Quality Manager

Conroe Surgery Center is a trusted outpatient surgical facility serving the Conroe community with safe, efficient, and patient-centered care. We specialize in delivering high-quality surgical services across multiple specialties, supported by a dedicated team focused on clinical excellence and exceptional patient experiences.

We are seeking a Quality Manager who is proactive, detail-oriented, and committed to ensuring continuous compliance and improvement throughout the center. This full-time role is essential to maintaining regulatory readiness, supporting performance improvement initiatives, and driving high standards of patient safety and quality outcomes.

Responsibilities:

• Oversee the facility’s Quality, Performance Improvement (PI), and Patient Safety programs in alignment with USPI and regulatory standards
• Ensure ongoing compliance with AAAHC, CMS, OSHA, and other state/federal regulatory agencies
• Lead, track, and report all quality and regulatory metrics, including QAPI initiatives and performance dashboards
• Facilitate Root Cause Analyses (RCA), event investigations, and corrective action plans as needed
• Coordinate and lead committee meetings such as Quality, Infection Control, and Safety
• Partner with clinical and administrative leaders to identify improvement opportunities and implement process enhancements
• Manage infection prevention activities, including surveillance, reporting, and staff education
• Review policies and procedures for accuracy, regulatory compliance, and timely updates
• Support staff training, competency oversight, and education related to quality and patient safety
• Prepare the center for internal audits, external surveys, and accreditation visits
• Maintain thorough documentation of all quality-related activities
• Serve as the point of contact for incident reporting, patient complaints, and risk management follow-ups

Qualifications:

• Registered Nurse (RN) or healthcare professional with relevant clinical or quality background
• Previous experience in quality management, compliance, performance improvement, or patient safety—preferably in an ASC or surgical setting
• Strong understanding of AAAHC, CMS, and regulatory standards
• Excellent analytical, organizational, and communication skills
• Ability to lead cross-functional teams and facilitate collaboration
• Proficiency with Microsoft Office Suite and ability to interpret quality data
• Detail-oriented, self-motivated, and comfortable working independently

What We Offer

We care for our communities and our team members by providing a comprehensive benefits package, subject to employment status:

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Short- and long-term disability options
• Flexible financial benefits including FSAs and HSAs
• 401(k) with access to retirement planning
• Paid holidays and vacation

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to delivering surgical services in the most efficient and clinically excellent manner.

USPI is proud of our inclusive culture. We respect differences, nurture individual contributions, and leverage diversity to make our organization stronger and more responsive to the needs of our patients and physicians.

• Quality assurance & performance improvement
• Regulatory compliance (AAAHC, CMS, OSHA)
• Incident reporting & root cause analysis
• Infection prevention practices
• Data tracking, reporting & dashboard management
• Process improvement methodologies
• Strong communication & presentation skills
• Policy development & audit readiness
• Staff training & education
• Multitasking and time management

• Prior experience in a Quality, Compliance, Risk, or Patient Safety role
• Healthcare experience in an ASC, hospital, or outpatient surgical environment
• Experience leading QAPI initiatives and regulatory survey preparation
• Hands-on involvement with quality data, metrics, and reporting
• Background collaborating with multidisciplinary clinical teams