Manager, Quality and Patient Safety

Oceans Healthcare, L.L.C.; Phoenix (AZ); On-site; USD 90,000 - 120,000; Full time

Job summary

Haven Behavioral Healthcare, part of Oceans Healthcare, seeks a Manager of Quality and Patient Safety to lead the facility's quality and safety programs and coordinate performance improvement activities. You will monitor key process and outcome measures and facilitate communication across clinical and operational teams.

This role analyzes data, conducts audits, and assists investigations to ensure timely follow-up on safety events and continuous improvement in care delivery.

Qualifications

• Minimum requirement includes experience in quality, patient safety, and regulatory compliance.
• Ability to conduct audits and analyze data to support performance improvement.
• Strong documentation and communication skills with leadership teams.

Responsibilities

• Coordinate performance improvement activities across clinical and operational teams.
• Monitor key quality and safety metrics and prepare reports for leadership.
• Conduct audits and investigations to ensure timely follow-up on safety events.
• Provide education and guidance on quality, patient safety, and compliance.
• Support committees and survey readiness, including documentation and training.
• Assist with onboarding and orientation for new and agency staff.

Skills

Quality improvement

Data analysis

Regulatory compliance

Staff training

Project management

Education

Bachelor's degree in healthcare administration or related field

Tools

Microsoft Excel

Quality management software

Database systems

Job description

Haven Behavioral Healthcare, an Oceans Healthcare Company, is a behavioral healthcare system providing high-quality, specialty behavioral health services for individuals with mental health and substance abuse issues. Our success is a reflection of the excellence and dedication of our employees at every level of our facilities. The culture of our hospitals is built around service. All jobs performed on our team are worthwhile and every employee makes a difference. If you are looking for an opportunity to grow personally and professionally while delivering compassionate, quality care we encourage you to explore career opportunities with Haven.

The Manager, Quality and Patient Safety supports the facility’s quality, patient safety, and compliance programs by coordinating performance improvement activities, monitoring key process and outcome
measures, and facilitating communication across clinical and operational teams. This position analyzes data, conducts audits, and assists in investigations to ensure timely follow-up on safety events and
continuous improvement in care delivery. The Manager, Quality and Patient Safety provides education and guidance to staff, supports required committees and reporting functions, and helps maintain survey readiness and regulatory compliance. The position also assists with onboarding processes, ensures completion of required documentation and training, and contributes to quality and service excellence
initiatives that promote safe, high-quality patient care throughout the facility.

Essential Functions:

1. Collaborate with multi-disciplinary teams to identify problems, develop solutions, and support performance improvement initiatives.
2. Maintain and analyze databases on process and outcome metrics; communicate findings related to quality and patient safety to facility leadership.
3. Conduct audits and other data collection methods to evaluate progress on outcome and process measures.
4. Respond to safety-related issues in a timely manner and support the investigation and follow-up of incidents, including Root Cause Analyses.
5. Act as a resource for staff on quality, patient safety, and compliance matters, providing education as needed.
6. Monitor staff completion of required training and compliance elements.
7. Conduct rounds and observe practice/process changes to identify quality and safety issues and ensure adherence to standards.
8. Support Quality Council, Medical Executive Committee, and Governing Board functions, including preparation of agendas, minutes, and quarterly reports.
9. Communicate effectively with nursing leadership and other staff to ensure hand-off of pertinent issues for follow-up and resolution.
10. Ensure accurate and timely completion of unit-level documentation, including staffing sheets, environmental rounds, and concurrent medical record audits.
11. Assist with orientation of new and agency staff to facility policies, procedures, and standards, ensuring completion of required orientation documentation.
12. Support regulatory compliance and survey readiness, including participation in surveys, Plan of Correction development, and mandated reporting to state and accrediting bodies.
13. Complete assigned quality and safety initiatives, including Service Excellence projects, Camera Checks/Reviews, and Environment of Care reports, ensuring compliance with facility protocols.
14. Perform other duties as assigned.