ASC/OBL Quality and Safety Manager

About
Cardiovascular disease is the single largest contributor to premature death and disability in the world. At CVAUSA, we are dedicated to delivering the highest quality cardiovascular care. We need strong team members who are passionate about improving cardiovascular care quality through quality management and developing novel therapies that reduce the burden of cardiovascular disease!

Position Summary
The ASC/OBL Quality and Safety Manager is responsible for driving a system-wide culture of patient safety, regulatory compliance, and continuous quality improvement across CVAUSA's Ambulatory Surgery Centers (ASCs) and Office-Based Catheterization Labs (OBLs). This role partners closely with each location’s leadership, as well as members of the CVAUSA Quality and Safety Department, to build and standardize quality and safety programs, identify and close quality and safety gaps, and support centers in maintaining survey readiness. The ideal candidate is a proactive, detail-oriented healthcare quality professional who can both design programs and roll up their sleeves to implement them at the center level.

Patient Safety and Risk Management
- Track and review adverse events, near misses, and patient complaints across all ASCs and OBLs, ensuring incidents are being reported, escalated, and resolved appropriately.

- Train center staff and leadership on quality & safety best practices, including incident reporting expectations, how to perform adverse and routine peer reviews.Help establish a consistent, transparent reporting culture across the network.

- Lead root cause analysis (RCA) meetings following safety events to identify contributing factors and implement corrective action plans.

- Develop and publish recurring (monthly/quarterly) safety education resources and communications to reinforce best practices across centers.

Regulatory Compliance and Accreditation
- Serve as a resource for CVAUSA's ASCs and OBLs to support survey readiness.

- Conduct gap analyses at each location to assess compliance with CMS, state, and OSHA requirements, then build and track action plans to close identified gaps.

- Conduct random audits across centers to evaluate documentation quality and identify trends requiring correction or training.

Infection Control and Prevention
- Conduct gap analyses of each center's infection control program to identify areas needing development.

- Work with leadership at the center to enforce and monitor compliance with infection control protocols.

- Serve as CVAUSA's liaison to ASCs/OBLs for guidance on illness outbreaks and required public health reporting, in coordination with Regulatory.

- Ensure staff training on proper hazardous waste disposal, sharps safety, and related hazard controls.

Staff Competency and Training
- Ensure ongoing safety training and emergency preparedness drills are occurring across centers.

- Partner with leadership to develop policies that reinforce a culture of safety, accountability, and transparent reporting.

Reporting and Quality Improvement
- Complete quarterly quality and safety benchmarking across the network.

- Monitor completion of required quality studies at each center; assist centers in designing and completing studies where gaps exist.

- Collaborate with ASC and OBL leadership and CVAUSA’s Quality & Value Committee to set quality improvement priorities and drive quality improvement initiatives across the network’s ASCs and OBLs.

Qualifications
Required
- Bachelor's degree in nursing, Healthcare Administration, Public Health, or related field (or equivalent combination of education and experience).

- Minimum of 5 years of experience in healthcare quality, patient safety, risk management, or regulatory compliance, preferably within an ASC, OBL, or outpatient surgical setting.

- Working knowledge of CMS Conditions for Coverage, state licensing requirements, OSHA standards, and accreditation body standards (e.g., AAAHC, AAAASF, The Joint Co