Manager of Quality RN in San Antonio, Texas, United States
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Methodist Hospital

Manager of Quality RN

San Antonio, TX, United States
Full-time  No Weekends 
Category: Directors and Managers • Job ID: 970566
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Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Manager of Quality with Methodist Hospital you can be a part of an organization that is devoted to giving back!


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

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Methodist Hospital family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Manager of Quality to help us reach our goals. Unlock your potential!

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, 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.

  •  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. 

  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.

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).

Minimum License, Certificates, or Registrations Required:

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) preferred.

This role requires you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations (unless a medical or religious exemption is approved).

Methodist Hospital opened in 1963 as the first hospital in the now internationally acclaimed South Texas Medical Center. With over 900 beds, Methodist Hospital offers a broad range of specialties including cardiology, oncology, bone marrow transplants, emergency medicine, neurosciences, maternity care, gynecology and orthopedics. We are proud to be the largest provider of the lifesaving ECMO Program in San Antonio, are home to the largest robotics program in the world, and our Adult Blood Cancer and Stem Cell Transplant unit has become the first program to receive FACT Accreditation in North America.

As the flagship hospital, and most comprehensive medical care facility of Methodist Healthcare, we appreciate the support and recognition we receive from the community. We’ve recently been named the No.1 Best Regional Hospital by the U.S. News and World Report for 2019-20. We pride ourselves on providing the highest quality of care possible for our patients, which is proven by our consecutive Grade A Leapfrog Hospital Safety scores. In addition, Methodist Hospital not only received a Primary Stroke Center designation from The Joint Commission, but has also received a Comprehensive Stroke Center Certification from DNV GL Healthcare, designating the facility as offering the most advanced stroke treatment available in a given geographic area. For more information, please visit our website at and select Methodist Hospital under Locations.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times.  In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Manager of Quality opening. Qualified candidates will be contacted for interviews. Submit your application 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.


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