Accreditation & Quality Improvement Lead

Christiana Care Health System; Newark (DE); On-site; USD 86,000 - 137,000; Full time

Benefits offered by this job

Health insurance on day one

Paid time off

Parental leave 12 weeks

Retirement plans

Job summary

ChristianaCare Health System seeks an experienced Senior Project Manager, Accreditation to lead system-wide accreditation, regulatory readiness, and patient safety initiatives. You will partner with clinical, operational, and executive leaders to implement programs driving compliance, quality improvement, and exceptional patient outcomes.

The ideal candidate brings collaborative healthcare leadership, deep accreditation knowledge, and a passion for advancing safety across a complex health system.

Qualifications

• Master's degree in Nursing or a Master's in a healthcare-related field.
• Current Delaware RN license or Compact RN licensure.
• Minimum of three years leading enterprise-level projects across multiple departments.
• Minimum of three years applying quality improvement, patient safety, or RCA principles.
• Proven ability to lead multidisciplinary teams and drive organizational change.
• Experience managing projects involving quality, safety, accreditation, regulatory compliance, or performance improvement.
• Ability to influence clinical, operational, and executive stakeholders.
• Certification through NAHQ within one year of hire.

Responsibilities

• Lead accreditation and regulatory readiness initiatives across the health system.
• Plan, manage, and execute complex projects supporting patient safety and quality improvement.
• Facilitate readiness activities and ongoing assessments of standards.
• Conduct gap analyses and develop corrective action plans with stakeholders.
• Interpret new regulatory requirements and assess organizational impact.
• Lead teams focused on accreditation, RCA, FMEA, and patient safety initiatives.
• Develop tools, templates, audits, tracers, and survey processes for readiness.
• Partner with senior leadership on goals, strategies, and metrics.
• Drive change through coaching, education, and stakeholder engagement.

Skills

Quality improvement

Patient safety

RCA

Stakeholder engagement

Project leadership

Education

Master's in Nursing

Bachelor's in Nursing + Master's in healthcare

Tools

NAHQ certification

Lean Six Sigma Green Belt

Job description

ChristianaCare Health System seeks an experienced Senior Project Manager, Accreditation to lead system-wide accreditation, regulatory readiness, and patient safety initiatives. You will partner with clinical, operational, and executive leaders to implement programs driving compliance, quality improvement, and exceptional patient outcomes.

The ideal candidate brings collaborative healthcare leadership, deep accreditation knowledge, and a passion for advancing safety across a complex health system.