Baylor Scott & White Health

Submission for the position: Manager, Quality Improvement Patient Experience - (Job Number: 26011802)

Baylor Scott & White Health$85K — $100K *
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Master's degree or Bachelor's degree with 2+ years of relevant experience
  • Minimum of 5 years in a similar healthcare quality improvement role
  • Knowledge of Texas, Joint Commission, and CMS regulatory standards
  • Strong skills in data analysis, project management, and quality measurement
  • Ability to mentor and train leadership and staff in quality and safety
  • Excellent communication and problem-solving abilities
  • Preferred: Licensed clinician (e.g., nurse, therapist, dietitian)

Responsibilities

  • Manage and direct continuous quality improvement initiatives across facilities
  • Facilitate training and mentorship for staff and leadership on patient safety
  • Develop and implement policies and procedures for quality compliance
  • Align improvement initiatives with BSWH strategic priorities
  • Monitor performance metrics and recommend enhancement strategies
  • Serve as a change agent for clinical operations
  • Collaborate with facility leadership to enhance care quality
  • Prepare timely reports detailing progress and barriers to improvement

Benefits

  • Immediate eligibility for health and welfare benefits
  • 401(k) with dollar-for-dollar match up to 5%
  • Tuition reimbursement program
  • PTO accrual starting from day one
Full Job Description
This position will be responsible for all patient experience initiatives for The Heart Hospital which includes Dallas, Waxahachie, and Ft. Worth. This position will also have oversight of Guest Services as well as volunteers. This role will be responsible for effectively utilizing patient experience data to drive initiatives that enhance the patient and family experience.

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

  • Immediate eligibility for health and welfare benefits
  • 401(k) savings plan with dollar-for-dollar match up to 5%
  • Tuition Reimbursement
  • PTO accrual beginning Day 1


Note: Benefits may vary based upon position type and/or level.

Job Summary

The Manager of Quality & Patient Experience leads initiatives that enhance the experience of patients, families, visitors, and staff while advancing organizational quality and service excellence goals. This role develops and implements patient experience strategies aligned with organizational priorities, improves patient satisfaction, and fosters a culture of compassion, accountability, and continuous improvement. Through the analysis of patient feedback, experience metrics, rounding programs, and service recovery trends, the manager identifies opportunities for improvement and collaborates with clinical and operational leaders to drive meaningful change across the care continuum.

The manager also provides direct oversight of Guest Services and Volunteer Services, ensuring these programs operate efficiently and contribute to a welcoming, patient-centered environment. Responsibilities include volunteer engagement and development, service excellence education, recognition programs, and operational oversight of patient and visitor support services. The role serves as a trusted partner to leaders on patient experience initiatives, promotes best practices in hospitality and patient-centered care, and supports projects that enhance patient loyalty, employee engagement, and overall organizational performance.

Essential Functions of the Role

  • Plans, directs, prioritizes, communicates, and manages continuous quality improvement at local facilities and/or across BSWH.
  • Ensures progress toward the BSWH goal of high reliability. Provides facilitation, mentorship, training, and materials to train and educate leadership, facility staff, and departmental staff. Helps in patient safety, quality care, and regulatory compliance.
  • Develops, interprets, and reviews changes. Helps implement policies, processes, and procedures. Supports BSWH patient safety, quality priorities, and compliance with regulations.
  • Ensures improvement initiatives link to the organization's strategic and tactical priorities. Emphasizes process efficiency and effectiveness. Enables breakthrough process changes and improvements.
  • Monitors key processes and outcomes. Identifies performance gaps and recommends strategies for improvement. Applies data techniques and quality improvement tools to drive improvements. Tracks and examines project performance against plans to ensure return on investment.
  • Serves as change agent for various stakeholders charged with clinical operations at BSWH entities.
  • Works closely with facility leadership and teams. Uses audit strategies, data extraction, observation, surveys, and focus groups to improve care and service quality.
  • Prepares and submits timely reports on work team progress to stakeholders. These reports include progress, potential barriers, lessons learned, and related topics for all strategic improvement priorities.
  • Participates in or manages BSWH quality improvement efforts like unit huddles and ZERO Harm Rounds.
  • Ensures successful departmental leadership by providing staffing resources and budget compliance. It also includes effective communication and team development with performance evaluation.
Key Success Factors

  • Professional knowledge in quality performance measurement, data analysis, and project management tools and templates needed to successfully drive initiatives
  • Professional knowledge of Texas, Joint Commission and CMS regulatory standards, and trends, developments and research in providing safe, high-quality care
  • Excellent management, strategic thinking, investigative, facilitation, and problem-solving skills
  • Excellent verbal, social, and written communication, and exceptional computer/technology skills
  • Able to mentor, train and develop instructional materials to educate leadership and staff in quality, patient safety, and regulatory issues
  • Able to work well with key stakeholders and teams. Identify challenges and recommend corrective actions. Prioritize tasks to achieve BSWH safety and quality goals.
  • Able to manage, monitor, help, and develop direct and indirect reports to ensure personal and departmental success
  • Licensed clinician such as nurse, physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred.
  • Certification - Certified Patient Experience Professional (CPXP)
QUALIFICATIONS

  • EDUCATION - Masters' or Bachelors plus 2 years of work experience above the minimum qualification
  • EXPERIENCE - 5 Years of Experience

About Baylor Scott & White Health

Baylor Scott & White Health is a non-profit healthcare system that operates hospitals, clinics, and medical centers in Texas. The organization was formed in 2013 through the merger of Baylor Health Care System and Scott & White Healthcare. Baylor Scott & White Health is the largest not-for-profit healthcare system in Texas and one of the largest in the United States. The organization employs over 52,000 people and serves more than 5 million patients each year. Baylor Scott & White Health is committed to providing high-quality, compassionate care to its patients and improving the health of the communities it serves.
Learn more about Baylor Scott & White Health
Size
52,000 employees
Industry
Founded
1953

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