Quality Director

EXALT HEALTH REHABILITATION HOSPITAL CONROE LLC•Conroe, TX

About The Position

Exalt Health is an acute rehabilitation hospital serving patients with complex rehabilitative needs, including stroke, spinal cord injury, brain injury, head trauma, neurological disorders, cardiopulmonary conditions, amputations, orthopedic injuries, and multiple major traumas. Admitted patients must be able to tolerate three hours of intensive rehabilitation services per day. The Quality Director leads the development, implementation, and continuous improvement of a comprehensive quality and patient safety program across Exalt Health’s inpatient rehabilitation hospital network in Texas. The role promotes a culture of excellence and supports the delivery of high standards of patient care through quality management, performance monitoring, regulatory compliance, education, collaboration, and risk management. The director also reports quality performance, initiatives, and strategic recommendations to executive leadership and the Board of Directors.

Requirements

  • Current, unencumbered clinical license in the state where the hospital is operating.
  • Minimum of 7–10 years of progressive leadership experience in healthcare quality management.
  • Proven track record in an inpatient hospital setting.
  • Deep knowledge of quality improvement methodologies such as Lean, Six Sigma, and PDSA.
  • Expertise in healthcare regulatory standards, accreditation requirements, and best practices.
  • Proficiency in healthcare data management and statistical analysis tools.
  • Ability to organize and prioritize tasks and projects and complete responsibilities accurately within specified time constraints.
  • Excellent attention to detail and accuracy.
  • Analytical and problem-solving abilities.
  • Ability to work under deadlines and handle multiple tasks.
  • Effective spoken and written English communication and legible writing.
  • Reading and comprehension skills sufficient to perform job duties.
  • Ability to work cooperatively with coworkers and other hospital employees.
  • Proficiency in a Microsoft Windows environment, including Outlook, Word, Excel, and PowerPoint.

Nice To Haves

  • Certified Professional in Healthcare Quality (CPHQ) or another relevant quality certification.
  • Education in a healthcare-related field or a clinical degree.

Responsibilities

  • Design and implement a system-wide quality management framework aligned with organizational goals and regulatory requirements.
  • Oversee collection, analysis, and reporting of quality metrics and patient outcome data; identify trends, improvement opportunities, and targeted interventions.
  • Lead initiatives to improve clinical quality, patient safety, and process efficiency across rehabilitation facilities.
  • Implement evidence-based best practices and promote innovation in quality improvement.
  • Ensure compliance with state, federal, and accreditation standards related to quality management and patient safety, including The Joint Commission standards.
  • Develop and deliver educational programs to build a quality-focused culture among staff.
  • Collaborate with clinical leaders, department heads, and frontline staff to support continuous improvement and patient satisfaction.
  • Identify and mitigate risks to patient safety and guide proactive risk management practices.
  • Prepare regular reports for the Executive Leadership team and Board of Directors on quality metrics, initiatives, and strategic recommendations.
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