Quality and Safety Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Promote a culture focused on patient safety, regulatory adherence, and ongoing quality enhancement throughout CVAUSA ASCs and OBLs.

• Collaborate with local leadership and the CVAUSA Quality and Safety Department to create and standardize quality and safety initiatives.

• Identify and address quality and safety deficiencies while aiding in survey preparedness.

• Monitor and analyze adverse events, near misses, and patient grievances; ensure proper reporting, escalation, and resolution processes are in place.

• Educate center staff and leadership on best practices in quality and safety, incident reporting, and peer review processes.

• Facilitate root cause analysis meetings and execute corrective action strategies.

• Create and distribute ongoing safety education materials and communications.

• Perform compliance gap analyses concerning CMS, state, and OSHA regulations; develop and track action plans accordingly.

• Conduct random audits to assess documentation quality and identify patterns necessitating correction or further training.

• Evaluate and enhance infection control programs while overseeing adherence to protocols.

• Coordinate with ASCs/OBLs regarding illness outbreaks and public health notifications.

• Ensure staff are trained on hazardous waste management, sharps safety, and other hazard controls.

• Facilitate continuous safety education and emergency preparedness exercises.

• Collaborate with leadership to establish safety, accountability, and open reporting policies.

• Execute quarterly quality and safety benchmarking throughout the network.

• Monitor and assist with mandated quality studies at each center.

• Work alongside ASC/OBL leadership and the Quality & Value Committee to prioritize and advance improvement initiatives.

⛳️ Requirements

• Bachelor's degree in nursing, Healthcare Administration, Public Health, or a related discipline (or an equivalent combination of education and experience).

• At least 5 years of experience in healthcare quality, patient safety, risk management, or regulatory compliance, ideally within an ASC, OBL, or outpatient surgical environment.

• Proficient understanding of CMS Conditions for Coverage, state licensing stipulations, OSHA regulations, and standards from accreditation bodies (e.g., AAAHC, AAAASF, The Joint Commission).

• Experience in conducting audits, gap analyses, and/or mock surveys.

• Excellent written and verbal communication skills, with the capability to train and influence staff across various locations.

• Preferred RN license or a clinical background.

• Certification in CASC, CPHQ, or CIC is preferred.

• Experience in working with a multi-site healthcare organization or management services organization (MSO).

• Familiarity with root cause analysis (RCA) and Failure Mode and Effects Analysis (FMEA) methodologies.

• Knowledge of quality improvement frameworks, including Plan-Do-Study-Act (PDSA) cycles, Lean, and/or Six Sigma.

• Experience in measuring quality performance, particularly in procedural care, and leveraging data to enhance performance.

• Willingness to travel regularly, with a travel expectation of 25–40%.

🏝️ Benefits

• Comprehensive benefits package effective from day one.

• Opportunity for remote work from home.

• Travel assistance for on-site training, evaluations, and audits.