Purpose: provides strategic leadership over patient safety, risk management, and performance improvement initiatives to ensure compliance with regulatory standards (CMS, Joint Commission). They analyze data, develop policies, and collaborate with clinicians to enhance care quality, reduce harm, and improve patient experience.
What you will do:
- Regulatory Compliance: Ensures the hospital meets all national, state, and accreditation standards.
- Patient Safety & Risk Management: Oversees incident reporting, harm reduction initiatives, and root cause analyses.
- Performance Improvement: Identifies opportunities for improvement in clinical care and operational efficiency.
- Data Analysis & Reporting: Monitors quality metrics and uses data to trend performance.
- Staff Education: Trains staff and leadership on quality standards and patient safety policies.
Minimum Qualifications:
* Graduate of an accredited school of Professional Nursing. Bachelor's Degree is required. Master's degree is preferred.
* Candidates with Associates Degree must be working towards BSN or health care related degree, e.g. Health Care Administration. CCM is preferred.
* Minimum of three (3) years of clinical practice in a health care setting is required. * Previous Utilization Review or Case Management experience is preferred.
* Basic experience using computer (word processing skills minimum) is required.
* Experience in changing healthcare processes preferred, such as Quality Improvement Team participation.
Licensure: * Current Florida Nursing License required.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Top Skills
What We Do
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity Health system includes 88 hospitals, 131 continuing care locations, the second largest PACE program in the country, 125 urgent care locations and many other health and well-being services. Based in Livonia, Michigan, its annual operating revenue is $20.2 billion with $1.2 billion returned to its communities in the form of charity care and other community benefit programs.







