Patient Safety, Quality, and Performance Improvement Specialist
About The Position
Make a measurable impact on patient care - every single day. Are you passionate about patient safety, data-driven improvement, and building systems that truly work? Do you thrive at the intersection of analytics, collaboration, and frontline clinical care? If so, this role was built for you. The Patient Safety, Quality, and Performance Improvement Specialist plays a critical role in advancing our mission to deliver safe, high-quality, patient-centered care across the division. This is a high-visibility, enterprise-impact role that partners with clinical leaders, frontline teams, and executives to drive meaningful, sustainable improvement. You’ll lead innovative Quality Assurance and Performance Improvement (QAPI) initiatives, support regulatory readiness, and serve as a trusted resource for improvement science across all facilities and services within the division.
Requirements
- Degree in Nursing, Healthcare Administration, Public Health , or a related healthcare field
- 2–4 years of experience in healthcare quality, patient safety, or performance improvement
- Working knowledge of QAPI methodologies (PDSA, Lean, Six Sigma)
- Strong analytical, organizational, and communication skills
- Ability to collaborate across disciplines and manage confidential information
Nice To Haves
- Clinical hospital background strongly preferred
- CPHQ, CPPS , or similar certification
- Experience with hospital accreditation and regulatory standards
- Knowledge of cancer program workflows and/or Tumor Board coordination
- Epic experience
Responsibilities
- Lead the design, execution, and sustainment of QAPI initiatives that improve clinical outcomes, operational performance, and patient safety
- Translate organizational Opportunities for Improvement (OFIs) into structured, measurable improvement plans
- Manage complex projects from concept to long-term sustainment
- Conduct Root Cause Analyses (RCA) , Failure Mode and Effects Analyses (FMEA) , and other safety methodologies
- Analyze dashboards, trend data, and national benchmarks (e.g., Vizient, Leapfrog ) to identify gaps and prioritize action
- Facilitate interdisciplinary improvement teams and ensure accountability and follow-through
- Hypoglycemia Management in Insulin-Treated Patients
- K-Card Implementation & Optimization for reliable communication
- Verge Deployment to strengthen real-time regulatory readiness
- Hospital Mobility Program to reduce harm and improve outcomes
- Primary responsibility for Leapfrog survey completion
- Serve as the primary coordinator for the multidisciplinary Tumor Board
- Manage scheduling, case preparation, materials distribution, attendance tracking, and documentation
- Ensure compliance with accreditation and regulatory standards (e.g., Commission on Cancer, if applicable)
- Partner closely with oncology, pathology, radiology, and clinical documentation teams
- Maintain secure, well-organized workflows
- Conduct routine survey readiness rounds across clinical and support areas
- Identify risks in real time and partner with leaders on corrective action
- Educate staff on regulatory expectations and continuous readiness
- Support mock surveys, accreditation preparation, and document review
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
