- Requisition # 2026-176141
- ShiftDay
- StatusFull Time with Benefits
Overview
Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Manager, Patient Safety acts in conjunction with the department of patient safety and quality and reports directly to the VP for Patient Safety and Director, Quality Initiatives and System Improvement. Provides oversight and leads safety activities by identifying processes and systems requiring improvement to prevent harm. Directs event management to include grievance management to ensure that cost effective quality care is administered to all patients in compliance with the standards of all regulatory and accrediting agencies. All functions will be guided by the requirement of external regulating and accrediting bodies and the network's as well as organization's performance improvement plan. Provides leadership in the implementation and integration of the Department of Patient Care Performance Improvement Plan and the HMH Safety Charter in addition to ensuring JCAHO & regulatory compliance at the medical center. Utilizing claims, quality and event data, coordinates focused departmental-specific risk assessments which include recommendations of best practices to reduce targeted risks and eliminate preventable harm. Leads the daily activities of the teams designated to perform Root Cause Analysis and manages activities related to the patient safety organization. Oversees various activities of the Patient Safety and Quality Department while aligning with the Medical Center Performance Improvement Plan is assuring compliance with all Patient Safety Indicators, quality, mortality, peer review, staff development and Patient Safety Organization. Advances the integration of the science of patient safety and continuous learning throughout the medical center and HMH network.
This position will require some travel thoughout the network.
Responsibilities
A day in the life of a Manager, Patient Safety at Hackensack Meridian Health includes:
- Oversees the investigation, analysis and development of risk reduction strategies if necessary, of all referred cases.
- Ensures department compliance with all federal and state regulatory and licensing requirements and organizational by laws, rules, regulations and policies and procedures.
- Directs event management, analysis and follow up activities. Ensures preliminary investigational review; facilitates additional and/or team meetings to perform root cause analysis; prepares response for appropriate review; tracks all cases investigated; maintains accurate documentation of all actions; monitors compliance in collaboration with appropriate review personnel.
- Oversight and facilitation of interdisciplinary team/Root Cause analysis meetings: Identify events, near misses and opportunities for quality and system improvement through the use of event reports, claims data and trends identified through data analysis. Direct the assembly of the appropriate team for investigation, analysis and formulation of risk reduction strategies and system improvements. Confirm stakeholder meeting is convened to discuss the operational imperatives of strategies to be integrated while identifying barriers to implementation. Undertake interval assessment of success of strategies and re-convene teams as necessary to ensure goals of strategies are met. Present strategies and follow up at Patient Safety Committee and Safety Council to facilitate continuous learning and scalability where possible. Identify appropriate metrics and analyze data for meaningful change. Encourage continuous learning and transparency throughout the network utilizing standing committees.
- Guide continuous learning and transparency related to patient safety and quality initiatives- Incorporate continuous learning throughout the medical center including evidence based best practices, scalable system improvements, safety stories with lessons learned and needs identified through claims, suits and events. Through analysis of data, distinguish isolated events from trends and deploy resources to address those impacting patient satisfaction, outcomes and ROI. Engage all levels of caregivers and staff in advancing patient safety through HRO training, quality initiatives addressing small wins and when designing system improvement. Utilize a variety of modes to increase the reach including webinar, video conferencing and interactive presentations.
- Oversee learning through conferences, continuing education and web based learning. Nurture and promote continuous learning inside and outside of the medical center. Employ various techniques to enhance performance including role play, presentation skill practice, use of project management tools to streamline work and permit scalability where appropriate.
- Ensures use of appropriate methodologies and relevant tools to opportunities to evidence rapid cycle improvement (i.e. PDSA, FMEA, reliability science, bundle science, process flows).
- Collaborates with Performance Improvement Department as well as with the VP Quality Initiatives and System Improvement and VP, Chief Quality/Safety to ensure that organizational wide safety initiatives are rolled out effectively and risk reduction strategies implemented wherever appropriate.
- Ensures trend analysis is performed and appropriate response to unfavorable trends are developed and deployed.
- Oversees and facilitates scheduled training sessions with the managers, team leaders and staff as needed to educate and implement patient safety and quality improvement principles and goals as a strategy.
- Ensure plans and designs are consistent with internal and external expectations for accreditation, regulatory compliance and public reporting.
- Aligns safety initiatives and performance improvement to the Magnet philosophy.
- Manages yearly completion of staff performance evaluations
- Responsible for managing staff activity & maintaining standards of compliance.
- Assuring all staff act in accordance with the Medical Center Code of Conduct.
- Co-Leads the Safety Committee, and ad-hoc member of the HMH Safety Council
- Support Patient Safety through active participation in the identification of actual or potential patient safety issues.
- Maintains professional growth and development through seminars, workshops and professional facilitations to maintain and extend expertise.
- Adheres to the standards identified in the Medical Center's Organizational Competencies.
Qualifications
Education, Knowledge, Skills and Abilities Required:
- Master's Degree in Nursing, Health Care Administration, JD or other advanced degree or equivalent relevant experience.
- 7-10 years of clinical experience in an acute care hospital.
- Demonstrated leadership skills.
- Strong communication and presentation skills.
- Experience in the use of computer application and software.
- Excellent written and oral communication skills.
- Skills including Word, Excel, Power Point.
Education, Knowledge, Skills and Abilities Preferred:
- Patient Safety and Performance Improvement.
- Case analysis experience.
- Lean training.
Licenses and Certifications Required:
- NJ State Professional Registered Nurse License.
- CPPS within one year of hire.
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
Compensation
Minimum rate of $131,144.00 Annually
HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:
- Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
- Experience: Years of relevant work experience.
- Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
- Skills: Demonstrated proficiency in relevant skills and competencies.
- Geographic Location: Cost of living and market rates for the specific location.
- Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
- Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.
Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.
In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.
HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER
All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.
Our Network
Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility
As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.
Awards We’ve Received
US News & World Report 2025 - HUMC - #1 Hospital in NJ & #1 in NY Metro Area
US News & World Report 2025 - Joseph M. Sanzari Children’s Hospital - #1 Children’s Hospital in NJ and #3 Children’s Specialties in the Nation
US News & World Report 2025 - JSUMC - #5 Hospital in NJ
US News & World Report 2025 - John Theurer Cancer Center at HUMC - Ranked Nationally
US News & World Report 2025 - HUMC - Best Hospitals Honor Roll
Becker’s Hospital Review 2025 - 7 HMH Institutions Named Among Becker’s Top 100
Newsweek 2025 - Hackensack Meridian Health - America’s Greatest Workplaces for Mental Well-Being 2025
Newsweek 2025 - Best Hospitals USA - HUMC - #59
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