Schedule: Flexible start time, 8 hour days, 1 day remote a week 

Key Responsibilities

Patient Safety & Risk Reduction

• Monitor, investigate, and analyze patient safety events, near misses, and incident reports.
• Conduct root-cause analyses (RCA), failure mode & effects analyses (FMEA), and other safety assessments.
• Support initiatives that reduce hospital-acquired conditions, medication errors, and procedural risks.

Regulatory Compliance

• Ensure adherence to standards set by The Joint Commission, CMS, state health departments, and other regulatory bodies.
• Maintain documentation and reports required for audits, surveys, and accreditation processes.
• Coordinate patient safety–related compliance activities across departments.

Education & Training

• Promote a non-punitive, transparent safety culture focused on continuous improvement.
• Data Management & Reporting
• Utilize incident reporting software and quality improvement tools effectively.

Collaboration & Communication

• Partner with nursing, medical staff, quality improvement teams, and administration to implement safety initiatives.
• Participate in safety huddles, committee meetings, and multidisciplinary reviews.

Education:

·         Bachelor’s degree in nursing or health care field is required.

·         An associate’s degree in nursing or health care field with at least 10 years of directly related work experience may be considered in lieu of a bachelor’s degree. 
Licensure/Certification/Registry:

·         Current Illinois license in respective profession is highly preferred but not required.

·         Certified Professional in Patient Safety (CPPS) and/or Certified Professional in Healthcare Quality (CPHQ) preferred but not required. 

·         Certified Just Culture preferred but not required.
Experience:

·         Minimum of 3 years of healthcare related experience is required

·         Demonstrated experience with patient safety and quality improvement principles and practices

·         Demonstrated experience with analyzing patient safety risks and events

·         Demonstrated experience with working effectively with physicians and operational leaders in an interdisciplinary environment
Other Knowledge/Skills/Abilities:

·         Basic understanding of  healthcare accreditation/regulatory compliance activities including but not limited to Joint Commission, Center for Medicare and Medicaid Services (CMS) and state regulations

·         Basic understanding of safety science principles including just culture

·         Demonstrated problem solving skills and ability to consistently exercise sound judgment and initiative in routine situations.  Seeks guidance in novel situations.

·         Demonstrated effective written and verbal communication in performing assigned duties

·         Demonstrated abilities to effectively communicate, collaborate and work through complex and sensitive situations with individuals and groups in a confidential and respectively manner 

·         Demonstrated skills in developing and maintaining good interpersonal relationships