Job Description

Min

USD $34.34/Hr.

Max

USD $53.23/Hr.

Key Responsibilities

Patient Safety & Risk Reduction

• Monitor, investigate, and analyze patient safety events, near misses, and incident reports.
• Conduct root-cause analyses (RCA), failure mode & effects analyses (FMEA), and other safety assessments.
• Support initiatives that reduce hospital-acquired conditions, medication errors, and procedural risks.

Regulatory Compliance

• Ensure adherence to standards set by The Joint Commission, CMS, state health departments, and other regulatory bodies.
• Maintain documentation and reports required for audits, surveys, and accreditation processes.
• Coordinate patient safety–related compliance activities across departments.

Education & Training

• Promote a non-punitive, transparent safety culture focused on continuous improvement.

Data Management & Reporting

• Utilize incident reporting software and quality improvement tools effectively.

Collaboration & Communication

• Partner with nursing, medical staff, quality improvement teams, and administration to implement safety initiatives.
• Participate in safety huddles, committee meetings, and multidisciplinary reviews.

Qualifications

Education:• Bachelor’s degree in nursing or health care field is required.• An associate’s degree in nursing or health care field with at least 10 years of directly related work experience may be considered in lieu of a bachelor’s degree. Licensure/Certification/Registry:• Current Illinois license in respective profession is highly preferred but not required.• Certified Professional in Patient Safety (CPPS) and/or Certified Professional in Healthcare Quality (CPHQ) preferred but not required. • Certified Just Culture preferred but not required. Experience:• Minimum of 3 years of healthcare related experience is required• Demonstrated experience with patient safety and quality improvement principles and practices• Demonstrated experience with analyzing patient safety risks and events• Demonstrated experience with working effectively with physicians and operational leaders in an interdisciplinary environment Other Knowledge/Skills/Abilities:• Basic understanding of healthcare accreditation/regulatory compliance activities including but not limited to Joint Commission, Center for Medicare and Medicaid Services (CMS) and state regulations• Basic understanding of safety science principles including just culture• Demonstrated problem solving skills and ability to consistently exercise sound judgment and initiative in routine situations. Seeks guidance in novel situations.• Demonstrated effective written and verbal communication in performing assigned duties• Demonstrated abilities to effectively communicate, collaborate and work through complex and sensitive situations with individuals and groups in a confidential and respectively manner • Demonstrated skills in developing and maintaining good interpersonal relationships

Responsibilities

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform tasks other than those specifically presented in this description.