EXECUTIVE DIRECTOR OF QUALITY MANAGEMENT

Executive Director Of Quality Management

The Tennessee Department of Mental Health and Substance Abuse Services, specifically the Middle Tennessee Mental Health Institute in Nashville, TN, is seeking an Executive Director of Quality Management. The annual salary range is $103,440.00 - $165,048.00, with a closing date of 06/25/2026. This position requires in-person attendance and a criminal background check.

The Tennessee Department of Mental Health and Substance Abuse Services operates four regional mental health institutes, partners with community providers, and supports quality behavioral health services statewide. The Middle Tennessee Mental Health Institute is a 207-bed psychiatric hospital serving 18 counties in Middle Tennessee, providing psychiatric treatment, forensic services, court-ordered evaluations, long-term and short-term care, and therapeutic treatment services.

The Executive Director of Quality Management reports directly to the CEO and leads the hospital's Quality Management and Medical Records functions. This role oversees performance improvement, patient safety, risk management support, utilization review, survey readiness, quality reporting, corrective action follow-up, and medical records processes. The position works closely with hospital leadership, clinical teams, medical staff, department managers, and frontline staff to improve patient care, strengthen systems, and maintain compliance with Joint Commission accreditation, CMS Conditions of Participation, state licensure, and other applicable standards.

Key responsibilities include leading quality, patient safety, and performance improvement; overseeing hospital-wide quality activities; supporting survey readiness, accreditation, and corrective action; managing Quality Management and Medical Records; partnering with hospital leaders and departments; maintaining policies, training, and documentation; and building effective relationships across the hospital to strengthen quality practices, documentation, process improvement, and patient safety.

Minimum qualifications include a bachelor's degree from an accredited college or university and at least five years of full-time professional mental health or quality management experience in a hospital or comparable setting, including at least two years of supervisory or managerial experience. Additional graduate coursework in hospital administration, public administration, business administration, or social or behavioral science may substitute for required experience on a year-for-year basis, up to two years. Preferred experience includes hospital quality management, performance improvement, Joint Commission survey readiness, CMS Conditions of Participation, psychiatric hospital or behavioral health operations, medical records oversight, patient safety, risk management, Root Cause Analysis, corrective action planning, or supervision of professional staff.

The ideal candidate has experience leading quality management, performance improvement, patient safety, medical records, utilization review, or related functions in a hospital or behavioral health setting. The successful candidate will be skilled in working with clinical and administrative leaders, reviewing data and documentation, preparing for surveys, developing corrective action plans, coaching staff, and supporting continuous improvement. Strong leadership, sound judgment, clear communication, attention to detail, and the ability to translate standards and data into practical improvements are essential.