Director Accreditation & Patient Safety

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. 
 
If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.

In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.

Location:

Lippincott - 303 Lippincott Drive

Remote Type:

On-Site

Employment Type:

Employee

Employment Classification:

Regular

Time Type:

Full time

Work Shift:

1st Shift (United States of America)

Total Weekly Hours:

40

Additional Locations:

Job Information:

Job Summary:

Reporting to the AVP of Accreditation and Patient Safety, the Director of Accreditation and Patient Safety provides leadership and directs the execution of the strategic imperatives to support ongoing continual regulatory readiness and patient safety initiatives. This position works across all units/departments of the health system (including but not limited to: Clinical care areas, clinical support departments, facilities, medical staff etc.). This is a highly visible role across the organization and routinely interacts with all levels of staff and leadership. 

Position Responsibilities:

Facilitate and collaborate with cross-functional teams to ensure the attainment of the organizations’ goals. Provide input on strategy, participate in decision-making related to key issues, and assure dissemination and spread of successful quality improvement projects throughout the organization.

Participate in developing policies and procedures, monitoring performance, developing and reviewing metrics, assessing and prioritizing risk, conducting mock inspections and reporting results to senior management.

Provide or assist with education and training when required.

Maintain proficiency in NJ Department of Health, CMS, and Joint Commission regulatory requirements. Keeping abreast of the latest trends, policies, regulations, and best practices. Collaborates with leadership to make proactive changes to the organization to ensure we are on track to meet the changing environment.

Perform scheduled audits.  Participate in the development, implementation and auditing of all safety programs to ensure align with our Now Plan and G&Os. Support compliance projects as needed.

Assist the AVP of Accreditation and Patient Safety with RCA and improvement process, with a focus on improving systems and reducing opportunity for human failure.

Position Qualifications Required:

Required Experience:

Seven plus years of related healthcare experience.

Proven track record of leading change in a highly matrixed organization preferred

Able to pass the medical evaluation to wear respiratory protection.

Able to wear a respirator, if required, while performing assigned duties.

Excellent verbal, written and presentation skills.

Required Education:

Bachelor’s degree in clinical area required; Master’s degree preferred

Training / Certification / Licensure:

Certified Professional in Healthcare Quality (CPHQ) or like certification preferred.

Annual Salary: $117,575 - $188,672 The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data.

This position is eligible to participate in one of Virtua’s annual incentive compensation plan (AICP). The amount is subject to the terms and conditions of the plan document. Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.

For more benefits information click here.