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Job Title

Director Quality Management II - Quality Assurance




Quality and Risk Management


CHRISTUS Santa Rosa Hospital Westover Hills


11212 State Highway 151
San Antonio, TX  78251
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Director Quality Management II - Quality Assurance Job in San Antonio

Job Description


In a High-Reliability Organization, the Director Quality is responsible for the overall operations of the quality management program throughout the hospitals. The quality management program consists of quality, risk management, infection prevention, and safety. Acts as a resource to members of the management team in reference to guidelines for quality and safe patient care. Identify and report patient safety risk trends. Collaborates with key stakeholders to analyze patient safety risks and events. Implements action plans to mitigate safety risks. Utilizes and integrates data from internal and external sources to drive performance improvement using validated change management tools. Collaborates with leadership and clinicians to improve patient care quality and safety using trended data and action plans. Operationalizes processes to support standards compliance for regulatory bodies. Facilitates and guides the organization through continuous survey readiness activities and drives action plans to meet compliance. Ensures that the facilities’ policies and practices, as related to patient care, are within best practice guidelines and standards, as designated by all State and Federal agencies as well as certifying agencies.

The Director Quality Management II is responsible for the overall operations of quality management programs throughout Type B (stroke support or acute, trauma level 4, and/or specialty and high acuity services under tertiary level (NICU Level 2, Trauma Level 3 or 4, and Primary Stroke Center) hospital facilities. 

CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.


  • Bachelor’s degree of Science in Nursing or other related field required.
  • Master’s degree preferred.
  • Communicate effectively to different audiences.
  • Proficient in computer skills using EXCEL, PowerPoint, MS Office, and Flowchart tools.
  • Knowledgeable on High-Reliability Principles and PDSA methodology.
  • Knowledgeable on payment models for quality metric performance.
  • Five years of healthcare experience.
  • Two years of management experience
  • Three years of quality management experience
  • CPHQ (Certified Professional in Healthcare Quality) required or within 1 year of hire.

Work Type:

Full Time

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Director Quality Management II - Quality Assurance