Quality and Safety Program Director - Nursing Services
Listed on 2026-03-08
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Healthcare
Healthcare Nursing, Healthcare Administration
Job Description Summary
The Quality/Safety Director reports to the System QAPI Director and works collaboratively with System Nursing Leadership. Under limited supervision, the Quality/Safety Director provides full support to the QAPI/safety program for Nursing. This includes collecting relevant quality data, analyzing and assessing data, working with relevant stakeholders on disseminating data and information, benchmarking performance, and leading multidisciplinary teams to improve performance based on goals.
This position presents performance to relevant oversight and governance groups. This position leads and oversees all QAPI and regulatory / accreditation activities. The Quality/Safety Director also monitors and collates patient safety events in collaboration with the operational leaders and works with the Risk management department to facilitate event reviews and appropriate after review actions. The Quality and Safety Director may be responsible for managing a team, either directly or indirectly, to include associated managers, coordinators, data analysts, and registry staff.
EntityMedical University Hospital Authority (MUHA)
Worker TypeEmployee
Worker Sub-TypeRegular
Cost CenterCC002352 SYS - QAPI
Pay Rate TypeSalary
Pay GradeHealth-33
Scheduled Weekly Hours40
Work ShiftMinimum Education and Certification(s)
- Nursing degree required with active nursing license.
- Graduation from an accredited graduate program with a healthcare related master’s degree required.
- At least 5 years experience in working in a healthcare organization quality/safety program.
- Certification as Certified Professional in Healthcare Quality or Patient Safety preferred.
- Computer/internet skills and familiarity with MS Office products (Word, Excel, PowerPoint, Access, etc.) essential.
- Experience with LEAN/ Six Sigma and certification in Six Sigma preferred.
- Experience with Just Culture required, certification preferred.
- Experience with Epic EMR required.
- Basic informatics skills required.
- Experience with the specific ICCE area of recruitment preferred (i.e.nursing)
Job Description
Physical Requirements
- (C) Continuous – 6-8 hours per shift;
2) (F) Frequent – 2-6 hours per shift;
3) (I) Infrequent – 0-2 hours per shift Ability to perform job functions while standing. (F) Ability to perform job functions while sitting. (F) Ability to perform job functions while walking. (F) Ability to climb stairs. (F) Ability to work in confined/cramped spaces. (I) Ability to work indoors. (C) Ability to work outside in temperature extremes. (I) Ability to work from elevated areas.
(I) Ability to walk long distances between various buildings (F). Ability to perform job functions from kneeling positions. (I) Ability to bend at the waist. (C) Ability to twist at the waist. (F) Ability to squat and perform job functions. (F) Ability to perform “pinching” operations. - F Ability to perform gross motor activities with fingers and hands. C Ability to perform firm grasping with fingers and hands. C Ability to perform fine manipulation with fingers and hands.
- C Ability to reach overhead. F Ability to fully use both hands/arms (C). Ability to perform repetitive motions with hands/wrists/elbows and shoulders (F). Possess good finger dexterity (C). Ability to fully use both legs. C Ability to use lower extremities for balance and coordination. F Ability to reach in all directions. F Ability to lift and carry 30 lbs. unassisted (F).
Ability to lift/lower objects 15 lbs. from/to floor from/to 36 inches unassisted (I). Ability to lift from 36” to overhead 15 lbs. (I). Ability to push/pull objects to 30 lbs. unassisted (F). Ability to maintain vision 20/40 corrected (C). Ability to see and recognize objects close at hand (C). Ability to maintain hearing acuity, with correction (C). Ability to perform gross motor functions with frequent fine motor movements (C).
Ability to work in a latex safe environment (C). Ability to determine distance/relationship between objects; depth perception. C Good peripheral vision capabilities. C Ability to deal effectively with stressful situations. C Ability to work rotating shifts or weekend shifts (C/F) Ability to work overtime…
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