Quality Manager

Townsen Memorial Hospital; Humble (TX); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

3 Medical Plans

2 Dental Plans

1 Vision Plan

Employee Assistance Program

Short and Long-Term Disability Insurance

401(k) with a 2-year vesting

PTO + Holidays

Job summary

Townsen Memorial Hospital is looking for a Manager of Quality responsible for overseeing operational management of Quality Coordinators and Infection Preventionist. This role assures the effective execution of quality assurance, performance improvement, and infection control activities.

The ideal candidate will bring at least five years of experience in healthcare quality within an Acute Care setting and a commitment to high-quality standards and patient care.

Qualifications

• Experience in healthcare quality management required.
• Must hold an active nursing license in Texas.
• Certification in Basic Life Support (BLS) is mandatory.

Responsibilities

• Supervise Quality Coordinators and Infection Preventionist.
• Ensure effective execution of QA, PI, and IC activities.
• Conduct audits and root cause analyses.
• Present findings to leadership and committees.

Skills

Knowledge of healthcare regulations

Strong organizational skills

Analytical and problem-solving skills

Effective communication skills

Ability to manage competing priorities

Detail-oriented

Proficiency with electronic health records

Education

Five years of experience in healthcare quality in an Acute Care Hospital setting

Registered Nurse or Licensed Vocational Nurse in the State of Texas

Basic Life Support (BLS) certified

Job description

SUMMARY

The Manager of Quality is responsible for the operational management and supervision of Quality Coordinators and the Infection Preventionist, ensuring effective execution of Quality Assurance (QA), Performance Improvement (PI), and Infection Control (IC) activities at the facility level. This position oversees daily departmental operations, supports staff development, ensures accurate data collection and reporting, and facilitates implementation of quality initiatives across departments.

ESSENTIAL FUNCTIONS

• Directly supervises Quality Coordinators and the Infection Preventionist, providing guidance, oversight, and performance management.
• Assigns and monitors workload to ensure completion of audits, surveillance, data abstraction, and reporting functions.
• Oversees execution of the facility QA, PI, and IC programs to ensure operational effectiveness.
• Ensures infection surveillance activities are conducted consistently and findings are communicated appropriately.
• Reviews audit results and performance data with staff and ensures follow-up actions are implemented and tracked to completion.
• Participates in root cause analyses and ensures assigned corrective actions are carried out and monitored.
• Ensures timely and accurate collection, validation, and submission of required quality and infection control data as directed by the Director of Quality.
• Supports survey readiness activities by coordinating documentation, audit findings, and action plans.
• Implements policies and procedures related to QA, PI, and IC and monitors departmental adherence.
• Escalates identified regulatory or compliance risks to the Director of Quality for further action.
• Collects, analyzes, trends, and reports quality indicators, infection control metrics, and performance improvement data.
• Develops and maintains tracking tools, dashboards, and action plans to support measurable improvement.
• Present findings and recommendations to leadership, committees, MEC, and Board as assigned.
• Conducts routine and focused audits to validate compliance with standards of care and organizational policy.
• Develops and delivers education programs related to quality improvement, infection prevention, and regulatory compliance.
• Ensures staff completion of required QA, PI, and IC education and competency validation.
• Provides real-time coaching to staff to reinforce best practices and regulatory expectations.
• Oversees and tracks employee health requirements, including screenings, immunizations, and required documentation.
• Ensures employee health records are complete, accurate, and maintained in accordance with regulatory standards.
• Partners with department leaders and clinical staff to implement performance improvement initiatives and corrective action plans.
• Serves as a resource for quality and infection control standards across departments.
• Educates patients and families regarding infection prevention and quality-related practices as appropriate.
• Maintains accurate, timely, and compliant documentation in accordance with organizational policy and privacy regulations.
• Participates in assigned committees and meetings related to quality, safety, and performance improvement.
• Perform other related tasks as needed.

KNOWLEDGE, SKILLS, AND ABILITIES

• Knowledge of healthcare regulations, accreditation standards, and infection control requirements.
• Strong organizational, analytical, and problem‑solving skills.
• Ability to collect, analyze, and report quality and performance data.
• Effective verbal, written, and interpersonal communication skills.
• Ability to manage competing priorities in a fast‑paced healthcare environment.
• Demonstrated attention to detail and commitment to accuracy.
• Ability to work independently while collaborating effectively with leadership and staff.
• Proficiency with electronic health records, quality reporting systems, and Microsoft Office applications.
• Ability to maintain professionalism, composure, and sound judgment in high‑stress situations.
• Documented training and demonstrated competency in infection prevention and performance improvement methodologies required.

EDUCATION AND EXPERIENCE

• Five (5) years of experience in healthcare quality in an Acute Care Hospital setting.
• Registered Nurse or Licensed Vocational Nurse in the State of Texas.
• Basic Life Support (BLS) certified.

BENEFITS

• 3 Medical Plans
• 2 Dental Plans
• 1 Vision Plan
• Employee Assistance Program
• Short and Long‑Term Disability Insurance
• Basic and Voluntary Life with AD&D Plan
• 401(k) with a 2‑year vesting
• PTO + Holidays

Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.

Employment for this position is contingent upon the successful completion of a background check and drug screening.