Manager of Quality

Manager of Quality San Antonio, Texas, United States

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Manager of Quality Methodist Hospital Specialty and Transplant San Antonio, TX, United States work Full-time assignment_ind Days No Weekends star_rate New Category: Directors and Managers Job ID: 4296549

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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, which is part of the nations leading provider of healthcare services, HCA Healthcare.

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 through coordination of information including data collection, analysis, and trending of data, compliance with required regulatory indicators, external agency review, and other select clinical outcomes measurement. Provides expertise and leadership in maintaining compliance with requirements of regulatory and accreditation agencies including The Joint Commission, CMS, TDSHS, and other applicable agencies. This position serves to educate staff and physicians on regulatory/accrediting requirements to promote readiness and compliance.

Essential Job Functions

• Coordinates the Quality Assessment/Performance Improvement (QAPI) program and oversees the collection, aggregation, and analysis of data for the program.
• Coordinates Quality Council and CART Meetings, in addition to serving Nursing Committees.
• Assists the Chair of the Quality Council, hospital leadership, and staff to identify opportunities and develop action plans to drive improvement of patient care, treatment, and services.
• Provides expertise and 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 areas for improvement.
• Works in conjunction with Patient Safety/Risk Management in analyzing and responding to significant preventable adverse events (SPAEs) and unanticipated outcomes that occur.
• Assists with process improvement initiatives resulting from event analysis.
• Maintains knowledge of and expertise in 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 related to regulatory requirements.
• Coordinates scheduling and activities of announced surveys/reviews and activities for unannounced surveys/reviews; acts as interface with regulatory agencies.
• Ensures continuous compliance with all requirements; oversees policy development, review, and revisions necessary to maintain regulatory compliance.

What Qualifications You Will Need

• Required: Bachelors degree.
• Preferred: Bachelor of Science degree in Nursing or other health-related discipline.
• Preferred: Graduate degree (e.g., MBA, MSN, or MHA).
• Required: Three years of clinical quality or regulatory experience (clinical quality or regulatory experience in transplant services preferred).
• Preferred: Experience or training in principles of quality improvement and regulatory compliance.
• Required: Strong analytical and critical thinking skills and experience in utilizing work processing spreadsheets and clinical systems/databases.
• Required: Employee completes initial and ongoing training and competencies as defined by service line, facility, and department/unit which are specific to the needs of the patient population served, if applicable.
• 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

Methodist Hospital Specialty and Transplant offers a total rewards package that supports the health, life, career, and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits: Medical, prescription drug, dental, vision, behavioral health, and telemedicine services.
• Wellbeing support: Including free counseling and referral services.
• Time away from work: Programs for paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
• Savings and retirement resources: Including a 401k Plan with a 100% match on 3 to 9% of pay based on years of service, Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
• Education support: Through tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
• Additional benefits: Fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection, and consumer discounts.

Note: Eligibility for benefits may vary by location.

Methodist Hospital Specialty and Transplant has been nationally recognized for its record-setting kidney, liver, and pancreas transplant programs. It is home to the Texas Transplant Institute and is the largest living donor kidney transplant program in the US. According to the United Network of Organ Sharing database, the center reached a major milestone in 2019 by performing 231 living donor kidney transplants in a single year, setting a new national record-thats 65 more transplants than the second center on the list.

In addition to transplant care, Methodist Hospital Specialty and Transplant is a full-service hospital with over 260 beds that provides specialized services for liver, cancer care, emergency care, weight loss surgery, urology, surgery, vascular surgery, inpatient rehabilitation, colorectal surgery, and behavioral health care. It is a designated Center of Metabolic and Bariatric Surgery Excellence by the American Society for Bariatric Surgery.

Our Sexual Assault Response Team provides a compassionate environment for sexual assault survivors ages 13+, serving as a model for hospitals and agencies all over the world.

Methodist Hospital Specialty and Transplant prides itself on providing the highest quality of patient care possible, as proven by their consecutive Grade A scores from the Leapfrog Hospital Safety Grade survey and ranking in the nations top quartile for patient experience.

For more information, please visit our website at www.sahealth.com and select Methodist Hospital Specialty and Transplant under Locations.

"Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist Sr., HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Manager of Quality opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today.

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.

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