Quality and Safety Manager
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Job Description
ASC/OBL Quality and Safety Manager improving patient safety, compliance, and quality across Cardiovascular Associates of America’s national cardiovascular care network. Leading audits, training, and improvement initiatives.
Responsibilities:
- Drive a system-wide culture of patient safety, regulatory compliance, and continuous quality improvement across CVAUSA ASCs and OBLs
- Partner with location leadership and the CVAUSA Quality and Safety Department to build and standardize quality and safety programs
- Identify and close quality and safety gaps and support survey readiness
- Track and review adverse events, near misses, and patient complaints; ensure appropriate reporting, escalation, and resolution
- Train center staff and leadership on quality and safety best practices, incident reporting, and peer reviews
- Lead root cause analysis meetings and implement corrective action plans
- Develop and publish recurring safety education resources and communications
- Conduct compliance gap analyses related to CMS, state, and OSHA requirements; build and track action plans
- Conduct random audits to evaluate documentation quality and identify trends requiring correction or training
- Assess and develop infection control programs and monitor protocol compliance
- Liaise with ASCs/OBLs regarding illness outbreaks and public health reporting
- Ensure staff training on hazardous waste disposal, sharps safety, and related hazard controls
- Ensure ongoing safety training and emergency preparedness drills
- Partner with leadership to develop safety, accountability, and transparent reporting policies
- Complete quarterly quality and safety benchmarking across the network
- Monitor and support required quality studies at each center
- Collaborate with ASC/OBL leadership and the Quality & Value Committee to set priorities and drive improvement initiatives
Requirements:
- Bachelor's degree in nursing, Healthcare Administration, Public Health, or related field (or equivalent combination of education and experience)
- Minimum of 5 years of experience in healthcare quality, patient safety, risk management, or regulatory compliance, preferably within an ASC, OBL, or outpatient surgical setting
- Working knowledge of CMS Conditions for Coverage, state licensing requirements, OSHA standards, and accreditation body standards (e.g., AAAHC, AAAASF, The Joint Commission)
- Experience conducting audits, gap analyses, and/or mock surveys
- Strong written and verbal communication skills, with the ability to train and influence staff across multiple sites
- Preferred RN license or clinical background
- CASC, CPHQ, or CIC certification preferred
- Experience working across a multi-site healthcare organization or management services organization (MSO)
- Familiarity with root cause analysis (RCA) and Failure Mode and Effects Analysis (FMEA) methodologies
- Familiarity with quality improvement frameworks, including Plan-Do-Study-Act (PDSA) cycles, Lean, and/or Six Sigma
- Experience measuring quality performance, particularly for procedural care, and using data to drive performance improvement
- Ability to travel regularly; stated travel expectation of 25–40%
Benefits:
- Full benefits package active on day one
- Remote work from home
- Travel support for on-site training, assessments, and audits
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