Manager, Patient Safety (on-site)

Holy Name Medical Center is a leading healthcare facility dedicated to providing compassionate, high-quality care to our community. We are committed to fostering a dynamic and inclusive work environment for our employees.

A Brief Overview
The Patient Safety Manager will provide a continuous review and analysis of safety issues, will oversee the development of comprehensive patient safety improvement initiatives to reduce medical errors and healthcare incidents and coordinate initiatives targeted at efforts to improve the quality of care and patient safety throughout the organization by identifying problem areas, collecting/reporting data to leadership and developing/managing projects related to compliance with the Joint Commission National Patient Safety Goals and other regulatory agencies. And ensure clinical services are being delivered in compliance with federal and state safety standards

What you will do

• Plans, Organizes and the Patient Safety Incident reporting system.
• Implements and refines a Patient Safety system to meet the Regulatory Requirements of TJC, CMS and NJ DOH / Administrative Code
• Identifies and collects patterns of over and under utilization, delays in services and inappropriate use of resources.
• Evaluates the measurement of outcomes to determine priorities for improving systems and processes. Intervenes to prevent noncompliance.
• Identifies and communicates provider issues as related to patient safety and quality
• Educates the Nursing, Medical and Hospital Staff on Patient Safety, Risk and improvement initiatives
• Conducts internal and external reviews for compliance.
• Maintains up to date Regulatory knowledge to foster compliance
• Performs the investigation of incidents, errors, injuries, patient complaints and organizes follow up
• Maintains the PSR data base and ensure the appropriate follow up of incidents based on the severity
• Escalate concerns and requests for guidance to the Director; as needed
• Conduct RCA’s as needed or requested with the implementation of corrective action plans
• Collect, review and analyze PSR data and recommend changes to Policies, Procedures or Programs to prevent a reoccurrence
• Co Chair the Patient Safety Committee, organize the Agenda, the data for presentation and the follow up

Education Qualifications

• Bachelor's Degree BSN. Required

Experience Qualifications

• 10 years 5 to 10 years of Clinical Leadership; Required and
• with knowledge of Risk/Patient Safety and Quality Improvement Initiatives Required

Knowledge, Skills, and Abilities

• Patient Safety, Risk assessment of incidents and Regulatory knowledge, Database

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure Registerd Nurse licensed in State of New Jersey Upon Hire Required and
• Certified Risk Management Professional (RIMS-CRMP) Work towards certification in Risk Management ASHRM Upon Hire Required

Holy Name Medical Center is a comprehensive, 361-bed hospital offering leading-edge medical practice and technology administered in an environment rooted in a tradition of compassion and respect for every patient. Holy Name provides high quality health care across a continuum that encompasses education, prevention, early intervention, treatment options, rehabilitation and wellness maintenance. The Medical Center offers a robust roster of primary care and specialty physicians, and its Sister Claire Tynan School of Nursing provides academically competitive registered nurse and licensed practical nurse education programs. Ranked among the top hospitals in New Jersey and the nation for patient care, clinical performance, consumer value and workplace excellence, Holy Name has been recognized by NJBIZ's as one of the "Best Places to Work in New Jersey" every year since 2006 - the only hospital to have earned this honor. The Medical Center is fully accredited by The Joint Commission, is Magnet-recognized by the American Nurses Credentialing Center, consistently earns Hospital Safety Grade A scores from Leapfrog Group, and is a national model for culturally sensitive care. Holy Name is a mission-driven facility whose quality standards and philosophy are rooted in the principles of its founders, the Sisters of St. Joseph of Peace. Those principles are exercised daily by the Medical Center's dedicated and talented team of physicians, nurses, allied health employees, and a wide variety of non-clinical administrative and operational staff members. Holy Name Medical Center is an Equal Opportunity Employer.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)