Patient Safety Program Manager

About the Role

Lead initiatives that make a meaningful impact on patient safety and quality outcomes across the organization. In this role, you'll partner with clinical and operational leaders to drive performance improvement, analyze safety trends, implement evidence-based solutions, and foster a culture of continuous learning and high reliability.

Schedule & Logistics

The Patient Safety Program Manager role is primarily onsite, with travel required to Baraboo, Ripon, and Waupun locations. The preferred schedule is four days onsite per week, with one day remote as needed, depending on travel demands. Baraboo is the main hospital and proximity to this location is preferred. Work hours are Monday through Friday, eight hours per day, scheduled between 07:00 and 17:30. There is no on-call requirement for this position.

Responsibilities

• Integrate patient safety into the organizational structure and culture by coaching clinical and administrative leaders on methods and error prevention strategies, and disseminating lessons learned.
• Lead patient safety improvement initiatives, including regional and system patient safety committees, workgroups, and meetings.
• Investigate patient safety issues using event analysis methodology (ACA, RCA, FMEA) to conduct critical incident reviews.
• Coordinate the FMEA process and other patient safety tools such as patient risk assessments.
• Lead the annual analysis of the patient safety plan and monitor progress of safety improvement changes.
• Manage the event reporting process and work with departments to mitigate immediate risks to patients due to human or system errors.
• Prepare and present reports for leadership, safety committees, and regulatory agencies.
• Demonstrate mastery of facilitation skills, data analysis, and statistical process control to improve corporate quality goals and clinical outcomes.
• Evaluate trends to identify system opportunities that lead to patient harm and lead efforts for systems improvement.
• Provide input and guidance to leadership in managing safety events and offer feedback to drive continuous improvement.
• Collaborate, coach, and partner with senior leadership on multiple safety projects, including Culture of Safety survey response, action planning, and initiatives promoting a Just Culture and High Reliability organization.
• Round routinely in all clinical care departments to assess and address risk reduction and patient safety activities, following up with department managers and leadership.
• Lead, prepare, and present information to all levels of leadership as a subject matter expert and consultant to support patient safety programs and High Reliability initiatives.
• Plan, prepare, and coordinate presentations and educational opportunities for new employees and providers regarding patient safety strategies.
• Facilitate and support implementation of patient safety programs, Just Culture, and High Reliability initiatives.
• Manage and support multiple quality projects related to patient safety simultaneously.
• Perform other duties as assigned.

Requirements

• Bachelor's degree or equivalent years of experience and education.
• Three years of relevant experience.

Physical Requirements

• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching, and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication; ability to hear alarms and malfunctioning machinery.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting, and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

Preferred Skills

• Experience with patient safety event review.
• Proficiency in RCA (Root Cause Analysis) and ACA (Apparent Cause Analysis) processes.
• Familiarity with quality improvement tools.
• Competence in data analysis.
• Ability to follow up on action plans.
• Advanced skills in Microsoft Excel and PowerPoint.
• Ability to manage competing priorities and adapt to regulatory or process changes.
• Ability to use data to drive improvement.
• Clear communication and relationship-building skills.
• Ability to influence without authority and professionally handle resistance.
• Collaboration across departments and consistent follow-through on commitments.
• Strong patient safety knowledge and sound judgment.
• Accountability and ability to drive sustainable change.

Benefits

• Paid Parental Leave: One week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: Voluntary benefit through DailyPay offers eligible hourly team members instant access to earned, unpaid base pay (fees may apply) before payday.
• Upfront Tuition Coverage: Upfront tuition coverage through FlexPath Funded for eligible team members.

Scheduled Weekly Hours: 40