Job DescriptionThe 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.
PREFERRED QUALIFICATIONS:- 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).
- Knowledge of High Reliability Organization (HRO) principles, Just Culture, Human Factors, and performance improvement methodologies.
About the TeamSt. 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.
