Leads and directs clinical and administrative quality management activities for the organization, including accreditation and regulatory compliance, patient safety, and performance improvement. The scope of responsibility encompasses all settings of the organization. Oversees the coordination and evaluation of a comprehensive patient safety improvement program in conjunction with the Director of Quality/Performance Improvement, Patient Safety Officer, and leadership. Has oversight of conformance to regulatory requirements and coordinated accreditation and regulatory surveys. Conducts rounds to ensure ongoing survey readiness. Is a resource to departments with regulatory compliance to include state/CMS. Has a detailed understanding and can skillfully use the techniques of system design, re-engineering, project management, quality improvement, patient safety, outcomes measurement, and analysis.
Work requires the knowledge of theories, principles, and concepts normally acquired through completion of a Master's degree in Nursing or closely related field, and three to five years of previous work related experience. Licensure required as a Registered Nurse by the State of New Jersey. Certification in Healthcare Accreditation and Patient Safety preferred. Work requires the knowledge of federal and state regulations, standards, and practices for an acute care hospital. Work requires the analytic ability necessary to resolve problem requiring a professional level of knowledge in specific discipline/field and to design complex educational, clinical, data processing systems and programs. Work requires analytical ability to collect information from diverse sources and apply professional principles in performing various analyses, and summarize the information and data in order to solve problems.
St. Joseph’s Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.
Benefits Eligibility (Full-time and Part-time Employees-over 20 hours a week)
*Available for Per Diem Employees and Part-time Employees working under 20 hours per week.
**403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.
Pay transparency St. Joseph’s Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc.” The salary range does not include incentives, differential pay or other forms of compensation.
St. Joseph’s Health, sponsored by the Sisters of Charity of Saint Elizabeth, is a world-class hospital and healthcare network supported by leading and renowned physicians, nurses and care teams.
With approximately 5,000 employees, St. Joseph’s Health is the largest employer in Passaic County, the largest provider of charity care in New Jersey, and the healthcare provider of choice in our region.
St. Joseph’s is proud to be recognized as one of the Best Regional Hospitals in the New York Metropolitan Region and New Jersey (U.S. News & World Report) and one of the country’s top tier “150 Great Places to Work in Healthcare” (Becker’s Health.) The Nursing team at St. Joseph’s University Medical Center has been honored for national nursing practice excellence as the recipient of the American Nurses Credentialing Center’s highest honor, Magnet® Recognition (since 1999) and as one of 11 hospitals nationwide to receive the Emergency Nurses Association’s 2016 Lantern Award™.
St. Joseph’s Health. Powerful Medicine. Compassionate Care.
