Regulatory and Patient Safety Manager (Full-Time)
About The Position
Leads and directs clinical and administrative quality management activities for the organization, including accreditation and regulatory compliance, patient safety, and performance improvement. The scope of responsibility encompasses all settings of the organization. Oversees the coordination and evaluation of a comprehensive patient safety improvement program in conjunction with the Director of Quality/Performance Improvement, Patient Safety Officer, and leadership. Has oversight of conformance to regulatory requirements and coordinated accreditation and regulatory surveys. Conducts rounds to ensure ongoing survey readiness. Is a resource to departments with regulatory compliance to include state/CMS. Has a detailed understanding and can skillfully use the techniques of system design, re-engineering, project management, quality improvement, patient safety, outcomes measurement, and analysis. Work requires the knowledge of theories, principles, and concepts normally acquired through completion of a Master's degree in Nursing or closely related field, and three to five years of previous work related experience. Licensure required as a Registered Nurse by the State of New Jersey. Certification in Healthcare Accreditation and Patient Safety preferred. Work requires the knowledge of federal and state regulations, standards, and practices for an acute care hospital. Work requires the analytic ability necessary to resolve problem requiring a professional level of knowledge in specific discipline/field and to design complex educational, clinical, data processing systems and programs. Work requires analytical ability to collect information from diverse sources and apply professional principles in performing various analyses, and summarize the information and data in order to solve problems. 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".
Requirements
- Master's degree in Nursing or closely related field
- Three to five years of previous work related experience
- Licensure required as a Registered Nurse by the State of New Jersey
- Work requires the knowledge of federal and state regulations, standards, and practices for an acute care hospital
- Work requires the analytic ability necessary to resolve problem requiring a professional level of knowledge in specific discipline/field and to design complex educational, clinical, data processing systems and programs
- Work requires analytical ability to collect information from diverse sources and apply professional principles in performing various analyses, and summarize the information and data in order to solve problems
Nice To Haves
- Certification in Healthcare Accreditation and Patient Safety preferred
Responsibilities
- Leads and directs clinical and administrative quality management activities for the organization
- Oversees the coordination and evaluation of a comprehensive patient safety improvement program
- Has oversight of conformance to regulatory requirements and coordinated accreditation and regulatory surveys
- Conducts rounds to ensure ongoing survey readiness
- Is a resource to departments with regulatory compliance to include state/CMS
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Industry
Hospitals
Number of Employees
5,001-10,000 employees
