Director of Quality and Patient Safety

About the role

The Director of Quality and Patient Safety will serve as a highly visible leader and change agent, working closely 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. This role will oversee regulatory readiness, quality reporting, patient safety event management, peer review, and performance improvement activities while supporting the organization's mission, values, and strategic priorities.

Responsibilities

• Provide strategic and operational leadership for Quality, Performance Improvement, Patient Safety, and Regulatory programs
• Develop, implement, and oversee a system-wide quality management and patient safety program
• Support safe, high-quality, patient-centered care across the organization
• Ensure compliance with applicable regulatory and accreditation standards
• Collaborate with physicians, nursing, clinical, operational, and multidisciplinary teams
• Lead initiatives to improve patient outcomes and reduce preventable harm
• Strengthen a culture of safety, high reliability, and continuous improvement
• Drive data-driven quality improvement and organizational performance initiatives
• Oversee regulatory readiness and accreditation activities
• Manage quality reporting, patient safety event management, peer review, and performance improvement activities

Qualifications

• Bachelor's degree in Nursing, BSN, or healthcare-related field required
• Registered Nurse license required
• Minimum 3–5 years of direct patient care experience required
• Minimum 5 years of progressive leadership or management experience required
• Strong project management, analytical, communication, and leadership skills

Preferred Qualifications

• Master's degree in Nursing, Healthcare Administration, Public Health, Business Administration, or related field
• CPHQ and/or CPPS certification
• 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, and MIDAS event reporting
• Knowledge of High Reliability Organization principles, Just Culture, Lean, Six Sigma, or other performance improvement methodologies

Pay

$147,555.20–$221,353.60 annually