Quality and Compliance Manager

White Rock Medical Center LLCDallas, TX
128d

About The Position

White Rock Medical Center is a community-based hospital located near the historic White Rock Lake community, that serves the Dallas, Garland, Mesquite and surrounding areas. We specialize in a wide range of services including comprehensive medical/surgical care, bariatric, cardiology, outpatient and emergency medicine. Our mission is to deliver exceptional healthcare with compassion and excellence. White Rock Medical Center is seeking compassionate, care-minded individuals to join our company and make a difference. As a member of the White Rock Medical Center team, you can advance your skills while working in a supportive and patient focused environment. Apply today!

Requirements

  • Minimum of 5–7 years of experience in healthcare quality, accreditation, or compliance.
  • Previous experience preparing for and participating in CIHQ or The Joint Commission surveys is required.
  • Demonstrated experience in hospital performance improvement, regulatory reporting, and cross-functional leadership.
  • Bachelor’s degree in Nursing, Health Administration, Public Health, or related field required.
  • Master’s preferred.
  • RN license (if applicable) strongly preferred.
  • Certified Professional in Healthcare Quality (CPHQ) or equivalent preferred.
  • CIHQ Accreditation Professional (CHAP) or Joint Commission Professional certification preferred.

Nice To Haves

  • Experience with Lean, Six Sigma, or other frameworks to support process improvement initiatives.

Responsibilities

  • Leads the development, implementation, and oversight of quality and regulatory initiatives.
  • Serves as the hospital’s accreditation officer and subject matter expert for CIHQ or TJC readiness.
  • Manages internal audits, mock surveys, and ongoing tracers to ensure continuous compliance.
  • Facilitates performance improvement initiatives across clinical and operational departments.
  • Oversees hospital policies and procedures related to quality, risk, infection control, and compliance.
  • Collaborates with the CMO, CNO, and other executive leaders to drive organizational quality goals.
  • Prepares and presents data for Quality Committee, Medical Executive Committee, and Board meetings.
  • Monitors and reports on hospital metrics, including core measures, adverse events, and patient outcomes.
  • Leads or supports investigations, root cause analyses (RCAs), and implementation of corrective action plans.
  • Ensures accurate, timely submission of all required regulatory reports.
  • Supports staff education, training, and orientation on compliance and safety standards.

Benefits

  • Competitive salary and benefits/Company 401(k)
  • Employee programs and events.
  • Paid Time Off and 7 Company Holidays.
  • Employer paid life insurance.
  • Additional voluntary benefits such as STD, LTD, etc.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Bachelor's degree

Number of Employees

1,001-5,000 employees

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