DIRECTOR - PERFORMANCE IMPROVEMENT

About Universal Health Services

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

Position Summary:

The Director of Performance Improvement is responsible for directing and monitoring the facility-wide quality improvement assessment and performance improvement programs, ensuring the facility's programs are in compliance with all regulatory agencies, TJC, and state and federal agencies. In addition to PI this role will also complete B-tag audits in conjunction to senior leadership. The PI Director serves as back-up for the Risk/Regulatory Director when out on PTO/leave.

QUALIFICATIONS

• Education: Bachelor's degree in social work, mental health/behavioral sciences, or related field or BSN in Nursing. (Master's preferred in related field).
• Experience: One (1) year of related experience, with knowledge of psychiatric patient care techniques with understanding of mental illness, 3 years preferred. Previous management/regulatory experience highly recommended.
• Additional Requirements: HWC/VDE and CPR training within first ninety (30) days of employment.
• Hours of Work: Primarily day shift, other times as indicated by immediate supervisor. May be required to work flexible hours when needed.

This opportunity provides the following:

• *UHS is Challenging and rewarding work environment

• Growth and development opportunities within UHS and its 400+ subsidiaries

• Competitive Compensation

• 401k plan with company match

• Generous Paid Time Off

• Tuition Reimbursement

• Service Excellence atmosphere!
• Pet Insurance

Job Duties/Responsibilities:

• Lead regulatory compliance with Joint Commission, CMS, DOH and other applicable agencies.
• Monitor PI indicators and action plans.
• Coordinate, review and update hospital Performance Improvement Plans annually.
• Lead Performance Improvement Council monthly meetings. Prepare agenda; comply and present aggregate data and statistical reports; and take minutes.
• Submit and present quarterly PI report to Board of Directors.
• Lead and coordinate PI initiatives and activities, to include survey readiness.
• Ensure the hospital meets Joint Commission, CMS, and state regulatory requirements.
• Develop and implement a Performance Improvement Plan, evaluate the results monthly and report the results to PI Committee, MEC and BOG.
• Ensure that all deficiencies identified through the Performance Improvement analysis are addressed with appropriate problem solving actions
• Analyze statistical data of the hospital to determine and respond to trends.
• Maintain and monitor Joint Commission web site, coordinate all regulatory site visits, prepares and submits Corrective Action Plans in a timely manner.

Knowledge and Skills:

* Knowledge of TJC, and all federal and state laws/regulations.

* Demonstration of skills in problem-solving, critical thinking, written and verbal communication, interpersonal relationships.

* Knowledge in team facilitation and ability to work as a team player.

* Thorough knowledge of data collection, aggregation, statistical analysis, and use of statistical display tools.

* Thorough knowledge of techniques, and methods of adult education.

* Basic computer and mathematic skills.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.