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The Director leads enterprise-wide initiatives to ensure the highest standards of patient safety, and regulatory compliance. This role partners with senior leadership to design, implement, and monitor programs that align with organizational goals and accreditation requirements.
Job Responsibility:
Champion a culture of safety through education, reporting systems, and proactive risk mitigation
Implement evidence-based practices to reduce harm and improve outcomes
Oversee root cause analyses for adverse events
Maintain readiness for accreditation surveys (e.g., Joint Commission, CMS, DOH)
Interpret and apply regulatory changes to organizational policies
Mentor departmental leaders and foster interdisciplinary collaboration
Serve as a liaison with external agencies and professional organizations
Adheres to TMCH organizational and department-specific safety, confidentiality, values, policies and standards
Performs related duties as assigned
Requirements:
Master's degree in nursing, public health, or related field
Eight (8) years of experience in healthcare quality and safety leadership
If clinical, current license permitting work in Arizona
CPHQ or CIC certifications preferred
Ability to design and implement enterprise-wide initiatives that align with organizational goals and accreditation requirements
Skilled in developing safety strategies and overseeing their execution across clinical and operational areas
Proficient in monitoring quality metrics, leading root cause analyses for adverse events, and using data to drive improvements
Comfortable with analytics tools and methodologies to support evidence-based practices
Strong communicator, able to mentor departmental leaders and foster interdisciplinary collaboration
Skilled in change management, guiding teams through regulatory changes and new safety protocols
Experience serving as a liaison with external agencies and professional organizations
Ability to mentor and develop leaders within the organization, promoting a culture of safety and continuous improvement
Deep knowledge of regulatory standards (e.g., Joint Commission, CMS, DOH) and evidence-based best practices
Ability to interpret and apply regulatory changes to organizational policies