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Director of Quality and Performance Improvement - (24160)

Universal Health Services

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Universal Health Services
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Job Details

Deltek Talent Management - Director of Quality and Performance Improvement - (24160)

Job Details

Director of Quality and Performance Improvement - (24160)

Facility Name
Behavioral Hospital of Bellaire
HOUSTON, TX 77081 US (Primary)
Career Area
Job Description

Behavioral Hospital of Bellaire is a freestanding, 122 bed facility specializing in adolescents, military programming, women's services and general adult psych.  The hospital is located in southwest Houston serving the Houston and surrounding communities. BHB is conveniently located between the Galleria and Meyerland shopping districts as well as only minutes away from the Houston Medical Center, Downtown and Midtown.

Position Summary:

Behavioral Hospital of Bellaire is seeking a Director of Quality and Performance Improvement to oversee and direct the hospital’s quality improvement, compliance, clinical outcomes management, and client satisfaction/complaints or grievances processes.

Reporting to the CEO, the Director of Quality and Performance Improvement will be a member of the Executive Team and will work collaboratively with other hospital leaders to assess quality management practices. The ideal candidate will be an experienced change agent with proven abilities to assess and improve upon quality measures (including HBIP indicators, outcomes scores, patient satisfaction surveys and follow-up measures) and performance improvement initiatives. 

Responsibilities will include the following:

  • Ensure hospital’s compliance at all times with all Joint Commission, CMS, TDSHS and other regulatory agency’s standards and requirements.
  • Ensure ongoing survey readiness and the utilization of quality metrics for improvement
  • Educate all levels of hospital and medical staff in continuous performance improvement and patient safety concepts, processes and tools.
  • Examine systematic processes that underscore adverse or high-risk events and implement sustainable corrective actions; including process redesign.
  • Implement data collection methodologies, databases, action plans and reporting strategies. Identifies patterns and trends in data.
  • Facilitate performance improvement teams to achieve optimal improvement.
  • Serve as the hospital’s Compliance Officer, Privacy Officer, and is a member of the Quality Management team and Credentialing Committee.
  • Provide project management for selected planning and operational implementation of quality initiatives, developing project work plans, identifying any risks,  analyzing financial impact, and communicating progress.


This opportunity provides the following:

  • *UHS is Challenging and rewarding work environment
  • Growth and development opportunities within UHS and its subsidiaries
  • Competitive Compensation
  • Excellent Medical, Dental, Vision and Prescription Drug Plan
  • 401k plan with company match
  • Generous Paid Time Off



Job Requirements

Education: Bachelor’s Degree from an accredited college or university in nursing, or related health field required; Master’s Degree preferred.

Experience: Four (4) years of experience in quality and medical staff services/improving organizational performance within an acute medical or psychiatric treatment setting.

Additional Requirements:  A strong knowledge of JOINT COMMISSION, TDSHS, CMS standards, and any other applicable federal and state laws and regulations governing mental health care facilities.


One of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World’s Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies.

Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.

Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.

UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.



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