Quality Patient Safety Program Manager Licensed

Dignity Health; Los Angeles (CA); On-site; USD 86,788 - 129,494; Full time

Job summary

Dignity Health - Northridge Hospital Medical Center is seeking a Quality Patient Safety Professional to develop, implement, and monitor programs that enhance patient safety and drive quality improvement. You will conduct risk assessments, analyze adverse events, identify root causes, and advise clinical teams and regulators on best practices.

As a senior contributor, you will coordinate performance improvement activities, facilitate data collection and reporting, and ensure compliance with

Qualifications

• Three years of clinical experience in an acute care setting.
• One year healthcare‑related quality management/performance improvement experience.
• CA licensure as listed upon hire.

Responsibilities

• Develop and monitor Quality Management, Patient Safety and Performance Improvement activities.
• Coordinate performance improvement teams for clinical quality, patient safety and risk reduction.
• Ensure compliance with CMS HIQRP/HOQRP and related data collection/reporting.
• Develop data collection tools, validate data, and prepare reports for stakeholders.
• Present findings, facilitate action plans, and support implementation.
• Maintain knowledge of accreditation and licensing requirements and assist with readiness and surveys.

Skills

Risk assessment

Data analysis

Regulatory knowledge

Quality improvement

Education

Registered Nurse (CA)

Registered Nurse Practitioner (CA)

Dietitian (CA)

Pharmacist (CA)

Physical Therapist (CA)

Occupational Therapist (CA)

Speech Language Pathologist (CA)

Medical Radiographer (CA)

Respiratory Care Practitioner (CA)

Social Worker (CA)

Doctor of Medicine (CA)

Doctor of Osteopathic Medicine (CA)

Certified Professional in Healthcare Quality (CPHQ) within 24 months

Healthcare Quality Management Certification within 24 months

Fire Safety Certification within 90 Days

Job description

Job Summary and Responsibilities

As our Quality Patient Safety Professional, you will develop, implement, and monitor programs to enhance patient safety and drive continuous quality improvement.

Every day, you will conduct risk assessments, analyze adverse events, identify root causes, and recommend evidence-based strategies. You will also collaborate with clinical teams and regulators, providing education and guidance on best practices.

To be successful, you will demonstrate a comprehensive understanding of patient safety principles, quality improvement, and healthcare regulations. Your analytical skills, attention to detail, and ability to influence change will be crucial for fostering a culture of safety and achieving exceptional patient outcomes.

• Assist in the design, planning, implementation, and coordination of Quality Management, Patient Safety and Performance Improvement activities for assigned hospital and medical staff departments, committees, divisions, service lines and functions.
• Proactively coordinate and facilitate performance improvement teams to support key initiatives, including but not limited to: clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAS, root cause analyses, and medical staff improvement (e.g., case review for peer review, OPPE, FPPE).
• Participate in ensuring compliance with CMS HIQRP/HOQRP, TJC, Leapfrog, etc., data collection and reporting of process and outcome measures.
• Facilitate development and implementation of data collection tools and processes, including identifying data elements needed to complete appropriate measurement, performing data collection and abstraction per specifications, and validating data before submission or preview reports before publication.
• Facilitate meetings, present data and reports, identify key findings and assist with action plans and implementation.
• Maintain current knowledge of accreditation and licensing requirements and act as a resource to staff on these regulations to improve management of outcomes and ensure compliance. Assist with regulatory readiness and survey preparation activities including mock survey tracers.
• Reporting structure may differ in Critical Access Hospitals.

Job Requirements

• Three (3) years of clinical experience in an acute care setting.
• One (1) year healthcare‑related quality management/performance improvement experience (e.g., chart audit, PI team member, etc.).
• Registered Nurse: CA, upon hire.
• Registered Nurse Practitioner: CA, upon hire.
• Dietitian: CA, upon hire.
• Pharmacist: CA, upon hire.
• Physical Therapist: CA, upon hire.
• Occupational Therapist: CA, upon hire.Speech Language Pathologist: CA, upon hire.
• Medical Radiographer: CA, upon hire.
• Respiratory Care Practitioner: CA, upon hire.
• Social Worker: CA, upon hire.
• Doctor of Medicine: CA, upon hire.
• Doctor of Osteopathic Medicine: CA, upon hire.
• Certified Professional in Healthcare Quality, within 24 months.
• Healthcare Quality Management certification, within 24 months.
• Fire Safety certification, within 90 Days.

Where You’ll Work

Founded in 1955, Dignity Health - Northridge Hospital Medical Center is a 394‑bed, acute care, nonprofit hospital located. Serving over 80,000 patients annually, the hospital offers a full complement of services including a Level II Trauma Center, heart care, cancer care, and women’s health. It is the only pediatric trauma center in the San Fernando Valley.

Additionally, Northridge Hospital Medical Center has been recognized as an LGBTQ+ Healthcare Equality High Performer by the Human Rights Campaign Foundation. It is a Joint Commission‑certified Thrombectomy‑Capable Stroke Center and has been recognized as one of America’s 50 Best Hospitals by Healthgrades in 2026.

Pay Range

$62.97 - $93.67 /hour