Director of Quality and Accreditation

Director Of Quality And Accreditation

Opening in Fall 2025, Capitol Park Mental Health Hospital, 144-bed, located at the former site of Bethesda Hospital, will offer inpatient, intensive outpatient and "partial hospitalization" mental health treatment.

The Director Of Quality And Accreditation is responsible for ensuring patient safety and superior quality of care as measured by survey readiness, treatment program fidelity, and compliance with state and federal laws and regulations and accreditation standards. As such, the Director is responsible for leading and overseeing all aspects of policy development; comprehensive implementation of Acadias prescribed clinical protocols, operational quality oversight standards, and programmatic expectations; critical incident reporting; regulatory engagement, including development and submission of plans of correction; certification achievement and maintenance; oversight of the quality assurance and process improvement (QAPI) program; and on-going regulatory readiness strategies at the facility. Through routine physical presence in patient care areas, data analysis and documentation monitoring, and intentional sharing of deep subject-matter expertise, the Director will ensure a proactive, multidisciplinary focus on quality and excellence within the facility.

Essential Functions :

• Lead and monitor day-to-day regulatory readiness, patient safety, and service excellence across the facility.
• QAPI program oversight and management follow and develop processes for identification, collection, and analysis of quality performance data.

Regulatory Preparedness :

Clinical Program Excellence :

Leadership :

Other Functions :

Education / Experience / Skill Requirements :

Licenses / Designations / Certifications :

Additional Regulatory Requirements :

While 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 dictate.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.