Manager, Patient Safety and Quality
Company: Hackensack Meridian Health
Location: Brick
Posted on: March 3, 2026
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Job Description:
Description: Our team members are the heart of what makes us
better. At Hackensack Meridian Health we help our patients live
better, healthier lives — and we help one another to succeed. With
a culture rooted in connection and collaboration, our employees are
team members. Here, competitive benefits are just the beginning.
It’s also about how we support one another and how we show up for
our community. Together, we keep getting better - advancing our
mission to transform healthcare and serve as a leader of positive
change. The Manager of Patient Safety and Quality acts in
conjunction with the Director of Patient Safety & Quality to
provide leadership for quality & safety improvement initiatives.
Collaborates with Hackensack Meridian Health (HMH)
initiative-focused groups, clinical transformation services and
quality councils to achieve transformational and sustainable
outcome improvements using project/program management, process and
system mapping, reliability science data driven strategies,
evidence based best practices and quality improvement strategies.
Provides ongoing support, instruction, and leadership to meet and
exceed all accreditation standards, and to ensure ongoing readiness
for accreditation throughout all accredited programs. Works with
the Director Patient Safety and Quality to respond to and
coordinate investigation by the Joint Commission, Department of
Health (DOH) and other external regulatory agencies.
Responsibilties: A day in the life of a Manager of Patient Safety
and Quality at Hackensack Meridian Health includes: - Orient and
mentor new Department of Patient Safety and Quality team members.
Provides feedback to Director of Patient Safety and Quality on team
member performance evaluations - Provide expert knowledge,
leadership and mentoring in patient safety & quality initiatives
utilizing safety and high reliability science. - Monitor standards
of practice to ensure compliance with codes of internal and
external regulatory and accrediting agencies including: a. The
Joint Commission b. NJ State and Federal Codes (i.e.: DOH, OSHA) c.
Professional review organizations - Chair organizational level
committees/councils (i.e. Regulatory Steering Committee,
Performance Improvement Committee). - Facilitates/coordinates
regulatory activities throughout all accredited
programs.Collaborates with staff, physicians, and administration to
ensure successful regulatory surveys. - Facilitate patient safety
and environment of care rounds with interprofessional collaboration
with utilization of the Joint Commission AMP monitoring tool. -
Lead onsite regulatory surveys to respond to and coordinate
investigation by the Joint Commission, DOH and other external
regulatory agencies. - Develops and implements hospital wide
training to maintain compliance with Joint Commission and other
regulatory standards. - Facilitate and lead highly functioning
teams organized around quality & safety initiatives. - Identify
improvement priorities specific to each HMH initiative-focused
improvement work, clinical transformation service, or quality
council based on evidence based practice, taking into consideration
regulatory requirements and accrediting agencies such as CMS, Pay
for Performance, The State of New Jersey Department of Health, and
The Joint Commission. - Bring safety and quality events, concerns
and needs to the local morning safety huddle. - Encourage event
reporting and transparency related to events, concerns, needs,
processes to identify precursor and safety events. - Identify &
implement data driven strategies to ensure team's success. -
Utilize the Quality dashboards to drive improvements by the HMH
initiative-focused improvement work, clinical transformation
service, or quality council. - Strategize with personnel at all
levels to develop and coordinate patient safety programs. - Create
and maintain timely and thorough progress reports that include key
driver diagrams, run charts, Agile methods and PDSA testing
documentation. - Engage all levels of caregivers and staff in
advancing patient safety through HRO training, quality initiatives
addressing small wins and when designing system improvement. -
Develop metrics and report key quality & safety metrics to
accurately demonstrate improvement in safety & quality across the
medical center and network. - Provide timely, actionable feedback
and reports to clinical, administrative and support staff on all
safety & quality initiatives. - Ensure appropriate referral and
follow up for events including escalation for regulatory reporting.
Increase transparency, reinforce high reliability and advance the
safety culture by participating in and facilitating safety huddles,
patient safety activities, just culture reinforcement and shared
learning. Facilitate the NPSF RCA-2 process as needed. - Effective
trend analysis of performance data with comparison over time to
internal and external benchmarks to identify improvement
opportunities, and progress. - Attend root cause analysis meetings
as specific to HMH initiative-focused group, clinical
transformation service, or quality council focus area. - Direct
patient and team member safety by identification of actual or
potential safety issues. Advance & enhance professional growth and
development through seminars, workshops and professional networking
opportunities to maintain and extend expertise. - Other duties
and/or projects as assigned - Adheres to HMH Organizational
competencies and standards of behavior. Qualifications: Education,
Knowledge, Skills and Abilities Required: - Bachelor's degree in
Nursing, Healthcare or health science field or other relevant area
of study. - Minimum of 5 or more years of experience in healthcare
quality, patient safety, and regulatory. - Performance Improvement
experience. - Understanding of the Joint Commission and regulatory
standards. - Excellent written and verbal communication skills. -
Proficient computer skills that include but are not limited to
Microsoft Office and/or Google Suite platforms. Education,
Knowledge, Skills and Abilities Preferred: - Master's degree in
nursing, health care or health science. Licenses and Certifications
Required: - Certified Professional in Patient Safety. Licenses and
Certifications Preferred: - Certified Professional in Healthcare
Quality. If you feel that the above description speaks directly to
your strengths and capabilities, then please apply today!
Keywords: Hackensack Meridian Health, New Brunswick , Manager, Patient Safety and Quality, Science, Research & Development , Brick, New Jersey
