Nexus Health Systems · 2 days ago
Quality & Compliance Manager
San Antonio, TX
Full-time
Onsite
Mid Level
3+ years expNexus Health Systems is seeking an experienced and mission-driven Quality & Compliance Manager to lead regulatory compliance, quality improvement, staff training, and safety initiatives within their adolescent residential treatment program. This role is crucial for ensuring the delivery of safe, effective, and compliant care, overseeing incident management, coordinating external audits, and supporting a culture of continuous improvement.
ConsultingHealth CareHospitalNutrition
Responsibilities
Analyze incident reports for trends, risk exposure, and improvement opportunities
Lead root cause analyses for incidents, grievances, and sentinel events
Chair the Quality Improvement Committee and drive QAPI initiatives
Develop corrective action plans and track quality metrics aligned with state and Joint Commission standards
Serve as the subject matter resource for Texas HHSC and Joint Commission Behavioral Health Accreditation standards
Lead preparation for external surveys, audits, and accreditation visits
Conduct internal compliance audits and ensure ongoing regulatory adherence
Organize the annual clinical skills fair for direct care and clinical teams
Coordinate new hire orientation related to quality, safety, and compliance
Manage competency tracking and support department-level evaluations
Facilitate continuing education, in-service learning, and staff development
Oversee safety initiatives, environmental rounds, and emergency drills
Ensure infection prevention compliance with CDC and organizational protocols
Lead investigations and reporting related to infection control breaches or outbreaks
Qualification
Required
Bachelor's degree in Nursing, Behavioral Health, Public Health, Healthcare Administration, or related field required
Minimum 3 years of experience in healthcare or behavioral health quality, regulatory compliance, or patient safety
Working knowledge of Texas HHSC licensing standards and Joint Commission Behavioral Health accreditation required
Strong analytical, investigation, and documentation ability
Excellent communication and facilitation skills for training and committees
Ability to collaborate across disciplines and lead improvement initiatives
Proficient in Microsoft Office and quality management software
Preferred
Master's degree
CPHQ, CIC, or related quality/infection prevention certifications
Company
Nexus Health Systems
Nexus Health Systems provides behavioral care, pediatric care, and rehabilitation services.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Erin Cassidy
Chief Executive Officer
Recent News
2025-12-02
2025-11-19
2025-11-19
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