Manager Imaging Quality & Accreditation - TGHI Adminsitration

Tampa General Hospital; Tampa (FL); On-site; USD 110,000 - 150,000; Full time

Job summary

Tampa General Hospital (TGHI Administration) seeks a Manager of Imaging Quality & Accreditation to lead imaging quality, patient safety programs, and regulatory readiness across TGHI’s multi-site outpatient radiology network. You will oversee safety policies, training, and compliance efforts with radiologists, site admins, and system leadership to ensure high reliability and continuous improvement.

The role requires strong knowledge of ACR/TJC standards, radiation safety, infection control, and

Qualifications

• Bachelor's degree in radiologic science or related field and healthcare administration background.
• Minimum of five years of clinical radiology experience.
• Two years of leadership experience in outpatient imaging.
• Strong knowledge of imaging regulatory standards and accreditation processes.

Responsibilities

• Lead enterprise-wide imaging quality and patient safety programs across all imaging modalities and ambulatory locations.
• Establish, monitor, and report imaging quality metrics and dashboards.
• Serve as SME for imaging clinical safety, infection prevention, radiation safety, MRI safety, and patient preparation.
• Coordinate with site leaders on contrast administration and reactions across outpatient locations.
• Develop and standardize imaging clinical protocols and safety guidelines.
• Lead regulatory compliance and accreditation readiness efforts (ACR, state/federal requirements).
• Support inspections, audits, surveys, and licensure tracking across sites.

Skills

Imaging quality

Patient safety

Regulatory compliance

Leadership

Cross-functional collaboration

Training & education

Communication

Education

Bachelor's Degree Radiologic Science

Bachelor's Degree Healthcare Administration

Bachelor's Degree in Related Field

Tools

ACR/TJC knowledge

Job description

Job Description

Job Description - Manager Imaging Quality & Accreditation - TGHI Adminsitration (260003HA)

Manager Imaging Quality & Accreditation - TGHI Adminsitration - (260003HA)

T he Manager of Imaging Quality and Accreditation leads medical records, remote monitored programs, clinical safety programs, regulatory compliance efforts, patient experience and quality initiatives across TGH Imaging’s multi-site outpatient radiology network. This role serves as the primary subject matter expert for imaging clinical safety, regulatory readiness, and policy/procedure standardization, develops/ administer training, competencies, and provides oversight for the resolution of patient complaints related to clinical care. Working collaboratively with modality leaders, radiologists, site administrators, and system leadership, the Manager ensures consistent, high-quality, and compliant imaging practices while advancing a culture of safety, accountability, and continuous improvement through strong cross-functional partnerships.

Essential Functions

• Lead and oversee enterprise-wide imaging quality and patient safety programs across all imaging modalities and ambulatory locations, supporting a culture of high reliability and continuous improvement.


• Establish, monitor, analyze, and report imaging quality and safety metrics and dashboards (e.g., contrast events, radiation and MRI safety, falls, repeat rates, incident trends) through appropriate governance structures, including the Ambulatory Quality Council.


• Serve as the subject matter expert for imaging clinical safety, infection prevention, radiation safety, MRI safety, patient preparation, and emergency response.


• Collaborate and coordinate with site leaders on contrast administration and reactions, ensuing alignment across all out-patient clinic locations.


• Partner with radiologists and modality leaders to develop, standardize, implement, and maintain imaging clinical protocols, patient care guidelines, and safety best practices aligned with evolving standards and technology.


• Lead regulatory compliance and accreditation readiness efforts in partnership with system resources and systems, including ACR accreditation, state and federal requirements, and radiation, tracking system for all licenses and renewals and nuclear medicine licensing. ensuring continuous survey preparedness across all sites.


• Integrates with system resources and standards to for regulatory inspections, audits, surveys, documentation, responses to findings, licensure tracking, and required reporting, including annual reporting to Corporate Compliance.

Qualifications

Education:

• Bachelor's Degree Radiologic Science


• Bachelor's Degree Healthcare Administration


• Bachelor's Degree in a Related Field

Work Experience & Additional Information:

• Five (5) years of clinical radiology experience


• Two (2) years of leadership experience in outpatient imaging

Technical Knowledge, Skills, and Abilities

• Strong knowledge of ACR/TJC, radiation safety, infection control, regulatory standards, contrast protocols, patient experience, and corporate compliance/PI methodologies.


• Comprehensive knowledge of outpatient imaging regulatory and accreditation requirements, including ACR, state and federal regulations, radiation and nuclear medicine licensing, and infection prevention standards.


• Strong understanding of imaging modalities and related clinical safety practices, including contrast administration, radiation safety, MRI safety, patient preparation, and remote operations


• Demonstrated ability to develop, review, standardize, and maintain clinical policies, protocols, and guidelines across multiple outpatient locations, to include record and imaging retrieval for diagnostic comparisons.


• Strong leadership skills with the ability to partner effectively with radiologists, modality leaders, site administrators, and system stakeholders to drive alignment and compliance across a multi-site network.


• Excellent verbal and written communication skills, with the ability to train, educate, and support clinical staff on safety standards, regulatory requirements, and best practices.

Primary Location

Tampa

Work Locations

TGHI Hidden River - CorpOffice 8800 Grand Oak Circle Tampa 33637

Eligible for Remote Work : On Site

Job

Radiology/Imaging Services

Organization

TGH Imaging

Schedule

Full-time

Scheduled Days : Monday, Tuesday, Wednesday, Thursday, Friday