About Us

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values are:

We serve faithfully by doing what's right with a joyful heart.We never settle by constantly striving for better.We are in it together by supporting one another and those we serve.We make an impact by taking initiative and delivering exceptional experience.

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

Eligibility on day 1 for all benefitsDollar-for-dollar 401(k) match, up to 5%Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and moreImmediate access to time off benefits

At Baylor Scott & White Health, your well-being is our top priority.

Note: Benefits may vary based on position type and/or level

Job Summary

The Manager Quality Improvement manages people and develops programs and projects. These efforts aim to achieve transformation and sustainable change. This helps the BSWH strategy deliver high-quality, safe care and achieve excellence for patients and members by regulatory statutes, policies, and procedures.

Essential Functions of the Role

Plans, directs, prioritizes, communicates, and manages continuous quality improvement at local facilities and/or across BSWH.Ensures progress toward the BSWH goal of high reliability. Provides facilitation, mentorship, training, and materials to train and educate leadership, facility staff, and departmental staff. Helps in patient safety, quality care, and regulatory compliance.Develops, interprets, and reviews changes. Helps implement policies, processes, and procedures. Supports BSWH patient safety, quality priorities, and compliance with regulations.Ensures improvement initiatives link to the organization's strategic and tactical priorities. Emphasizes process efficiency and effectiveness. Enables breakthrough process changes and improvements.Monitors key processes and outcomes. Identifies performance gaps and recommends strategies for improvement. Applies data techniques and quality improvement tools to drive improvements. Tracks and examines project performance against plans to ensure return on investment.Serves as change agent for various stakeholders charged with clinical operations at BSWH entities.Works closely with facility leadership and teams. Uses audit strategies, data extraction, observation, surveys, and focus groups to improve care and service quality.Prepares and submits timely reports on work team progress to stakeholders. These reports include progress, potential barriers, lessons learned, and related topics for all strategic improvement priorities.Participates in or manages BSWH quality improvement efforts like unit huddles and ZERO Harm Rounds.Ensures successful departmental leadership by providing staffing resources and budget compliance. It also includes effective communication and team development with performance evaluation.

Key Success Factors

Professional knowledge in quality performance measurement, data analysis, and project management tools and templates needed to successfully drive initiativesProfessional knowledge of Texas, Joint Commission and CMS regulatory standards, and trends, developments and research in providing safe, high-quality careExcellent management, strategic thinking, investigative, facilitation, and problem-solving skillsExcellent verbal, social, and written communication, and exceptional computer/technology skillsAble to mentor, train and develop instructional materials to educate leadership and staff in quality, patient safety, and regulatory issuesAble to work well with key stakeholders and teams. Identify challenges and recommend corrective actions. Prioritize tasks to achieve BSWH safety and quality goals.Able to manage, monitor, help, and develop direct and indirect reports to ensure personal and departmental successHold or be willing to achieve CPHQ, CPPS, or a manager-approved certification within the first two years of hire.Licensed clinician such as nurse, physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred.

Belonging Statement

We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.

QUALIFICATIONS

EDUCATION - Masters' or Bachelors plus 2 years of work experience above the minimum qualificationEXPERIENCE - 5 Years of Experience