Job Description

The Manager of Quality leads facility-wide quality improvement efforts and ensures ongoing compliance with regulatory standards. This role champions a culture of safety, excellence, and continuous improvement—supporting clinical quality, coding integrity, and process enhancement, depending on departmental focus.

What We Offer Competitive Pay Comprehensive Medical, Dental, Vision & Life Insurance Generous Paid Time Off (PTO) Extended Illness Bank (EIB) Matching 401(k) Retirement Plan Career Growth Opportunities Employee Recognition & Rewards Programs Exclusive Discounts and Perks* Key Responsibilities

Lead Quality Programs

Design, implement, and oversee quality initiatives aligned with organizational goals and regulatory standards.

Drive Performance Improvement

Collaborate with department leaders to identify performance gaps and implement sustainable, evidence-based solutions.

Monitor and Report Metrics

Analyze quality data to identify trends, evaluate outcomes, and present actionable insights to leadership.

Ensure Survey Readiness

Maintain compliance with accreditation and regulatory bodies (e.g., The Joint Commission, state requirements) through audits and continuous monitoring.

Educate and Empower Staff

Provide training and resources to promote adherence to quality standards and foster a culture of excellence.

Maintain Quality Documentation

Ensure quality-related documentation is complete, accurate, and audit-ready.

Support Collaborative Efforts

Serve on cross-functional teams to enhance care coordination, efficiency, and patient outcomes.

Other Duties

Perform additional responsibilities as assigned; uphold organizational policies and compliance standards. Qualifications

Education

Required: Associate Degree in Nursing Preferred: Bachelor’s degree in Nursing, Healthcare Administration, Quality, or related field

Licensure & Certifications

Required: Active RN license (state-specific or compact) Preferred: Certified Professional in Healthcare Quality (CPHQ)

Experience

3–5 years in quality management, regulatory compliance, or related healthcare field (required) Direct experience supporting TJC or state surveys (required) 2–4 years in data analysis (preferred) Prior supervisory or management experience (preferred) What You Bring In-depth knowledge of quality improvement frameworks and regulatory requirements Strong analytical skills with experience interpreting data and driving change Collaborative mindset with proven ability to lead interdisciplinary teams Excellent verbal and written communication skills Strong organizational and project management capabilities

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