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.nEducation: • Bachelor’s degree in nursing or health care field is required. • An associate’s degree in nursing 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