, survey readiness, accreditation and regulatory responses, staff training/education, and quality initiatives. In conjunction with divisional leaders and corporate directors, the VP, Quality and Compliance, is responsible for policy development, clinical protocols, critical incident reporting, and integration of the corporate compliance program. This position includes travel throughout the system as needed.

Responsibilities

  • Develop and implement evidence-based/evidence-informed practices that support the overall mission of Acadia Healthcare in providing excellence in patient care services.
  • Develop, review, and update clinical policies and procedures, documentation integrity, and quality/safety indicators to ensure ongoing compliance with federal, state, and other regulatory requirements.
  • Evaluate and guide clinical indicators, such as outcome and quality measures, in establishing improvement activities and goals.
  • Lead regulatory and accreditation efforts as service readiness through survey readiness.
  • Collaborate with clinical and operational leaders in de novo facilities, joint ventures, and other development projects.
  • Respond to alleged violations of rules, regulations, policies, and Code of Conduct by evaluating and conducting investigations as appropriate. Coordinate resolution of ethics reports with the VP of Compliance, legal counsel, and corporate team.  
  • Serve as a member of the corporate Compliance Committee and Quality and Safety Committee.
  • Initiate and lead communications with regulatory agencies as appropriate.
  • Develop and maintain proficiency in regulatory planning strategy and the submission of regulatory plans.
  • Oversee corporate Quality and Compliance Directors with guidance on regulatory compliance, clinical care, and facility support.

Job Requirements

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

  • Master’s Degree in Healthcare Administration or other healthcare related field.
  • A minimum of seven years of experience in psychiatric healthcare operations at the administrative/leadership level. Previous Medicare/Medicaid Operations/healthcare industry experience preferred.
  • Minimum of seven years in management and supervisory experience.
  • Advanced knowledge of The Joint Commission, CMS, and State standards and regulations.
  • Experience in conducting compliance investigations, preferably in healthcare.
  • Advanced computer skills including Microsoft Office, especially Word, Excel, and PowerPoint.
  • Knowledge of office administration procedures with the ability to operate most standard office equipment.
  • Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.
  • Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
  • Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.
  • Self-motivated with strong organizational skills and superior attention to detail.
  • Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes.
  • Capable of working within established policies, procedures and practices prescribed by the organization.
  • English sufficient to provide and receive instructions/directions.

PHYSICAL/MENTAL REQUIREMENTS:

  • Must be able to perform essential functions listed on the job description, with or without reasonable accommodation.
  • Must be able to sit and stand, intermittent 8 to 10 hours a day.
  • Maintains regular and predictable attendance.
  • Must be able to speak to medium sized audience with and without the use of a microphone.
  • Must be able to use standard office equipment, including the telephone and computer keyboard.
  • Continuously works under pressure of near 100% accuracy while meeting inflexible deadlines.
  • Continuously utilizes manual/bi-manual dexterity, near vision, speech, and hearing.
  • Frequently stands, walks, sits, and utilizes eye/hand coordination and color definition.
  • Occasionally reaches above shoulder, regularly required to lift and/or carry up to 20 lbs.
  • Occasionally walks on uneven surfaces.
  • Ability to travel up to 50% of the time, including flying and driving rental cars.
  • To accommodate travel, must be able to transport own suitcases and computer estimated at 25 pounds.