Director of Quality & Compliance- Acute Care in Franklin, TN at Acadia Healthcare

Date Posted: 1/6/2021

Job Snapshot

Job Description

Overview

Our Team:

We are improving the lives we touch. We need passionate, talented people working together who share our desire to create a world-class organization that sets the standard of excellence in the treatment of speciality behavioral health and addiction disorders. Acadia Healthcare is headquartered in Franklin, TN and is a leading provider of behavioral healthcare services in the nation. Our organization values input from employees and fosters collaboration to create a team oriented service delivery system.

Acadia Healthcare’s behavioral health treatment facilities are specialized in helping children, teenagers, and adults suffering from mental health disorders and/or alcohol and drug addiction. Our expertise in behavioral health allows us to provide the highest standard of treatment allowing recovery for the individual and their families. Our dedicated clinical teams across the country are passionate about every single one of their patients and their individual recovery.

Our Benefits: 

  • Medical, dental, and vision insurance
  • Acadia Healthcare 401(k) plan
  • Paid vacation and sick time
  • Opportunity for growth that is second to none in the industry 

Your Job as a Director of Quality and Compliance:

The Director of Quality and Compliance is responsible for ensuring compliance with state and federal laws and regulations within healthcare and will be responsible for providing expert guidance and advice on all aspects of policy development, clinical protocols and best practices, critical incident reporting, regulatory submissions, certifications and on-going regulatory compliance in all Acadia facilities.

Your Responsibilities as a Director of Quality and Compliance:

  • Monitor the day-to-day quality, safety and compliance activities in the assigned facilities.
  • Assist in the development of Process Improvement practices in facilities and maintenance of same including analysis of data and prioritization of efforts—HBIPS; Outcome Measures, CMS Quality Indicators.
  • Set expectations, develops plans, and manages processes to measure, assess and improve the quality of clinical programs and/or regulatory/accreditation compliance by measurable results in assigned facilities.
  • Develop, review, and update internal clinical procedures, related outcomes measurement, patient experience, quality and safety scorecards to ensure ongoing compliance with federal, state and other third party regulatory requirements.
  • Respond to alleged violations of rules, regulations, policies, & Codes of Conduct by evaluating and recommending investigations as appropriate.  Coordinate resolution of ethics reports with VP of Compliance and/or VP of Quality and Compliance, General Counsel and as indicated Corporate HR Business Partner.
  • Initiate and lead communications with regulatory agencies as appropriate.
  • Develop/maintain proficiency in regulatory planning strategy and the submission of regulatory plans.  Develop corrective action plans for the resolution of problematic issues or to address areas of compliance vulnerability.
  • Ensure proper facility reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.
  • Ensure proper facility reporting of incidents and adverse clinical outcomes to duly authorized enforcement agencies or regulatory agencies as appropriate and/or required.
  • Translate standards, requirements and policies into terms or processes meaningful to the target program.
  • Maintain regular communication with clinical/leadership staff at assigned facilities regarding clinical and regulatory/accreditation issues.

Your Skills and

Job Requirements

as a Billing Applications Analyst:

  • Bachelor’s Degree in healthcare or related field, Master’s degree preferred.
  • A minimum of five years’ experience in psychiatric healthcare operations at the administrative/leadership level. Previous Medicare/Medicaid Operations/healthcare industry experience preferred.
  • Knowledge of the Joint Commission, CMS, CARF and TRICARE standards and regulations.
  • Experience in conducting complex compliance investigations, preferably in healthcare.
  • Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.

Position Characteristics  

This position travels up to 75% of the time with frequent overnight travel required. Will work from various offices as well as a “home office” when appropriate.