Manager of Quality

Do you have the career opportunities as a Manager of Quality you want with your current employer? We have an exciting opportunity for you to join Methodist Hospital Specialty and Transplant, a leading provider of healthcare services. Job Summary and Qualifications Provides oversight for development and implementation of quality improvement and regulatory compliance. The position owns the analysis of quality and performance improvement data for the organization, coordinating collection, analysis, and trending of data. The role ensures compliance with required regulatory indicators and external agency reviews, and provides expertise and leadership in maintaining compliance with The Joint Commission, CMS, TDSHS, and other applicable agencies. The position also educates staff and physicians on regulatory/accreditation requirements to promote readiness and compliance. Essential Job Functions Coordinates the QAPI program and oversees the collection, aggregation, and analysis of data for the program. Coordinates Quality Council and CART Meetings, serves on Nursing Committees, and assists the Chair and hospital leadership in identifying opportunities and developing action plans to improve patient care and services. Acts as a coach to PI teams chartered by the Quality Council. Measures, analyzes, generates, and presents reports on healthcare processes and patient outcomes to identify and prioritize improvement areas. Works with Patient Safety/Risk Management to analyze and respond to significant preventable adverse events (SPAEs) and unanticipated outcomes, and assists with process improvement initiatives resulting from event analysis. Maintains knowledge of requirements related to The Joint Commission, Medicare (CMS) Conditions of Participation, and Texas Department of State Health Services. Develops and implements action plans in response to survey/review findings. Oversees all preparation and reporting activities for regulatory requirements, coordinates scheduling and activities for announced and unannounced surveys/reviews, and acts as the interface with regulatory agencies. Ensures continuous compliance and oversees policy development, review, and revisions necessary to maintain regulatory compliance. Qualifications Bachelor’s degree required. Bachelor of Science in Nursing or another health‑related discipline preferred. Graduate degree preferred, such as an MBA, MSN, or MHA. Three years of clinical, quality, or regulatory experience required; experience in transplant services preferred. Experience or training in principles of quality improvement and regulatory compliance preferred. Strong analytical and critical thinking skills, with experience using processing tools, spreadsheets, and clinical systems/databases. Employee completes initial and ongoing training and competencies defined by service line, facility, and department/unit specific to the patient population served. Required: Current Texas licensure as a registered nurse, other clinical discipline, or certification as a Certified Six Sigma Professional (CSSC). Preferred: Certification as a Certified Professional in Healthcare Quality (CPHQ). Benefits Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine coverage. Wellbeing support, including free counseling and referral services. Paid time off, paid family leave, long‑ and short‑term disability, and other leave programs. 401(k) plan with a 100% match on 3% to 9% of pay, Employee Stock Purchase Plan, flexible spending accounts, and retirement readiness tools. Tuition assistance, student loan assistance, certification support, and dependent scholarships. Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health plans, auto and home insurance, legal counseling, identity theft protection, and consumer discounts. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. #J-18808-Ljbffr