Quality and Patient Safety Advisor - Behavioral Health (Local/Hybrid)

Discover Vanderbilt Health : With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.

Organization

Quality, Safety & Risk Prevent

Job Summary

Serves as a quality improvement advisor to provide project management facilitation, education, and data analysis for improvement of systems and processes, under occasional guidance. Facilitates the development, implementation and evaluation of organizational strategies to improve clinical quality and care, patient safety, and financial outcomes.

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Key Responsibilities

• Conduct timely chart and case reviews, validate and maintain quality data, and ensure timely follow through on reported safety events
• Lead routine quality and safety rounds, support organizational awareness campaigns, and maintain consistent frontline visibility across all behavioral health areas
• Deliver quality/safety education, and support QIA nurse development, new‑hire training, and ongoing departmental learning initiatives
• Prepare and present recurring reports such as unit‑level quality updates
• Collaborate with other quality/safety roles to plan meeting agendas, take meeting minutes, conduct quarterly pressure‑injury surveys, and provide consistent Behavioral Health representation and support for key initiatives

REQUIREMENTS

• Nursing experience (RN or LPN) – required
• Vanderbilt Psychiatric Hospital (VPH) inpatient nurse experience – preferred
• Behavioral Health experience - preferred
• Bachelor's degree

Technical Capabilities

• Regulatory Compliance (Novice): Demonstrates knowledge of the appropriate rules and regulations and apply them in difficult, stressful and complex situations. Able to interpret and explain rules and regulations that are ambiguous or unclear. Directs others in interpreting rules and regulations on the job and trains others in them.
• Judgement and Decision-Making (Novice): Able to make decisions effectively and accurately in an environment which may be fast-paced or changing. Considers a wide range of alternatives, including those which may fall outside of the scope of the task at hand, before making a decision.
• Front of Room Facilitation (Intermediate): Helping people manage The information they already possess or can access to achieve a necessary result in a timely and collaborative manner. Guide The process and structures activities using a particular facilitation methodology without content knowledge or subject matter expertise.
• Healthcare Organizational Dynamics (Intermediate): Demonstrate knowledge and impact of quality, value, and patient-centered care in the current and future healthcare landscape and continuum of care
• Prioritization/ Targeted Focus (Intermediate): Distill down needed work to focus teams with limited resources on critical path, while keeping the larger picture in mind. Effectively message and focus teams on critical path in light of larger efforts.
• Data Transformation into Information (Intermediate): Create and Interpret data findings through appropriate methods of data visualization. Identify opportunities for improvement, translate into improvement plans, and develop requirements to support improvement initiatives
• Relationship Building (Intermediate): Develops cooperative internal and external relationships.
• Improvement Methodology (Intermediate): Lead teams in quality and performance improvement methodology, including facilitating opportunity analysis, key driver diagrams, performance measure requirements, and PDSA improvement cycles (EA, FMEA, CTQ)
• Identification/Evaluation for Harm Risks (Intermediate): Develop a process that identifies and reports patient safety risks, near misses, and adverse events. Integrate best practices and evidence-based mitigation strategies. Interpret and communicate findings.
• Strategic Planning (Novice): The ability to define a strategy, or direction, and making decisions on allocating its resources.
• Data Analysis (Intermediate): The ability to analyze data in an accurate manner.
• Project Management (Intermediate): Planning, organizing, and managing resources to bring about the successful completion of specific project goals and objectives.
• Time Management (Intermediate): Planning and exercising conscious control over the amount of time spent on specific activities.
• Communication (Intermediate): Clearly, effectively and respectfully communicates to employees or customers.
• Change Management (Intermediate): Establishes a structured methodology for responding to changes in the environment or establishing coping mechanisms for responding to changes in the workplace. Makes sound recommendations in problem resolutions. Assists in testing and quality assuring solutions.

About the Department:

The Department of Quality, Safety, and Risk Prevention (QSRP) equips and empowers Vanderbilt Health faculty and staff at our Main Campus, Regional Hospitals and Ambulatory Divisions to offer care that is safe, timely, effective, efficient and patient-centered. We are focused on providing high-quality care through doing the right thing for our patients to reach desired health outcomes, while also preventing errors or adverse events and reducing risks

The various teams within QSRP foster knowledge sharing to extend best practice use, reduce variability and facilitate improvements in outcomes throughout our health system and strengthening Vanderbilt Health’s mission of personalizing the patient experience through our caring spirit and distinctive capabilities through our QSRP Strategic Plan.

Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.

At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.

Core Accountabilities:

Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members.

Core Capabilities :

Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.

Position Qualifications:

Responsibilities

Certifications:

Work Experience:

Relevant Work Experience

Experience Level:

3 years

Education:

Bachelor's

This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.