Director of Quality and Patient Safety

Job Description

The Director of Quality and Patient Safety is responsible for providing strategic and operational leadership for the organization s Quality, Performance Improvement, Patient Safety, and Regulatory programs. This role develops, implements, and oversees a comprehensive, system-wide quality management and patient safety program that supports safe, high-quality, patient-centered care and ensures compliance with all applicable regulatory and accreditation standards. Serving as a highly visible leader and change agent, the Director of Quality and Patient Safety collaborates with physicians, nursing, clinical and operational leaders, and multidisciplinary teams to improve patient outcomes, reduce preventable harm, strengthen a culture of safety and high reliability, and drive organizational performance through data-driven quality improvement initiatives.

The Director of Quality and Patient Safety oversees regulatory readiness, quality reporting, patient safety event management, peer review, and performance improvement activities while supporting the organization s mission, vision, values, and strategic priorities.

The Director of Quality and Patient Safety is responsible for providing strategic and operational leadership for the organization s Quality, Performance Improvement, Patient Safety, and Regulatory programs. This role develops, implements, and oversees a comprehensive, system-wide quality management and patient safety program that supports safe, high-quality, patient-centered care and ensures compliance with all applicable regulatory and accreditation standards. Serving as a highly visible leader and change agent, the Director of Quality and Patient Safety collaborates with physicians, nursing, clinical and operational leaders, and multidisciplinary teams to improve patient outcomes, reduce preventable harm, strengthen a culture of safety and high reliability, and drive organizational performance through data-driven quality improvement initiatives.

The Director of Quality and Patient Safety oversees regulatory readiness, quality reporting, patient safety event management, peer review, and performance improvement activities while supporting the organization s mission, vision, values, and strategic priorities.

• Bachelor s degree in nursing (BSN) or healthcare-related field.
• Registered Nurse (RN) license.
• Minimum 3-5 years of direct patient care experience.
• Minimum 5 years of progressive leadership or management experience.
• Strong project management, analytical, communication, and leadership skills.

• Master s degree in nursing (MSN), Healthcare Administration, Public Health, Business Administration, or a related field.
• Certified Professional in Healthcare Quality (CPHQ) and/or Certified Professional in Patient Safety (CPPS).
• Demonstrated experience with quality improvement initiatives, patient safety programs, regulatory surveys, accreditation activities, and interdisciplinary teams.
• Experience with DNV accreditation, CMS reporting, Leapfrog Hospital Survey, NJ Department of Health (DOH), and MIDAS event reporting
• Knowledge of High Reliability Organization (HRO) principles, Just Culture, Lean, Six Sigma, or other performance improvement methodologies.

St. Joseph s Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care".

• Competitive salary*
• Robust benefits with health, dental, Rx and vision plans
• 403b retirement plan options with company match**
• Health & Wellness*
• Non-Profit Health System - eligible for Federal Student Loan Forgiveness
• PTO, and paid holidays
• Tuition reimbursement
• Employee Assistance Program
• LTD :
  Long Term Disability
• Life Insurance Options
• Onsite Day care Program
• Available for Per Diem Employees and Part-time Employees working under 20 hours per week.
• 403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.

St. Joseph s Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate s relevant…