DIR - PERFORMANCE IMPROVEMENT

UHS • $100K — $130K *
Lewisville, TX 75067In-Person
Healthcare
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Bachelor's degree in nursing, social work, mental health, or related field required.
  • Relevant certifications in quality improvement, performance improvement, Lean, Six Sigma preferred.
  • 5-7 years of progressive experience in healthcare quality improvement or operations management required.
  • 5 years of experience directing performance improvement and risk management activities in hospital or behavioral health settings preferred.
  • Strong analytical skills with proven experience in managing quality metrics and regulatory compliance.
  • Leadership experience in multi-site or multi-unit operations preferred.

Responsibilities

  • Develop and implement a strategic performance improvement program for the hospital.
  • Train staff on performance improvement concepts and compliance with regulatory standards.
  • Analyze and report on quality improvement initiatives and patient safety measures.
  • Ensure regulatory readiness for Joint Commission and other accreditation bodies.
  • Monitor compliance with quality measures and address areas needing improvement.
  • Coordinate the Performance Improvement Committee and maintain related documentation.
  • Prepare and present performance improvement activity results to Medical Staff and Governing Body.

Benefits

  • Excellent Medical, Dental, Vision, and Prescription Drug Plan.
  • 401(K) with company match and discounted stock plan.
  • Career development opportunities within the company.
  • Tuition Assistance for further education.
  • Rewarding work environment - Enjoy going to work every day!
Full Job Description
Responsibilities

Director of Performance Improvement

Horizon Health Corporation is seeking a Director of Performance Improvement. The Director of Performance Improvement is responsible for the development, implementation, monitoring, and analysis of performance improvement projects and activities with a focus on improving patient safety and quality of care. The Director of Performance Improvement sets priorities for improvements aligned to ongoing strategic initiatives. Leads and directs process improvement activities that provide a more efficient and streamlined workflow in the hospital. The Director of Performance Improvement is responsible for coordinating an organization-wide approach to continual compliance with all appropriate regulatory and licensing standards. Is responsible for assessing potential risk to the program and reporting incidents/concerns to the Director of Risk in partner facilities. Other risk-related job duties will be assigned as needed.

Responsibilities:
  • Provide a broad vision in the strategic development and direction of the performance improvement program for the hospital. Develop a facility-wide performance improvement plan which meets regulatory standards.
  • Provide training to staff members on the concepts of performance improvement and the application to patient care via orientation of all new hires. Provide compliance consultation to managers through scheduled Performance Improvement Committee meetings, Department Manager meetings, and Compliance meetings. Provide updates and training on licensing and accreditation standards to leaders and managers as indicated.
  • Establish a system for collecting and analyzing data related to QA/PI measures organization wide. Consult with Senior Management and Directors in the development of department performance improvement quality measures. Maintain a list of hospital-wide improvement indicators which includes monthly and quarterly data. Participate in Root Cause Analyses and Failure modes and effects analyses and debriefings.
  • Oversee reporting and communication of quality improvement initiatives, quality and patient safety awareness, safety culture survey administration and patient satisfaction. Promote a culture of safety, high reliability, patient and staff engagement, and performance excellence.
  • Oversee regulatory readiness and assists with preparing for Joint Commission, state licensing, CMS or other agencies. Maintain Joint Commission contact information and application. Coordinate and submit annual Joint Commission Application updates Establishes quality improvement activities and methods to track implementation of action plans following site surveys.
  • Ensure that the facility is in compliance with all Quality Measures and completes monthly auditing/reporting. Monitor and report on results and address any areas needing improvement.
  • Submit monthly indicator information for the Clinical Services Dashboard. Review, analyze and maintain quality dashboards and performance metrics. Coordinates monthly record audit process, compile reports and presents data/analysis to Hospital Committees. Develop appropriate action plans to improve compliance issues.
  • Coordinate the PI Committee/Quality Council by serving as the administrator. Convenes regular monthly meetings, sets agendas, develops and analyzes performance improvement data for the council, designs and implements the necessary Quality Council processes and systems. Develop and maintain a record on performance improvement activities and maintain PI Committee minutes and reports.
  • Prepare and present the results of hospital-wide performance improvement activities to the Medical Staff. Prepare and present the results of hospital-wide performance improvement activities to the Governing Body each quarter.
  • Perform other duties as assigned/required by this position.

