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Market Quality and Risk Manager

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Webster, TX, United States

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SHIFT: No Weekends

SCHEDULE: Full-time

HCA has been recognized as a World’s Most Admired Company in the Health Care Medical Facilities Industry by Fortune Magazine. The Ambulatory Surgery Division of HCA operates and jointly owns with physicians 130+ surgery centers across the United States.  We are currently in search of additional members to join our team! 


We value you and your future. We provide multiple health insurance plan options, tuition reimbursement, and many more programs to cover a wide variety of today’s life and family needs.  In addition to your salary and health insurance benefits, HCA provides a matching 401k as well as an Employee Stock Purchase Plan (ESPP). Members of HCA receive consumer discounts on cell phones, hotels, rental cars, and many others. Interviews are being set immediately, you are encouraged to apply today!


  • Directs efforts to ensure effective Patient Safety, Risk Management, Quality/Performance Improvement and Infection Control programs throughout the assigned market(s).  Ensures facility staff compliance with the requirements and intentions of the program.
  • Provides leadership to drive efforts for patient safety activity, clinical improvement and service enhancement. 
  • Provides centers with meaningful reports to the Quality Committee, Medical Executive Committee, and Governing Body. 
  • Acts a chairperson for center’s Quality Improvement committee, as directed.  Prepares and submits minutes from all meetings; as directed.
  • Develops and implements programs, initiatives, and improvement strategies to ensure consistency in compliance with applicable laws, regulations, and other governmental requirements.
  •  Ensures required state/federal reporting occurs in a timely manner.
  • Assists assigned surgery center(s) personnel in development, maintenance and review of annual Quality/Risk/Infection Control plans, policies and procedures.
  • Ensures submission of monthly/quarterly SQI Metrics Reports
  • Assists in preparations of metric reports and development of meaningful improvement plans. 
  • Monitors and communicates metric and event trends to the VPO and Super DQRM.
  • Participates in Quality Quarterly Operating Reviews.
  • Facilitates effective communication with ASD Regional Quality/Patient Safety Director regarding key clinical performance improvement activities and initiatives for the assigned market. 
  • Effectively report, investigate, analyze and communicate patient safety incidents, medical errors and potential risks in the facility.
  • Facilitate thorough and credible serious event analysis that result in strong sustainable improvement strategies.
  • Responsible for the oversight of the center Infection control program.   Coordinates submission of monthly Infection Control/Complication reports to all physicians who have performed procedures.  
  • Working with the center designee(s), is responsible for the investigation of all infections and complications reported to the center.  In conjunction with the center designee, submits investigative results to center Leadership. 
  • Assists facilities with preparation for accreditation, regulatory, and QRS surveys.  Maintains knowledge base and acts as a resource to centers in related accreditation standards.   Assists centers with development of post survey action plans as needed.
  • Maintains awareness of laws and regulations, keeping abreast of pending and or implemented changes. 
  • Collaborates in conjunction with center leadership and ASD leadership in the development of market and regional quality improvement strategies.
  • Completes annual focus quality studies within AAAHC guidelines with the assistance of center management.  Submits studies to QI committee, MEC, and Governing Body.
  •  Provide ongoing education to leaders, clinicians and staff on the science of safety (high reliability, effective communication, sustaining awareness/alertness) and patient safety initiatives
  • Meets regularly with Administrator and encourages shared learning.  
  • Perform Patient Safety activities that identify patient safety risks.
  • Empower staff to identify and participate in resolution of patient safety concerns
  • Assure timely reporting of Patient Safety Work Product (PSWP) to the Patient Safety Organization.
  • Actively participate in PSO learning collaboratives. Ensure implementation of best practices, alerts, and updates to drive patient safety improvement
  • Support and encourage reporting throughout the organization through a non-punitive event reporting system.
  • Participates in the orientation of new centers to the ASD Quality and Risk program. 
  • Reviews complaints, concerns, or questions relative to – patient, physician and employee experience,  providing consultative leadership and support to facilities
  • Practices and adheres to the “Code of Conduct” philosophy, Mission, and Value Statement.
  • Knowledge of operating room/PACU/Pre-operative standards and techniques.
  • Knowledge of organizational policies, procedures, systems and objectives.
  • Knowledge of applicable regulatory, compliance, and accreditation standards and requirements
  • Mentor, influence, and manage through matrix reporting relationships.
  • Ability to gather, analyzes, and interprets complex data.
  • Ability to prepare comprehensive management reports.
  • Project Management: Skilled in project planning, task prioritization, effectively manages resources, outcomes measurement, and tracking.  Takes initiative and exercises good judgment.
  • Effective problem solving skills to include data analysis and judgment to make effective decisions
  • High Impact Communication - Effective oral and written communication skills
  • Effective change  management knowledge and skills
  • PC Skills – Proficient in Microsoft Office applications and others as required.
  • Maintains high level of confidentiality at all times.
  • Ability to build trust and gain respect through effective team leadership and participation skills.


Graduate of an accredited school of nursing.
Minimum of 3 years’ experience in ambulatory care and/or risk management and/or quality improvement preferred.
One year of supervisory experience

Facility: HCA Healthcare
Job ID: 26862-98159
Category: Directors and Managers
Contract: Full-time
Shift: No Weekends
Job Class: Regular

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