Director of Quality & Patient Safety

Pascack Valley Medical Center; Westwood (NJ); Sur place; USD 150 000 - 190 000; Plein temps

Résumé du poste

Pascack Valley Medical Center in Westwood, NJ seeks a Day-shift, full-time Quality & Patient Safety Director of Quality to lead hospital-wide quality efforts. The role focuses on QAPI, patient safety, data analysis, and regulatory compliance, reporting to the CQO and collaborating with leaders across the organization.

The ideal candidate will hold a Nursing degree, RN licensure, and 5–7 years in quality management, with CPA/CPHQ certification as a plus.

Qualifications

• RN with clinical background and quality management experience.
• Experience with data collection, reporting, and performance improvement.
• Knowledge of CMS, JCAHO, and quality frameworks.
• Strong Microsoft Office skills and data analysis familiarity.
• Leadership experience in hospital settings is preferred.

Responsabilités

• Leads hospital-wide quality and patient safety initiatives.
• Oversees QAPI programs, regulatory reporting, and performance improvement.
• Collaborates with CQO, nursing leadership, and medical staff.
• Ensures accreditation readiness and survey preparedness.
• Promotes a culture of safety and continuous improvement.

Connaissances

Quality management

Data collection

Regulatory reporting

Patient safety

Leadership

Formation

Bachelor’s Degree in Nursing

CPHQ certification

Master’s Degree (preferred)

Outils

Microsoft Word

Excel

PowerPoint

Description du poste

Overview

Join our team as a day-shift, full-time, Quality & Patient Safety Director of Quality in Westwood , NJ .

Why Join Us?

Thrive in a People-First Environment and Make Healthcare Better

• Thrive: We empower our team with career growth opportunities, tuition assistance , and resources that support your wellness, education, and financi al well-being.
• People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.
• Make Healthcare Better: We use advanced technology to support our team and enhance patient care.
• Learn more about the benefits offered for this job.

Get to Know Your Team:

• Hackensack Meridian Pascack Valley Medical Center is a 128-bed, full-service, acute-care community hospital with a new emergency department, a state-of-the‑art maternity center, a women's imaging center, and an ICU.

Responsibilities

• Leads and integrates a comprehensive Quality Assessment and Performance Improvement (QAPI) program focused on quality outcomes, patient safety, regulatory compliance, operational excellence, and High Reliability Organization (HRO) principles.
• Responsible for hospital-wide performance improvement initiatives and publicly reported quality programs, including CMS Core Measures, Value-Based Programs, Leapfrog, NDNQI, and Joint Commission (TJC) standards. Oversees quality metrics, data analysis, benchmarking, corrective action plans, and regulatory reporting.
• Partners with the CQO, administration, nursing leadership, medical staff, and department leaders to drive patient safety, quality improvement, accreditation readiness, survey readiness, and regulatory compliance across the organization.
• Supports ongoing compliance with The Joint Commission, CMS Conditions of Participation, NJDOH, and other accreditation and licensing requirements through tracer activities, mock surveys, rounding, performance improvement initiatives, and continuous readiness efforts.
• Collaborates closely with Risk Management, Compliance, Patient Safety, and Infection Prevention leadership to advance a culture of safety, reduce risk, improve outcomes, and ensure regulatory excellence.
• Provides oversight of the Quality/Regulatory team, Infection Prevention Program, Patient Experience Program, and quality data systems, including management and reporting of key clinical, regulatory, patient safety, and performance improvement metrics.

Qualifications

Job Requirements:

• Bachelor’s Degree in Nursing.
• 5-7 years’ experience with quality management, data collection and reporting methodology, and/or clinical chart review and abstraction experience.
• Registered Nurse with a minimum of 5 years of clinical background in a hospital setting.
• Proficient with Microsoft Word, Excel, and PowerPoint.
• Database data entry and/or management experience.
• Knowledge of clinical quality data and outcomes.

Preferred Job Qualifications:

• Master’s Degree.
• 2-3 years of leadership experience.
• CPHQ.

Rate of pay is determined based on experience and education, and may include other pay components such as differentials and call pay based on role.