Benefit Highlights for full-time positions:
  • Competitive Compensation
  • Excellent Medical, Dental, Vision, and Prescription Drug Plan
  • 401(K) with company match and discounted stock plan
  • Long and Short-term Disability
  • Flexible Spending Accounts; Healthcare Savings Account
  • Life Insurance
  • Career development opportunities within the company
  • Tuition Assistance
  • Rewarding work environment - Enjoy going to work every day!

For more information on this position, email Oscar Hernandez, Horizon Health Corporation, Senior Executive Recruiter

Qualifications

  • Bachelor's degree in nursing, social work, mental health/behavioral sciences or related field required
  • Relevant certifications in quality improvement, performance improvement, Lean, Six Sigma, or similar methodologies preferred.
  • Minimum of 5-7 years of progressive experience in healthcare quality improvement, performance improvement, or operations management required.
  • Minimum of 5 years of progressive experience directing performance improvement and risk management activities in a hospital, psychiatric hospital, or mental health treatment setting preferred.
  • Experience in behavioral health, inpatient psychiatric care, crisis services, or emergency behavioral health settings strongly preferred.
  • Demonstrated experience managing quality metrics, regulatory compliance, and cross-functional improvement initiatives.
  • Experience leading multi-site or multi-unit operations preferred.
  • Proven ability to analyze data, develop action plans, and drive measurable outcomes.
  • Experience with accreditation and regulatory standards applicable to behavioral health services preferred.
  • Strong leadership and team collaboration skills
  • Excellent analytical and problem-solving abilities
  • Ability to manage multiple priorities in a fast-paced environment
  • Knowledgeable regarding Joint Commission accreditation standards. Experience interpreting State and Federal standards related to hospital operations preferred.
  • Strong project management and organizational skills
  • Effective communication and facilitation skills
  • Working knowledge of behavioral health regulations and compliance standards
  • Change management and resilience-building in high-acuity settings
  • Ability to influence others and drive change across multiple sites
  • High attention to detail and commitment to quality and patient safety

About UHS

UHS Careers

Joining UHS presents an unparalleled opportunity to become part of a leading team of healthcare professionals dedicated to making a difference. UHS, known for its commitment to innovation and leadership in the healthcare sector, offers a variety of job opportunities that cater to a diverse range of skills and experiences.

Explore Job Opportunities

UHS is actively hiring and offers a wide array of positions, from clinical roles to administrative support. Each position at UHS is designed to challenge team members while providing meaningful service to the community. Explore the current job openings and find a career path that suits professional aspirations and skills.

Internship Programs

UHS provides robust internship programs that offer hands-on experience in the healthcare industry. Internships are a cornerstone of professional development, giving participants a chance to deepen practical skills in a real-world setting. These programs are tailored to foster growth and prepare interns for a full-time position within the company.

Professional Growth and Development

UHS believes in nurturing the career growth of its team members through comprehensive professional development programs. These include leadership training, diversity training, and continuous education in the latest healthcare practices, ensuring that every team member has the opportunity to advance their career.

Benefits and Culture

Employment at UHS comes with competitive benefits designed to support the health, well-being, and financial security of each team member and their families. The company culture at UHS is built on a foundation of respect and inclusion, where diversity is celebrated and every voice is heard.

Networking and Innovation

UHS encourages a culture of innovation where team members are motivated to bring forward ideas that drive improvement and efficiency. Networking within the company is supported through various events and internal platforms, helping team members to connect, share insights, and collaborate on projects.

Applying for a Position

To apply for a position at UHS, candidates should prepare their resume to highlight relevant experience and skills. The interview process at UHS is thorough, aiming to assess not only the professional qualifications but also the alignment with the company’s values and culture. Interested candidates can visit the UHS Careers page to submit an application and learn more about the hiring process.

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Hospitals & Medical Centers
* Ladders Estimates

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