Director of Quality and Patient Safety

About the role

The Director of Quality and Patient Safety provides 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 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 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.

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.
• Ensure compliance with regulatory and accreditation standards.
• Collaborate with multidisciplinary teams to improve patient outcomes and reduce preventable harm.
• Oversee regulatory readiness, quality reporting, patient safety event management, peer review, and performance improvement activities.
• Drive organizational performance through data-driven quality improvement initiatives.
• Strengthen a culture of safety and high reliability.

Requirements

• 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.

Qualifications (Preferred)

• 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.

About Us

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”.

About The Team

St. Joseph’s University Medical Center is an academic tertiary care medical center and state-designated trauma center, located on the Paterson campus. It regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures. The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women’s health, imaging, and pediatrics.

The nursing team at St. Joseph’s University Medical Center, which includes St. Joseph’s Children’s Hospital, has held the Magnet Award for Nursing Excellence, the profession’s highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize™—one of only 8 Magnet-designated hospitals to ever receive the award, and the only one worldwide to receive it in 2010.

Benefits

Eligibility for full-time and part-time employees (over 20 hours a week):

• Competitive salary.
• Robust benefits including health, dental, prescription, and vision plans.
• 403b retirement plan options with company match.
• Health & Wellness programs.
• Eligibility for Federal Student Loan Forgiveness (non-profit health system).
• Paid time off (PTO) and paid holidays.
• Tuition reimbursement.
• Employee Assistance Program.
• Long-term disability (LTD) and life insurance options.
• Onsite daycare program.

Available for per diem employees and part-time employees working under 20 hours per week:

• 403b plan (company match not applicable).

Pay

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 the candidate's relevant experience, qualifications, and skills. The salary range does not include incentives, differential pay, or other forms of compensation.