Director High Reliability & Patient Safety - Quality Management - Full-Time - DAYS

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Scheduled Weekly Hours:

40

Position Overview

Pay range: $140,690 - $174,420 annualized

ESSENTIAL FUNCTIONS

• Leads the development and execution of system wide patient safety and HRO strategy aligned with organizational priorities. Directs daily operations through subordinate leaders and/or individual contributors as applicable.
• Embeds Just Culture principles into daily operations, leadership practices, and event review processes.
• Partners with executive and clinical leadership to drive a culture of transparency, accountability, and continuous learning.
• Oversees the organizational safety event review process, including triage, investigation, and follow up.
• Ensures timely escalation, executive awareness, and appropriate action planning for high risk events.
• Standardizes methodologies to ensure consistency, depth and quality of event investigations across the system.
• Ensures compliance with all Department of Health reportable safety event requirements and other regulatory agencies.
• Oversees the timely, accurate submission of reportable events and follow up documentation.
• Serves as a key liaison with regulatory bodies during reviews, surveys, and investigations.
• Maintains readiness for regulatory and state surveys related to patient safety.
• Leads enterprise wide process improvement initiatives aimed at reducing harm and improving reliability.
• Oversees proactive risk assessments, including Failure Mode and Effects Analysis (FMEA).
• Analyzes trends in safety data to identify system vulnerabilities and emerging risks.
• Leads education and training on patient safety, HRO, Just Culture and event reporting.
• Supports front line engagement in safety initiatives and shared accountability structures. Partners with nursing, medical staff and ancillary leaders to align safety priorities across departments.
• Establishes clear expectations, ensures appropriate staffing levels, and fosters a culture of accountability, engagement, and high performance.
• Recruits, selects, and hires qualified staff. Ensures hiring decisions align with organizational standards and position requirements.
• Oversees and conducts performance management processes, including goal setting, ongoing feedback, and formal performance evaluations. Holds staff accountable for achieving performance expectations and organizational objectives.
• Promotes professional growth and development of team members through coaching, mentoring, and performance feedback. Supports ongoing education, training, and career development initiatives, etc.

MINIMUM REQUIREMENTS

• Education: Bachelor's degree in nursing, healthcare administration, or healthcare related field required. Master’s degree preferred. Certification in specialty area preferred. (CPHQ, PSC).
• Experience: Five years of progressively responsible, directly related experience in patient safety, quality, risk management or clinical operations in an acute care setting. Demonstrated active participation in RCA/SER processes and after action planning, regulatory reporting, and system level process improvement initiatives.
• Other Credentials:
• Knowledge and Skills: Possesses excellent organizational, interpersonal, conflict resolution, and verbal presentation skills. Demonstrates ability to foster teamwork and bring together diverse groups in a collaborative and effective manner.
• Special Training: Strong computer skills required. MS Office (Work, Excel, Power Point). Data analysis and quality experience. Knowledge in lean, six sigma or other process improvement techniques preferred.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

• Frequent physical demands include: Pinching/fine motor activities , Keyboard use/repetitive motion , Talk or Hear
• Occasional physical demands include: Sitting , Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation
• Continuous physical demands include:
• Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
• Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Accurate Depth Perception, Accurate Hearing
• Anticipated Occupational Exposure Risks Include the following: N/A

This position is eligible for the following benefits:

• Medical Plan

• Prescription drug coverage & In-House Employee Pharmacy

• Dental Plan

• Vision Plan

• Flexible Spending Account (FSA)

- Healthcare FSA

- Dependent Care FSA

• Retirement Savings and Investment Plan

• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance

• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance

• Disability Benefits – Long Term Disability (LTD)

• Disability Benefits – Short Term Disability (STD)

• Employee Assistance Program

• Commuter Transit

• Commuter Parking

• Supplemental Life Insurance

- Voluntary Life Spouse

- Voluntary Life Employee

- Voluntary Life Child

• Voluntary Legal Services

• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance

• Voluntary Identity Theft Insurance

• Voluntary Pet Insurance

• Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. 

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.