Location:3625 Parkmoor Village Dr, Colorado Springs, CO 80917
Schedule: Day Shift
Leadership: On-Call, as Needed
Lead Quality, Safety, and Excellence in Behavioral Health Care
The Director of Quality provides strategic and operational leadership for quality improvement, patient safety, and risk management across our psychiatric hospital. This role ensures that care delivery meets or exceeds regulatory, accreditation, and clinical best-practice standards, while fostering a culture of continuous improvement, accountability, and patient-centered care in a behavioral health environment.
What You’ll Do
Lead the hospital’s Quality Assessment and Performance Improvement (QAPI) program
Oversee risk management, patient safety, grievance management, and incident reporting
Ensure ongoing compliance with Joint Commission, CMS, state, and federal regulations
Prepare the organization for accreditation surveys, audits, and regulatory reviews
Analyze clinical, operational, and safety data to identify trends and improvement opportunities
Facilitate root cause analyses (RCA) and performance improvement plans
Partner with Nursing, Medical Staff, and Clinical Leadership to improve outcomes
Oversee policy management, regulatory updates, and quality-related education
Monitor behavioral health–specific metrics including restraint/seclusion use, safety events, and patient experience
Present quality and safety data to executive leadership and governing bodies
What We’re Looking For
5+ years of healthcare quality leadership experience, preferably in a psychiatric or behavioral health hospital
Strong working knowledge of:
Joint Commission behavioral health standards
CMS Conditions of Participation
QAPI and patient safety frameworks
Experience with data analysis, regulatory readiness, and survey management
Ability to influence multidisciplinary teams and drive sustainable improvement
Must be 21 years of age or older
Preferred Qualifications
RN, LCSW, or other licensed healthcare professional
Certification in healthcare quality, risk management, or patient safety (CPHQ, ARM, etc.)
Why You’ll Love It Here (Full-Time Benefits)
Multiple medical plan options, Vista Wellness (physician/pharmacy), Dental, Vision
Generous PTO and paid holidays
401(k) with company contribution
Life and disability coverage
Tuition reimbursement up to $15,000
Student loan forgiveness programs
Opportunity to shape quality and safety in a mission-driven psychiatric hospital
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