Director of Quality

Nexus Health Systems LtdHouston, TX
Onsite

About The Position

Nexus Children's Hospital – Houston is seeking an experienced Director of Quality (RN) to lead their Quality, Patient Safety, Risk Management, and Performance Improvement programs. This executive leadership role offers the opportunity to shape the future of quality across a growing specialty hospital while partnering with clinical and operational leaders to improve patient outcomes, regulatory readiness, and organizational performance. The hospital specializes in caring for children and adolescents with autism spectrum disorder (ASD), intellectual and developmental disabilities (IDD), and complex behavioral health needs in a highly specialized inpatient setting.

Requirements

  • Active, unrestricted Registered Nurse (RN) license
  • Bachelor's Degree in Nursing (BSN)
  • Master's Degree in Nursing, Healthcare Administration, Public Health, or related healthcare field
  • 7–10 years of progressive clinical and quality leadership experience
  • 3–5 years leading Quality, Patient Safety, Risk Management, or Performance Improvement programs
  • Experience leading regulatory surveys and accreditation readiness
  • Strong knowledge of QAPI, performance improvement, healthcare regulations, and quality analytics

Nice To Haves

  • Experience in pediatric, behavioral health, rehabilitation, neurodevelopmental, or specialty hospital settings
  • Multi-site or health system quality leadership experience
  • Certification such as CPHQ, CPPS, Lean Six Sigma Green Belt (or higher)

Responsibilities

  • Lead the hospital's Quality Assurance and Performance Improvement (QAPI) program.
  • Foster a culture of patient safety, accountability, transparency, and continuous improvement.
  • Oversee quality improvement initiatives that enhance clinical outcomes, patient experience, and operational excellence.
  • Monitor quality metrics, patient safety indicators, and performance dashboards to identify trends and improvement opportunities.
  • Lead Root Cause Analyses (RCA), Failure Mode & Effects Analyses (FMEA), and other risk reduction initiatives.
  • Direct accreditation and regulatory readiness efforts, including CMS, DNV, Joint Commission, and state survey preparation.
  • Oversee adverse event reporting, regulatory compliance, and corrective action planning.
  • Partner with Nursing, Medical Staff, Behavioral Health, Therapy, Operations, Compliance, and Corporate Leadership to implement enterprise quality initiatives.
  • Provide executive oversight of patient advocacy, grievance management, and patient rights processes.
  • Develop quality education programs that strengthen staff competency in documentation, patient safety, and regulatory compliance.
  • Present quality performance, regulatory updates, and organizational risk assessments to executive leadership.

Benefits

  • Competitive compensation
  • Medical, Dental & Vision Insurance
  • 401(k) with company match
  • Paid Time Off
  • Paid Holidays
  • Continuing Education opportunities
  • Professional development and leadership growth
  • Employee Assistance Program
  • Life and Disability Insurance
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