Title: Chief Quality & Risk Managment Officer

State Role Title: 49173

Hiring Range: Up to $110,675 ; salary to commensurate with experience

Pay Band: 6

Agency: Dept Behavioral Health/Develop

Location: Central State Hospital

Agency Website: www.csh.dbhds.virginia.gov

Recruitment Type: General Public - G

Job Duties

** All previous applicants need not to re-apply**

Central State Hospital (CSH) is a 277 bed Joint Commission accredited psychiatric inpatient facility located in Petersburg, Virginia. CSH has proudly been serving citizens of the Commonwealth since 1870, when we opened our doors as the first psychiatric hospital in the country dedicated to the treatment of African Americans. A new and modern CSH is currently under construction on the same property, with a scheduled completion date of 2027.

CSH maintains the only maximum-security treatment facility in the state (111 beds). We also have 166 beds available for individuals in the community who need inpatient care, as well as individuals in the criminal justice system. We believe that treatment should be holistic and focused on the person’s individual needs, recognizing that recovery is not linear or the same for every person. Treatment modalities may include medication, evidence-based group and individual therapy, peer support, psychosocial rehabilitation, vocational training, preparation for court, and treatment for substance use.

Central State Hospital is a State of Virginia mental health hospital located near Petersburg, Va. We are currently recruiting for a full-time Chief Quality & Risk Management Officer to join our facility. The purpose of the position is to function as a process improvement leader that is required to advance an environment that engages staff at all levels to deliver the best care and service. It uses extensive project management skills to develop and maintain a dynamic system of activities in support of quality management, performance improvement, and risk prevention and mitigation across all programs and hospital delivery of care systems. The Chief Quality & Risk Management Officer also interfaces with various departments to ensure departmental projects are mapped to succeed at meeting The Joint Commission (TJC) regulatory requirements.

Job Duties:
- Use data to evaluate performance, evaluate variance, and improve processes to ensure compliance with TJC standards and advise hospital leadership how best to achieve an effective, ongoing, hospital wide, data driven QAPI program;
- Use available data analysis tools to incorporate quality improvement best practices into operations;
- Work with leadership to establish effective, meaningful reports to capture and communicate facility performance toward out goals;
- Facilitate a state of continual survey readiness, ensuring appropriate staff are aware of areas of non-compliance and reports to the CEO responses and actions taken. Serves as the primary contact with TJC providing required reports and updates;
- Coordinate Root Cause Analyses and document Sentinel Events in accordance with policy;
- Assembles, trains and tracks progress of quality improvement teams, performance improvement teams, and/or other quality initiatives;
- Develop, coordinate and administer an interdisciplinary risk/liability management program consistent with policy;
- Prepare internal alerts on high risk/high profile incidents for the CEO in anticipation of queries from stakeholders;
- Prepare and submit an annual hospital risk management plan;
- Assess the liabilities/probabilities of legal action for potential notification to the Division of Risk Management;
- Provide incident review summaries and risk analysis summaries to the CEO and Executive Board;
- Other duties as assigned.

Minimum Qualifications

- Considerable experience with process implementation and change management is required;
- Experience with The Joint Commission standards and hospital survey process;
- Demonstrate strong knowledge, skills, abilities and competencies with process mapping, qualitative analysis, quantitative analysis, and implementation of sustainable and measurable change;
- Knowledge and experience with failure models and effects analysis, root cause analysis, and/or other change/process management models.

Additional Considerations

- Advanced degree in business or healthcare management, or related field (relevant experience, or an equivalent combination of experience and training);
- Certified in Lean Six Sigma or similar certification;
- Experience in an inpatient behavioral health setting

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

Central State Hospital only accepts online applications via RMS. Resumes and other documents may accompany the application but will not serve as a substitute for an application. Faxed, e-mailed or mailed applications will not be accepted. Please refer to your RMS account for the status of your application and this position. This posting will remain open for a minimum of five (5) business days.

An extensive criminal history background investigation, not limited to employment references, drug testing and E-Verify will be conducted.

Central State Hospital offers a comprehensive benefit package to include your choice of four health insurance plans, paid life insurance and retirement plans, 12 paid holidays, annual and sick leave.

Applicants must list all relevant experience that you wish to be considered for this position. Applicants will be provided confirmation of receipt when your application and/or resume is submitted. Please refer to “Your Application” in your account to check the status of your application for this position. A fingerprint-based criminal history check and reference checks are required for the selected candidate for this position. Under Virginia Code §37.2-314 and 37.2-408.1, the Department of Behavioral Health and Developmental Services is prohibited from employing or using as volunteers, persons who have been convicted of specific “barrier” crimes or persons who may be the subject of pending “barrier” charges.

DBHDS facilities are no longer required to ensure that all staff members are vaccinated against COVID-19. However, facilities encourage and educate staff on the benefits, and continue to offer COVID-19 vaccination programs to staff, residents/clients. Employees may be required to disclose immunization status for purposes of infection prevention and/or management of outbreaks. Upon acceptance of a job offer, new recruits will be asked to disclose their vaccination status (and for those fully vaccinated, proof of vaccination) during the pre-employment process. If you have any questions, contact the Office of Human Resources.

Commonwealth’s Alternate Hiring Process: In support of the Commonwealth’s commitment to inclusion, individuals with disabilities are encouraged to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their Certificate of Disability (COD) provided by a Certified Rehabilitation Counselor with the Department of Aging and Rehabilitative Services (DARS). Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS, to get their Certificate of Disability. To obtain a Certificate of Disability go to: https://www.vadars.org/drs/cpid/PWContact.aspx, or call DARS at 800-552-5019.

Reasonable accommodations are available to persons with disabilities during the application and/or interview process per the Americans with Disabilities Act. Contact Human Resources at (804) 524-7111 for assistance.

DBHDS is an equal Opportunity Employer. Employment opportunities are open to all regardless of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability. Minorities, Individuals with Disabilities, Veterans, and people with National Service experience are encouraged to apply. EEO/AA/TTY

Contact Information

Name: Human Resources Department

Phone: 804-524-7000

Email: CSHRecruitment@dbhds.virginia.gov

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.