What are the responsibilities and job description for the Manager, Patient Safety and Regulatory (Full-Time) position at St. Joseph's Health?
Job Description
The Manager, Patient Safety & Regulatory is responsible for the operational management and coordination of the organization's Patient Safety and Regulatory Compliance programs. Reporting to the Director of Quality & Patient Safety, this position leads day-to-day patient safety activities, regulatory readiness (e.g., DNV), accreditation support, event reporting (e.g., Midas, NJ DOH PSRS), and performance monitoring to promote a culture of safety and continuous regulatory compliance.
The Manager partners with physicians, nursing leadership, department managers, and interdisciplinary teams to investigate patient safety events, identify opportunities for improvement, implement corrective actions, and ensure ongoing compliance with regulatory and accreditation standards. This role serves as an organizational resource for patient safety, High Reliability Organization (HRO) principles, Just Culture, and regulatory preparedness while supporting the organization's mission, vision, values, and strategic priorities.
Qualifications
About Us
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)
About The Team
St. Joseph’s University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures.
The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women’s health, imaging and pediatrics.
The nursing team at St. Joseph’s University Medical Center, which includes St. Joseph’s Children’s Hospital, has held the Magnet Award for Nursing Excellence, the profession’s highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize™ - one of only 8 Magnet-designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.
The Manager, Patient Safety & Regulatory is responsible for the operational management and coordination of the organization's Patient Safety and Regulatory Compliance programs. Reporting to the Director of Quality & Patient Safety, this position leads day-to-day patient safety activities, regulatory readiness (e.g., DNV), accreditation support, event reporting (e.g., Midas, NJ DOH PSRS), and performance monitoring to promote a culture of safety and continuous regulatory compliance.
The Manager partners with physicians, nursing leadership, department managers, and interdisciplinary teams to investigate patient safety events, identify opportunities for improvement, implement corrective actions, and ensure ongoing compliance with regulatory and accreditation standards. This role serves as an organizational resource for patient safety, High Reliability Organization (HRO) principles, Just Culture, and regulatory preparedness while supporting the organization's mission, vision, values, and strategic priorities.
Qualifications
- Bachelor of Science in Nursing (BSN) or Bachelor's degree in a healthcare-related field.
- Current New Jersey Registered Nurse (RN) license.
- Minimum three (3) years of clinical healthcare experience.
- Experience with patient safety event investigations, root cause analysis, and/or regulatory compliance.
- Strong organizational, analytical, project management, and communication skills.
- Proficiency with Microsoft Office applications and healthcare data reporting systems.
- Master's degree in Nursing, Healthcare Administration, Public Health, or a related field.
- Certified Professional in Patient Safety (CPPS), Certified Professional in Healthcare Quality (CPHQ), or other applicable certification.
- Experience with DNV accreditation, CMS Conditions of Participation, New Jersey Department of Health regulations, Leapfrog Hospital Survey, MIDAS event reporting, and Patient Safety Indicators (PSIs).
About Us
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)
- Competitive salary*
- Robust benefits with health, dental, Rx and vision plans
- 403b retirement plan options with company match**
- Health & Wellness*
- Non-Profit Health System – eligible for Federal Student Loan Forgiveness
- PTO, and paid holidays
- Tuition reimbursement
- Employee Assistance Program
- LTD : Long Term Disability
- Life Insurance Options
- Onsite Day care Program
- 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.
About The Team
St. Joseph’s University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures.
The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women’s health, imaging and pediatrics.
The nursing team at St. Joseph’s University Medical Center, which includes St. Joseph’s Children’s Hospital, has held the Magnet Award for Nursing Excellence, the profession’s highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize™ - one of only 8 Magnet-designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.