Quality Director

Methodist Health SystemSouthlake, TX
18h

About The Position

Your Job: The Director of Quality is responsible for the overall operations of quality management throughout the Medical Center. Ensures that the hospital's policies and practices as related to patient care are within appropriate guidelines as designated by all State and Federal agencies as well as certifying agencies. Facilitates the hospital's JCAHO compliance and survey readiness. Acts as a resource to members of the management team in reference to legal guidelines for Patient Care Services. Methodist Southlake Medical Center is a 54-bed, acute care hospital serving Southlake, Keller, Grapevine, and northeastern Tarrant County in North Texas. Designed to expand as the community grows, we have 11 operating suites, two endoscopy suites, a diagnostic and interventional catheterization lab, and a newly expanded emergency department with 12 exam rooms. We provide a full complement of services, from emergency care and advanced surgery to imaging. We strive to have a diverse workforce that reflects the communities we serve and welcomes the skills and talents of all groups. Our reputation as an award-winning employer shows in the distinctions we’ve earned: 150 Top Places to Work in Healthcare by Becker’s Hospital Review, 2023 Top 10 Military Friendly® Employer, Gold Designation, 2023 Top 10 Military Spouse Friendly® Employer, 2023 Cardiac catheterization lab Robotic surgery capabilities SPECT/CT and nuclear medicine capabilities Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned: Great Place to Work Certified 2026-2027 Glassdoor’s Best Places to Work 2025 & 2026 Glassdoor’s Best Places to Work in Healthcare, Biotech & Pharma 2026 TIME’s Best Companies for Future Leaders 2025 & 2026 Newsweek’s America’s Most Admired Workplaces 2026 Glassdoor’s Best-Led Companies 2025 Fortune Best Workplaces in Health Care 2025 Military Friendly Gold Employer 2025 Becker’s Hospital Review 150 Top Places to Work in Healthcare 2025 Newsweek’s Americas Greatest Workplaces 2025

Requirements

  • Bachelor's degree in health profession required; Master's or equivalent experience preferred
  • Three to five years experience related to areas of risk, case management, and/or process improvement with a minimum of two years in management
  • Extensive knowledge of State, Federal and regulatory guidelines/standards as they relate to the patient care services and medical staff services

Nice To Haves

  • Certification as a case manager and/or CPHQ (Certified Professional in Healthcare Quality) preferred

Responsibilities

  • Responsible for the overall strategic planning and implementation of a comprehensive quality management program including the education and compliance component.
  • Serves as a resource to the Board of Directors, Administration, managers, medical staff and employees related to quality issues.
  • Serves as the liaison for the Texas Department of Health (TDH) related to quality issues that may arise.
  • Oversees State, Federal and accrediting compliance. Serves as a resource for national trends, regulatory updates, survey/site visit readiness related to compliance.
  • Incorporates the customer satisfaction surveys and data from the Guest Relation Representative to establish trends to be utilized for action plan development. Collaborates with the manger/directors to improve customer satisfaction.
  • Responsible for the resource management program including utilization review and case management.
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