Quality Director

At Oceans Behavioral Hospital Greater New Orleans, healing is our focus. We are passionate about helping adults and seniors manage the challenges associated with anxiety, depression and other mental health issues. Utilizing proven, innovative and progressive therapies, our qualified professionals strive to promote long‑term wellness through a range of inpatient and outpatient psychiatric counseling and treatment options.

The Quality Director plans, develops, implements and manages comprehensive and effective systems to monitor and evaluate the quality and appropriateness of patient services and programs in support of the organizational mission and goals. This position will work closely under the supervision of the Hospital Administrator, functioning as a support person in the coordination and organization of administrative processes in a high‑quality, efficient and cost‑effective manner.

All duties are to be done in accordance with Joint Commission, Federal and State regulations, Oceans’ Mission, policies and procedures, and quality standards.

• Collaborate with the Corporate Director of Quality to implement organization‑wide quality programs at the hospital level.
• Facilitate the hospital QAPI committee and prepare annual evaluations of the QAPI plan.
• Lead hospital‑wide performance improvement projects based on ongoing data assessment; provide management and staff education as needed and serve on facility committees.
• Implement and manage the Patient Safety Program, including incident investigations, root‑cause analyses, and tracking improvement opportunities.
• Report patient incident data and issues to corporate management and monitor performance initiatives.
• Manage the incident management process and track data for improvement opportunities.
• Coordinate the hospital’s data collection procedures and provide ongoing support and education to staff regarding QAPI tools and reporting requirements; utilize data and collaborate with leadership to set priorities and provide guidance in the development of quality improvement work plans.
• Serve as a resource to the medical staff, administrators, and other staff, including participation in root‑cause analyses as indicated, to investigate potentially avoidable sentinel events; develop and oversee systems to maintain regulatory compliance and ensure timely reporting to state and accrediting bodies.
• Ensure timely reporting to state and accrediting bodies.
• Serve as the point of contact during onsite surveys and manage Plans of Correction or Action Plans as needed.
• Manage and oversee the implementation of the facility’s action plan when required after a survey.
• Define required clinical data sets in collaboration with medical staff and clinical leaders and ensure timely data entry of performance improvement and patient safety data into appropriate systems.
• Coordinate education and training on QAPI principles, regulatory standards, and participate in Joint Commission Accreditation processes.
• Perform other duties and projects assigned by the facility administrator and corporate office.

• Bachelor’s Degree in a healthcare‑related field (master’s degree preferred) or five years of healthcare experience with 3 years in a behavioral health setting preferred.
• Professional certification preferred (CPHQ, CPHRM, CPPS).
• Licensure not required (RN, LMSW, LPC); if applicable, must be in good standing.