System Director Quality and Safety

Baptist Health; Little Rock (AR); On-site; USD 150,000 - 210,000; Full time

Job summary

Baptist Health seeks a Director of Quality & Safety to lead clinical quality, patient safety, and risk oversight across the health system. The role reports to executive leadership and drives a culture of zero harm with reliable data governance and timely investigations.

Key responsibilities include guiding RCAs, ensuring compliance with CMS and accreditation standards, and aligning operations with strategic safety goals. This is a day-shift on-site leadership role in Little Rock, AR.

Qualifications

• Clinical leadership experience in quality, safety, risk, or regulatory compliance.
• Experience with CMS surveys and JCAHO/TJC accreditation processes.
• Strong clinical acumen for investigations of patient safety events.

Responsibilities

• Direct oversight of Clinical Quality and Patient Safety departments.
• Execute strategic vision and daily operations for HRO.
• Lead RCAs and address systemic issues to reduce harm.

Skills

Leadership

Quality oversight

Patient safety

Data analysis

Root Cause Analysis

Regulatory compliance

CMS surveys

Team collaboration

Education

Clinical degree

Bachelor's degree

Master’s in Healthcare Admin or MBA

Job description

Video Testimonial

Job Details

Department: High Reliability Organization (HRO)

Shift: Day

Working Hours: M-F, 8a-5p

Summary:

The Director of Quality & Safety is a key clinical leader responsible for executing the strategic vision, daily operations, and direct oversight of the health system’s Clinical Quality and Patient Safety departments. Serving as the vital link between administration and operational leadership. This role is instrumental in fostering a "Zero Harm" culture and high reliability, ensuring the integrity of clinical data, the effective management of patient grievances, ensures that Root Cause Analyses (RCAs) are conducted effectively and timely, specifically targeting and addressing systemic issues to reduce patient harm and improve patient outcomes.

Other Information:

• Education: Clinical degree required (e.g., RN, BSN, APP, PharmD); and Bachelor's degree required; and Master’s degree in Healthcare Administration (MHA), Business (MBA), Nursing (MSN), or Public Health (MPH), or related field is required.
• Certifications/Licensure: Current, unencumbered clinical license in the state of practice. Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CPPS), or Certified Professional in Healthcare Risk Management (CPHRM) are strongly preferred.
• Experience: Minimum of 3―5 years of progressive leadership experience in Quality, Patient Safety, Risk Management, Regulatory Compliance, or Hospital Clinical Department within an acute care hospital system; Demonstrated, hands-on experience managing, leading, or significantly contributing to successful CMS surveys and TJC accreditation processes; Strong clinical acumen required to conduct thorough, credible investigations of complex patient safety events; Exceptional critical thinking, analytical, and problem-solving skills with the ability to interpret clinical data and trends.

This job will be authorized 80.00 hours bi-weekly.

Department: High Reliability Organization (HRO)

Shift: Day

Working Hours: M-F, 8a-5p

Other Information:

• Education: Clinical degree required (e.g., RN, BSN, APP, PharmD); and Bachelor's degree required; and Master’s degree in Healthcare Administration (MHA), Business (MBA), Nursing (MSN), or Public Health (MPH), or related field is required.
• Certifications/Licensure: Current, unencumbered clinical license in the state of practice. Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CPPS), or Certified Professional in Healthcare Risk Management (CPHRM) are strongly preferred.
• Experience: Minimum of 3―5 years of progressive leadership experience in Quality, Patient Safety, Risk Management, Regulatory Compliance, or Hospital Clinical Department within an acute care hospital system; Demonstrated, hands-on experience managing, leading, or significantly contributing to successful CMS surveys and TJC accreditation processes; Strong clinical acumen required to conduct thorough, credible investigations of complex patient safety events; Exceptional critical thinking, analytical, and problem-solving skills with the ability to interpret clinical data and trends.

This job will be authorized 80.00 hours bi-weekly.