Regulatory and Patient Safety Manager (Full-Time)

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.

Qualifications
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.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.