Nursing Program Manager: Quality & Accreditation - Cancer Care Center (Galveston)

Minimum Qualifications

Bachelor's degree in nursing and current licensure or valid permit to practice professional nursing in Texas is required. The equivalent of four years RN experience, including two years progressive management experience is required. Approved specialty certification required, as applicable to assigned program(s)/project(s).

Job Summary

The Program Manager is accountable for the effective strategic planning, and the personnel, operational, and financial management of assigned program(s) and/or project(s), that cross multiple departments and/or services, to ensure optimal quality, cost, and service/outcomes.

Preferred Qualifications

Experience leading, coordinating, or supporting accreditation, regulatory compliance, and site visits, including but not limited to the American College of Radiology (ACR), Commission on Cancer (CoC), and National Accreditation Program for Breast Centers (NAPBC). Demonstrated knowledge of quality standards, performance improvement methodologies, and regulatory requirements applicable to oncology and cancer care programs.

Experience with data abstraction, reporting, and performance metrics required for accreditation and quality oversight. Job Duties: Assumes a leadership role in effective strategic planning for the program(s)/project(s), incorporating quality, accreditation, and regulatory requirements into program goals and initiatives.

Directs the operational management of the program(s)/project(s) to ensure high quality, cost-effective service/outcomes, and a safe and efficient work environment, consistent with accreditation and regulatory standards. Provides leadership and oversight for accreditation readiness, maintenance, and re-accreditation activities, including coordination of site visits, audits, documentation, and corrective action plans as needed.

Ensures ongoing compliance with applicable accreditation, regulatory, and quality standards through monitoring, reporting, and continuous improvement efforts. Directs the personnel management of the employees assigned to the program(s)/project(s) consistent with state and federal labor laws, nursing service and hospital philosophy, goals, and policy.

Directs the financial management of the program(s)/project(s) to ensure desired fiscal status while supporting quality, compliance, and accreditation-related initiatives. Leads and directs quality improvement activities for the program(s)/project(s), including analysis of outcomes, performance metrics, and patient experience data, and supports nursing research within the program and at the department and service level.

Collaborates with interdisciplinary teams, physicians, quality departments, and leadership to ensure alignment with organizational quality and accreditation goals. Identifies appropriate internal controls for the department; provides mechanisms to monitor and enforce compliance with quality, accreditation, and regulatory standards.

Promotes and practices patient/family advocacy and facilitates the maintenance of ethical practice. Promotes and practices guest and peer relations. Demonstrates a high level of productivity and dependability. Provides leadership for the program(s)/project(s) and promotes teamwork. Actively promotes the professional development of self and others.

Performs related duties as required. Salary Range: Actual salary commensurate with experience Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law.

As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.