Job Description

The Manager, Quality is responsible for leading quality improvement initiatives and ensuring regulatory compliance across the facility. This role supports the organization’s commitment to high standards of patient care, safety, and operational excellence. Depending on the department, the Manager may specialize in clinical quality, coding accuracy, or process improvement—adapting strategies to meet the unique needs of each area.

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 Opportunities for Career Advancement Employee Rewards & Recognition Programs Additional Discounts and Perks* What You’ll Do Lead Quality Programs: Design, implement, and monitor quality management programs aligned with department goals and organizational priorities. Collaborate on Improvement: Partner with department leaders to identify performance gaps and implement initiatives that enhance care outcomes and operational efficiency. Analyze & Report Data: Conduct quality assessments and data analysis to track performance metrics, identify trends, and recommend evidence-based improvements. Ensure Compliance: Maintain readiness for regulatory and accreditation surveys by conducting audits and ensuring adherence to applicable standards (e.g., TJC, state requirements). Educate & Train: Provide training on quality standards, policies, and best practices to support a culture of continuous improvement across the organization. Report Performance: Develop and deliver quality performance reports to leadership, highlighting successes, opportunities, and next steps. Manage Documentation: Oversee the accuracy and completeness of quality records, ensuring documentation supports compliance and performance goals. Support Cross-Functional Teams: Participate in interdisciplinary quality initiatives to improve coordination, efficiency, and patient outcomes. Other Duties: Perform additional responsibilities as assigned and maintain compliance with all organizational policies and standards. Qualifications Required Education: Associate Degree in Nursing Preferred Education: Bachelor’s degree in Nursing, Healthcare Administration, Quality Management, or related field

Experience:

3–5 years in quality management, healthcare compliance, or related field (required) Direct participation in TJC or state survey (required) 2–4 years of experience with data analysis (preferred) Supervisory or management experience (preferred) What You Bring Strong knowledge of quality improvement principles and healthcare regulatory standards Analytical mindset with the ability to interpret data and identify trends Proven leadership and collaboration skills across multidisciplinary teams Effective written and verbal communication Strong organizational and project management skills Licenses and Certifications RN license – Active state licensure or Compact State licensure (required) CPHQ – Certified Professional in Healthcare Quality (preferred)

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