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Manager of Performance Improvement

Universal Health Services
paid time off, 401(k)
United States, Delaware, Dover
725 Horsepond Road (Show on map)
Jul 18, 2025
Responsibilities

Dover Behavioral Health is seeking a talented and dynamic Manager of Performance Improvement to join our team of dedicated healthcare professionals!

Position Summary:

The Manager of Performance Improvement (MPI) is responsible for coordinating and monitoring the facility-wide quality management assessment and quality performance improvement program, ensuring the facility's programs are in compliance with all regulatory agencies, Joint Commission, CMS, and all other state and federal agencies. The MPI is responsible for staff training and education on the hospital's performance initiatives and measures including outcomes measurement and reporting.

Key Responsibilities:

  1. Provide a broad vision in the continuous development and direction of quality management and quality improvement programs for the facility.
  2. Provide direction and consultation to all staff members on the concepts of Total Quality Management (TQM) and the use of total quality management tools in the application to patient care.
  3. Consult with senior staff and directors in the development of department specific programs and quality measures which are within the standards of Joint Commission, TDH, CMS, TCADA, OSHA regulations and all other applicable federal, state or local law/regulations governing health-care entities.
  4. Develop a facility-wide performance improvement plan which meets or exceeds all regulatory standards and develop performance measurement indicators.
  5. Provide continuous support in the analysis of performance improvement goals and objectives, re-establishing requirements which will facilitate continuous improvement.
  6. Review the results of performance improvement requirements with each department director, define performance improvement requirements for the department and involve other departments/services in the problem-solving process when situations span over more than one department.
  7. Establish a system for collecting and analyzing statistical data relating to performance improvement measures.
  8. Ensure any detected deficiency in meeting quality improvement goals and objectives is addressed with appropriate management in a timely manner.
  9. Assist the medical staff in compiling physician's/licensed practitioners IOP Profiles, which will be used in the medical staff reappointment process.
  10. Provide consultation to the medical staff in carrying out all the medical staff reporting functions (i.e. drug usage, evaluation, pharmacy, and therapeutics, infection control, utilization review, quality improvement, safety and risk management and medical records review).

Benefit Highlights:

* 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

* Career development opportunities within UHS and its 300+ Subsidiaries! * 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. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.


Qualifications

Experience: Experience in managing quality and risk, as well as enhancing organizational performance in an acute medical or psychiatric treatment environment. A bachelor's degree is preferred but not mandatory.

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.

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.

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