Division Director of Quality

OverviewDivision Director of QualityLocation: Remote or office based in Southern California*** NOTE: Healthcare Experience is Required ***The Division Director of Quality is a new and expanded role at Acadia Healthcare that is responsible for ensuring patient safety and quality of care as measured by survey readiness, treatment program fidelity, and compliance with state and federal laws and regulations and accreditation standards, including CARF, Joint Commission behavioral health accreditation, and DEA.As such, the Division Director of Quality is responsible for providing expert guidance and advice on all aspects of policy development.Substance Abuse/ASAM and Eating Disorders clinical protocol and program implementation (Detox, RTC, PHP/IOP)Critical incident reporting; regulatory engagement, including development and submission of plans of correction.Certification achievement and maintenanceQuality assurance and process improvement initiatives; and on-going regulatory readiness strategies to the Division Quality Director to support all assigned Acadia facilities.Through routine physical presence, remote data and documentation monitoring, and intentional sharing of deep subject-matter expertise, the Division Director of Quality will ensure a proactive focus on quality and safety within the assigned facilities.ResponsibilitiesEssential FunctionsMonitor the day-to-day regulatory readiness, patient safety, and service excellence in the assigned facilities.Regulatory preparedness – implement sustainable survey preparation and ongoing monitoring processes, including facility-level auditing and early-issue identification, to maximize achievement of desirable survey outcomes and accreditation status.Support and teach facility leadership to sustainably implement best-practices in regulatory/accreditation compliance as evidenced by measurable results in assigned facilities. Measurements include but are not limited to: survey outcomes, patient safety metrics, patient experience results, etc.Develop and maintain proficiency in regulatory planning strategy for all standards for all relevant regulatory and accrediting bodies at the local, state, and federal levels for the assigned facilities and relevant territories.Develop corrective action plans for the resolution of areas of regulatory vulnerability or those which could compromise patient safety.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.Initiate and lead communications with regulatory agencies as appropriate.Assist in the development of Performance Improvement practices at assigned facilities and maintenance of same including analysis of data and prioritization of efforts to improve survey readiness and consistency of care delivery using expected best-practices.Teach facility leadership, including CEOs, COOs, and Quality Directors, best-practices in self-monitoring, auditing, and process improvement.Ensures effective execution of all activities concerning the achievement of continuous regulatory and survey readiness. Ensures strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations.Collaborates with Division and Corporate entities and external parties to ensure strategic quality and patient safety initiatives are fully executed at the facility level. Facilitates effective communication with facility and division leadership regarding key clinical performance improvement activities and initiatives.Serves as a technical advisor, educator and internal consultant to all facility management, staff, and physicians on the use of performance improvement tools and techniques, analytical techniques, and statistical applications.Clinical program fidelity – assess fidelity and identify root-causes for gaps/lapses in fidelity to Acadia standards. Support facility leadership in developing and implementing remediation and improvement plans to achieve fidelity to Acadia’s expected practices, including all elements of treatment program implementationDevelop, review, and educate on internal clinical procedures and appropriate use of outcome evaluation tools and the associated results – including patient experience data and other quality scorecard metrics – to ensure continuous quality improvement and ongoing compliance with federal, state, and third-party regulatory requirements.Translate standards, requirements, and policies into terms or processes meaningful to the target program.Innovation – ensure thorough adoption of Acadia’s selected technology platforms to support patient safety, patient experience, and superior clinical outcomesRespond to alleged violations of rules, regulations, policies, & Codes of Conduct by evaluating and recommending investigations as appropriate. Coordinate resolution of ethics reports with appropriate members of the Quality team, Compliance team, Human Resources, and/or General Counsel.Develop and evaluate the goals of the Company and prioritize the work in accordance with the strategic objectives of Acadia HealthcareMaintain regular communication with leadership at assigned facilities regarding clinical, patient safety, patient experience, and regulatory/accreditation issuesWork collaboratively with corporate staff, physicians, Risk management, and other corporate leaders to address performance improvement and safety issuesPerforms other duties as assigned.Standard ExpectationsComplies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentialityCommunicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care teamDevelops constructive and cooperative working relationships with others and maintains them over timeEncourages and builds mutual trust, respect and cooperation among team members.Maintains regular and predictable attendanceQualificationsEducation/Experience/Skill RequirementsBachelor’s Degree in healthcare or related field required; RN or LPN, Master’s degreeA minimum of five years’ experience in behavioral healthcare operations at the administrative/leadership level. Previous Medicare/Medicaid Operations/healthcare industry experience preferred.Knowledge of the Joint Commission, CMS, CARF, DEA, and relevant local/state standards and regulationsExperience in conducting complex, healthcare-focused Root-Cause Analyses and Failure Mode and Effects AnalysesAdvanced computer skills including Microsoft Office; especially Word, Excel, and PowerPointKnowledge of office administration procedures with the ability to operate most standard office equipmentAbility to work professionally with sensitive, proprietary data & information while maintaining confidentialityExcellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and externalExercises sound judgment in responding to inquiries; understands when to route inquiries to next levelSelf-motivated with strong organizational skills and superior attention to detailMust 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 organizationEnglish sufficient to provide and receive instructions/directionsWhile this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.#LI-JS1AHCORPJob SummaryJob ID: 2026-109808Category: ComplianceLocation : Name: Acadia Healthcare