Responsibilities Forest View Hospital, located just seven miles southeast of downtown Grand Rapids, Michigan, is a private 108 bed psychiatric facility that serves children, adolescents and adults. We are licensed by the State of Michigan, fully accredited by The Joint Commission and we bring more than 45 years of experience to the evaluation, diagnosis and treatment of a wide range of behavioral health problems. As a part of our continued success and growth, we are seeking qualified applicants for a Director of Quality and Compliance. The Director of Quality and Compliance coordinates and guides all employees in interpretation of State, Federal and Managed Care regulatory guidelines and gives assistance on how to attain compliance of regulation. They serve as the facility's primary resource regarding regulatory compliance, and oversees effective implementation of quality and performance improvement processes. This position also acts as the Civil Rights Coordinator. This role will also coordinate compliance with Facility's responsibilities under Section 1557 within its health programs and activities. This includes the investigation of any alleged noncompliance. Essential Job Responsibilities: * Ensure facility is up to date on latest quality, regulatory and compliance initiatives * Policy changes, additions, updates as needed * Facilitate and respond to all regulatory surveys, investigations, visits, etc * Routine chart audits for quality improvement and Medical staff OPPE * Educate workforce on Compliance, Code of Conduct, and Privacy * Respond to all workforce compliance complaints, investigate and report back to UHS * Facilitate Quarterly Compliance meetings * Track data/reporting on various compliance requirements * Update facility compliance and privacy policies as dictated by UHS * Schedule and Facilitate monthly Performance Improvement (PI) meeting * Educate departments about quality improvement processes and opportunities * Assist with developing plans for auditing, tracking and reporting quality data * Drives all PI initiatives and maintains awareness of PI plans currently in process * As Chairperson of PI, this role is also the Chairperson of the Complaints and Grievances Committee (sub-committee to PI) and responds to and investigates complaints/grievances timely, including data tracking * Acts as Ethics Committee Chairperson * Receive, review, and process grievances, filed under the grievance Facility's grievance procedure; * Coordinate Facility's recordkeeping requirements; * Coordinate effective implementation of Facility's language access procedures; * Coordinates effective implementation of Facility's effective communication procedures; * Coordinate effective implementation of Facility's reasonable modification procedures; * Coordinate training of relevant employees, including maintaining documentation required by law. Benefit Highlights: * Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and discounted stock plan * Generous Paid Time Off (PTO) of 6.46 hours biweekly accrued * Basic Life Insurance of 1x your salary * Short-Term Disability (STD) and Long-Term Disability (LTD) * Student Loan Reimbursement Program (Up to $200 per month) * Tuition Reimbursement * Loan Forgiveness Program * Pet Insurance and much more 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 steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com Qualifications Education and Experience Requirements: * Master's degree in Psychology, Social Work or related field or RN licensed in the state of Michigan preferred. * 3 - 5 Years of Psychiatric experience required. * 3 - 5 Years of Supervisory experience required. * 3 - 5 years of experience in quality and risk management/improving organizational performance within an acute medical or psychiatric treatment setting. * A strong knowledge of JOINT COMMISSION, TDSHS, CMS standards, and any other applicable federal and state laws and regulations governing mental health care facilities. * Possesses ability to identify and analyze problems collect data, establish facts, and draw valid conclusions. * Possess knowledge of risk identification and prevention techniques. * Effective administrative and management skills. * Proficient with Root Cause Analysis methodology. * Knowledge of healthcare facility operations, functions, and staffing requirements. * Knowledge of medical/professional staff by-laws and governing board issues. * Knowledge of insurance and loss control theory and practice in a healthcare environment. * Knowledge and understanding of the principles and procedures for the investigation and processing of professional liability/ medical malpractice claims. * Ability to use independent judgment and to manage and impart confidential information. 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.