Mgr Quality

Methodist Hospital Westover Hills

Manager Quality

Clinical Outcomes Department

Full Time

• Exempt

Day Shift

• Weekdays Only

Do you have a passion for healthcare and helping others? Do you enjoy working in a fast-paced, patient-centered environment?

Jump-start your career in our Quality Department. Submit your application today!

Benefits:

We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us.

Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program, and student loan repayment. We would love to talk to you about this fantastic opportunity.

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, and 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.

What you will do In This Role:

• 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 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:

• Education: Bachelor degree is required; Bachelor of Science degree in Nursing or other health related discipline is preferred. Graduate degree preferred such as an MBA, MSN or MHA.

• Experience: Three years of clinical, quality or regulatory experience required; clinical, quality or regulatory experience in transplant services preferred.
  
  Experience or training in principles of quality improvement and regulatory compliance preferred. Strong analytical and critical thinking skills and experience in utilizing work processing, spreadsheets, and clinical systems/databases required.

• Current Texas licensure as a registered nurse, other clinical discipline OR Certification as a Certified Six Sigma Professional (CSSC).

• Certification as a Certified Professional in Healthcare Quality (CPHQ) preferred

Methodist Hospital Westover Hills opening in November 2024 will be located conveniently near Highway 151 and Loop 1604 corridor. This will be a full service, acute care hospital bringing an elevated level of care to the rapidly growing area of San Antonio and its neighboring communities to the West. The facility offers advanced technology and world-class care in a modern and beautifully designed space - the ideal environment for delivering the high-quality patient care Methodist is known for.

This 225,000 square foot facility features 54 beds, offering a full array of services including adult and pediatric emergency, obstetrics and gynecology, cardiology, orthopedics, robot-assisted surgery, surgical oncology, general surgery, pulmonology and gastroenterology.

Be a part of an organization that invests in you. We are actively reviewing applications.

Qualified candidates will be promptly contacted by our hiring managers for interviews. Submit your application today and help us raise the bar in patient care!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.