Director of Quality and Accreditation

Acadia Healthcare is a leading provider of behavioral healthcare services across the United States. Acadia operates a growing network of 253 plus behavioral healthcare facilities with approximately 11,200 beds in 38 states and Puerto Rico. With more than 23,500 employees serving approximately 75,000 patients daily, Acadia is the largest stand-alone behavioral health company in the U.S.

Acadia Healthcare's purpose is to Lead Care With Light and our mission is to be a world-class organization that sets the standard for excellence in the treatment of mental health and addiction concerns. We strive to maintain our standing as a thought leader in the behavioral healthcare industry, providing treatment that is synonymous with compassion and innovation.

Director of Quality & Accreditation - Methodist Jennie Edmundson Behavioral Health Hospital

We are looking for our Director of Quality and Accreditation at Methodist Jennie Edmundson Behavioral Health Hospital.

Methodist Health System, the region's most established not-for-profit provider, has partnered with Acadia Healthcare, the nation's largest standalone behavioral health company, to open a new 96-bed inpatient behavioral health hospital in Council Bluffs, Iowa. This marks Acadia's first acute psychiatric facility in Iowa, expanding much-needed access to behavioral health services across Southwest Iowa and the Greater Omaha area. Just minutes from downtown Omaha, Council Bluffs blends small-town charm with city convenienceoffering affordable living, great schools, and a strong sense of communitymaking it an ideal location for this important new facility.

Scheduled to open in early 2026, Methodist Jennie Edmundson Behavioral Health Hospital will offer a full continuum of inpatient and outpatient care for adults, seniors, and youth, including programs for mood disorders, dual diagnosis, geriatric psychiatry, child & adolescent care, PHP / IOP, and ECT. The facility will play a vital role in addressing the region's significant behavioral health bed shortage.

What would you do in this role?

We are seeking a dynamic and experienced Director of Quality and Accreditation to lead our facility's efforts in ensuring the highest standards of patient care and safety. This leadership role is responsible for overseeing regulatory compliance, quality assurance programs, and continuous improvement initiatives across all clinical and operational areas. The Director will guide the development and implementation of quality protocols, manage accreditation processes, and lead the Quality Assurance and Process Improvement (QAPI) program. The ideal candidate will be a proactive, strategic thinker with a strong commitment to achieving excellence in care delivery and regulatory readiness.

MORE DETAILS :

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 Acadia's 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.

Utilize collected data regarding the outcome of activities for delivering continuously improving services.

Facility-wide support collaborate with other departments to sustainably implement best-practices in regulatory / accreditation compliance as evidenced by measurable results with regard to survey outcomes, patient safety metrics, patient experience results, HBIPS, etc.

Identification of events, trends and patterns that may affect client health, safety and or treatment efficacy,

Chairs the monthly Quality Council

Changes in policies / procedures,

OTHER FUNCTIONS :

EDUCATION / EXPERIENCE / SKILL REQUIREMENTS :

LICENSES / DESIGNATIONS / CERTIFICATIONS :

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.

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