DIR - RISK / QUALITY

About Austin Oaks Hospital

Austin Oaks Hospital offers a continuum of psychiatric services for adolescents and for adults. Located in South Austin, Texas on a beautiful thirteen-acre oak lined campus. We strive to provide a home-like environment that promotes crisis resolution, positive self-awareness, social skills, and personal growth. We are proud to be your community partner in mental health.

The cornerstone of our treatment rests on exceptional mental health services and clinical excellence. Austin Oaks Hospital provides inpatient and outpatient psychiatric services to stabilize symptoms of depression, anxiety and other behavioral health disorders.

More than anything else, our treatment relies on exceptional mental health services and dependable clinical staff.

Austin Oaks Hospital provides inpatient and outpatient psychiatric services to stabilize symptoms of depression, anxiety and other behavioral health disorders.

Website: www.austinoakshospital.com

The Director of Risk Management and Performance Improvement (DRM/PI) has broad responsibility to ensure the hospital's compliance at all times with all Joint Commission, CMS, and state regulatory agencies standards and requirements. The DRM/PI is responsible for staff training and education on the hospital's performance initiatives and measures including outcomes measurement and reporting. The DRM/PI has broad responsibility to protect the hospital's assets from loss. The DRM/PI is responsible for coordinating the loss control efforts and advising management and administration on all potential sources of loss and for making recommendations to minimize or eliminate exposure. The structure and functions of the Risk Management Program are designed so as to comply with guidelines and standards of TJC, other regulatory agencies, and the UHS T.E.R.M. Program. The Director of Risk Management and Performance Improvement (DRM/PI) has broad responsibility to ensure the hospital's compliance at all times with the UHS Code of Conduct and Compliance Program policies.

Job Duties and Resposibilites:

• Risk Identification and Evaluation
  • Ensures appropriate and timely reporting of occurrences by maintaining a Healthcare Peer Review Reporting system (Occurrence notification system); enters incidents into the MIDAS Database.
  • Analyzes and trends data
  • Identifies actual and potential risk situations and facilitates the determination of causative factors
• Risk Reduction
  • Networks with department directors to implement system changes aimed at optimally reducing or eliminating causative factors.
  • Interfaces with the Patient Advocate specific to patient complaints and assesses/recommends action, on those, which may be a source of potential litigation.

  • Refers policies that present particular risk in relation to previously identified problems to Corporate Risk Management

• Performance Improvement
  • Ensure the hospital meets Joint Commission, CMS, and state regulatory requirements
  • Consult with senior staff and directors in the development of department specific programs and quality measures which are within the standards of Joint Commission, CMS, TDSHS, OSHA regulations and all other applicable federal, state or local law/regulations governing health-care entities.
• Claims Management
  • Assists CEO in facilitating the processing of summons and complaints served on the hospital and its employees.

  • Assists the Corporate Risk Management as needed to intervene, document and assist in the investigation of all claims.

  • Coordinates investigation of claims within the facility

• Compliance Program

  • Conducts/facilitates in-services to educate employees and physicians

  • Participates in developing/reviewing policies and procedure

  • Operates to maintain and facilitate system ensuring hospital and employee adherence to UHS Compliance Program.

• Committee Participation

  • Performance Improvement

  • Patient Safety Council

  • Peer Review

  • Other Committees/Meetings as necessary

• Employee/Physician Education
  • Facilitates, develops, and provides educational programs to insure all employees and medical staff are aware of the Risk Management/PI/Compliance concepts and its relation to their specific duties/job role in identifying and reducing liability exposures.

  • Plans and presents risk management/performance improvement and compliance information to all new employees at hospital orientation.

  • Plans, facilitates, presents information and suggests topics on risk management/performance improvement and compliance to Committees or hospital departments as necessary and based upon occurrences or claim patterns
• Reporting, Report Preparation and Submission
  • Provides aggregate analysis of risk and performance improvement data and trend analysis to Committees and departmentsas necessary
  • Directly reports to Administration those incidents with claims potential.
• Medical Staff
  • Advises the Medical Director and Medical Executive Committee as needed

  • Advises physicians on issues of interest or concern including Informed Consent process; Documentation

    and communication; Accountability; Response to patient/family complaints; and internal problem

    solving

Note: The essential job functions of this position are not limited to the duties listed above

Benefit& RewardsHighlights

• Challenging and rewarding work environment

• Competitive Compensation & Generous Paid Time Off

• Excellent Medical, Dental, Vision and Prescription Drug Plans

• 401(K) with company match and discounted stock plan

• SoFi Student Loan Refinancing Program

• Tuition savings to continue your nursing education with Chamberlain University

• Career development opportunities within UHS and its 300+ Subsidiaries!

• Pet Insurance

• More information is available on our Benefits Guest Website:benefits.uhsguest.com

About Universal Health Services

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since itsinceptioninto an esteemedFortune500 corporation, annualrevenuesduring2025were$17.4billion.In 2026,UHS was again recognized as one ofFortune World's Most Admired Companies and in 2025, waslisted in Forbes ranking of America's Largest Public Companies.

Headquarteredin King of Prussia, PA, UHS has approximately101,500employeesand continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physiciannetworkand various related serviceslocated in 40U.S.states, Washington, D.C., PuertoRicoand the United Kingdom.Foradditional informationvisitwww.uhs.com.

REQUIREMENTS:

Education: Bachelor's Degree from an accredited college or university required. Bachelor's Degree from accredited college or university in nursing, or related health field is preferred. Master's Degree preferred. Combination of education and experience considered.

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

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

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.