**Job Summary and Responsibilities**

As our Licensed Quality Patient Safety Program Manager, you will be instrumental in supporting, coordinating, and facilitating all Quality Management (QM), Patient Safety (PS), and Performance Improvement (PI) activities for the hospital and medical staff. This includes the design, planning, and implementation of initiatives focused on clinical quality improvement, risk reduction, and enhancing patient experience. You will serve as a vital resource to employees, management, and physicians on all aspects of quality management and regulatory compliance.

Every day you will proactively coordinate and lead performance improvement teams, conduct root cause analyses (RCA), and assist with Failure Mode and Effects Analyses (FMEA). You'll play an integral role in ensuring compliance with regulatory bodies like CMS HIQRP/HOQRP, The Joint Commission (TJC) and Leapfrog, participating in data collection and reporting of process and outcome meas...