Manager Quality (S)

About the Role

BayCare Health System is a major healthcare employer in the Tampa Bay region, supporting a broad network that includes 16 community hospitals, a long-term acute care facility, home health services, outpatient centers, and a large physician network. The organization emphasizes trust, dignity, respect, responsibility, and clinical excellence as the foundation for how it serves patients and works with its teams.

This position is responsible for leading the quality improvement and patient safety function at the assigned hospital(s). The role partners across departments and leadership levels to strengthen performance improvement efforts, support regulatory readiness, and help sustain high standards of care.

Key Duties

• Own the accuracy, effectiveness, and overall performance of the quality improvement and patient safety program for the assigned facility or facilities.
• Work with other quality leaders to share proven practices across the organization and keep improvement efforts aligned.
• Partner with physicians and leaders at all levels to implement initiatives that improve care quality and service delivery.
• Maintain strong accountability for results for both self and direct reports, including follow-through on goals and priorities.
• Guide hospital leaders with data-based approaches to identify problems, prioritize opportunities, and resolve issues.
• Apply Lean and/or Six Sigma methods when building and rolling out performance improvement processes.
• Assess the performance and professional growth of direct reports and ensure measurable development goals are set and met.
• Serve as a co-owner, with the Regional Accreditation and Compliance Manager, for regulatory-related activities.
• Support or respond to AHCA complaint surveys, help lead Joint Commission accreditation surveys, contribute to compliance action planning, and participate in local ongoing readiness efforts.

Experience and Qualifications

• At least 5 years of clinical experience in an acute care setting that matches the hospital’s primary patient population.
• At least 2 years of experience in quality improvement or performance improvement work.
• At least 2 years of leadership experience, such as lead, supervisor, or charge responsibilities.
• An active RN license or another relevant clinical license is required.
• CPHQ certification is required within 5 years of the job description creation date or within 5 years of hire/transfer into the role if hired after the creation date.
• Lean Leader certification is preferred.
• A bachelor’s degree in a related field is required.
• A master’s degree is preferred in Nursing, Hospital Administration, or Business Administration.

Work Schedule and Location

This is a full-time, exempt onsite role based at BayCare Alliant Hospital in Dunedin, Otago, New Zealand. The shift runs from 8:00 AM to 4:00 PM, with no weekend work.

Values and Leadership Expectations

The role calls for a steady commitment to BayCare’s values of trust, respect, and dignity in every interaction with patients, families, colleagues, and the wider community. The manager is also expected to demonstrate strong leadership capabilities in communication, emotional intelligence, talent development, change leadership, collaboration, results orientation, and inclusion.

Equal Opportunity

BayCare Health System is an equal opportunity employer and welcomes veterans and individuals with disabilities.