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Posted: 10/20/2026Manager, Hospital Quality, Enterprise Quality and Patient Safety
Memorial Hermann Health SystemCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing hospital quality and patient safety programs, with a strong focus on evidence-based practices, regulatory compliance, and performance improvement. Capable of leading interdisciplinary teams and educating stakeholders on high reliability methodologies to enhance patient outcomes.
Highest-signal resume keywords
Healthcare Quality Certification (CPHQ)Acute Hospital-Based ExperienceClinical Performance ImprovementRobust Process Improvement TechniquesRegulatory Compliance Knowledge
About the role
Key responsibilities & impact- Manage the hospital quality and patient safety program
- Supervise clinical robust process improvement and quality and patient safety staff
- Support evidence-based practices and reduction of medical and healthcare errors
- Ensure high reliability methods, quality measure monitoring, regulatory compliance, and readiness
- Educate leadership, physicians, and staff on high reliability methodologies and system-based causes of medical error
- Work with hospital leadership to optimize strategic goals and objectives
- Collect, analyze, and report quality and patient safety data related to cost containment, performance improvement, and outcomes
- Coordinate reporting of hospital improvement activities for Monthly Operating Reviews and Quality Committees
- Promote interdisciplinary collaboration, teamwork, and service excellence
- Serve as a quality and patient safety subject matter expert
- Identify improvement opportunities using evidence-based clinical practices and statistical analysis
- Manage clinical quality and patient safety data collection, aggregation, and dissemination
- Monitor hospital outcome measures
- Implement patient safety alerts, prompts, tools, and high reliability practices
- Manage local performance improvement and patient safety specialists
- Facilitate short- and long-term quality and patient safety improvement projects
- Implement education programs for physicians, managers, staff, patients, and families
- Coordinate accreditation and regulatory compliance with JCAHO, CMS, and TDH
- Manage the day-to-day hospital quality and patient safety operational budget
- Ensure safe care and adherence to Memorial Hermann policies, procedures, and standards
- Support department goals and serve as a preceptor, mentor, and resource
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor’s Degree in Nursing or related clinical area required
- Healthcare Quality Certification (CPHQ) required or within twelve months of employment
- Minimum three (3) years acute hospital-based experience
- One (1) year supervisory experience
- One (1) year experience preferred in clinical performance improvement or another quality management program
- Working knowledge of robust process improvement techniques
- Knowledge of leading practice in clinical care and regulatory and accreditation requirements
- Self-motivated, proven communication skills, assertive
- Demonstrated effective working relationship with physicians
- Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes
- Ability to manage hospital quality and patient safety operational budgets
- Ability to prepare budgets and related reports, forecast expenses, project expenses accurately, take corrective action on negative variances, and propose capital budget items
Benefits
Comp & perks- Mandatory/continuing education and skills competency support
- Professional growth and development opportunities
- Preceptor, mentor and resource support for less experienced staff
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Quality Measure MonitoringData Collection and AnalysisBudget ManagementStatistical AnalysisPatient Safety Alerts Implementation
Soft Skills
Proven Communication SkillsCollaborative TeamworkSelf-MotivatedAssertivenessEffective Relationship Building
Certifications & Qualifications
Bachelor’s Degree in NursingHealthcare Quality Certification (CPHQ)
Industry Keywords
Quality and Patient Safety ProgramHigh Reliability MethodsEvidence-Based PracticesAccreditation ComplianceInterdisciplinary Collaboration