Director Quality and Patient Safety

Virtua Health
1d$117,575 - $188,672Hybrid

About The Position

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Job Summary: The Director of Quality and Patient Safety serves as a strategic leader dedicated to advancing clinical excellence, patient safety, and organizational performance. This role integrates oversight of quality and safety initiatives with operational leadership, ensuring compliance with regulatory standards, promoting evidence-based practices, and fostering a culture of high reliability and continuous improvement. Partnering with clinical and administrative leaders, the Director develops and implements process measures that drive superior outcomes, strengthen patient safety, and align with organizational goals for quality and service line growth.

Requirements

  • Required Experience: 5 years of experience as a professional nurse or equivalent clinical profession with 3 years recent clinical experience in specialty related area.
  • Must be proficient in Excel, Word, Outlook and PowerPoint with the ability to present data in a variety of ways.
  • Required Education: Bachelor’s in Nursing required.
  • Training / Certification / Licensure: RN licensure required (as applicable); certifications per hiring department requirements.

Nice To Haves

  • Masters Degree preferred.
  • certification in healthcare quality or specialty preferred (e.g., CPHQ, CPPS, CNOR, Baby Friendly) or must be obtained in one year

Responsibilities

  • Strategic Leadership & Program Development Drive organizational strategy by developing and executing comprehensive project and program plans aligned with organizational and service line goals.
  • Advance clinical excellence through initiatives that standardize practice, reduce variability, and improve patient outcomes using evidence-based guidelines.
  • Influence strategic direction by contributing to annual planning and presenting program metrics and initiatives to all levels of leadership.
  • Quality & Patient Safety Oversight Design and implement patient safety initiatives; monitor and analyze quality metrics, including root cause analyses and post-event action planning.
  • Lead quality teams, set agendas, and drive accountability for performance improvement, regulatory readiness, and patient safety.
  • Champion a culture of safety, transparency, and continuous learning to achieve zero harm.
  • Regulatory Compliance & Continuous Readiness Ensure compliance with standards from The Joint Commission, CMS, NJDOH, OSHA, and other governing bodies.
  • Conduct rounding and readiness assessments for accreditation surveys and inspections.
  • Lead comprehensive rounding and proactive readiness evaluations to ensure continuous compliance with accreditation standards and regulatory requirements, identifying gaps and driving corrective actions to maintain survey and accreditation readiness at all times.
  • Provide education and training to clinical teams on quality, safety, and regulatory requirements.
  • Data Analysis & Performance Monitoring Analyze data from internal and external sources to identify trends, benchmark performance, and develop action plans.
  • Facilitate discussions for program improvement and present findings to stakeholders.
  • Collaboration & Advocacy Serve as liaison to quality collaboratives, regulatory agencies, and accreditation organizations.
  • Engage with medical directors, department chairs, and operational leaders to advance service line initiatives.

Benefits

  • Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions.
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