Responsible for evidence-based care and clinical excellence by using the techniques of system design, reengineering, project management, patient safety, quality improvement, outcomes measurement, and statistical analysis to increase compliance rates as measured by nationally standardized benchmarks and definitions and corporate requirements. This includes: project management, training, data management, and activities to support regulatory compliance. Principal Accountabilities: 1. Project Management: Facilitates/assists with quality improvement projects for teams and/or departments as assigned. Engages in activities to identify potential patient safety risks and initiatives to improve patient safety. 2. Training: Provides in-service training in patient safety principles/practices, quality management, performance improvement techniques and organizational operating procedure standards. Participates in Shared Governance Councils, Hospital Quality/Patient Safety meetings providing guidance and instruction in PI Techniques 3. Data Management: Collects, compiles, analyzes and reports quality data. Monitors effectiveness and adherence with corrective action plans and reports findings to the Director of Quality and Patient Safety or designee. 4. Regulatory Compliance: Participates in activities to monitor and ensure ongoing compliance with quality and regulatory standards such Joint Commission, State Department of Health, Centers for Medicare and Medicaid, payers and other agencies. Provides support during accreditation/regulatory surveys. 5. Other related duties as assigned. Education/Experience 1. Bachelor's degree required (Nursing preferred) 2. 3 years of quality improvement/project management in a healthcare environment (hospital preferred) 3. Experience in leading and facilitating project teams. 4. 3 years of clinical experience within an acute care hospital (preferred) (may substitute for BSN requirement) 5. Current NJ Registered Nurse Licensure (preferred) At Atlantic Health System, our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include: + Morristown Medical Center, Morristown, NJ + Overlook Medical Center, Summit, NJ + Newton Medical Center, Newton, NJ + Chilton Medical Center, Pompton Plains, NJ + Hackettstown Medical Center, Hackettstown, NJ + Goryeb Children's Hospital, Morristown, NJ + CentraState Healthcare System, Freehold, NJ + Atlantic Home Care and Hospice + Atlantic Mobile Health + Atlantic Rehabilitation We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. Atlantic Accountable Care Organization is one of the largest ACOs in the nation, and we are a member of AllSpire Health Partners. We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades: + 100 Best Companies to Work For ® and FORTUNE® magazine for 15 years + Best Places to Work in Healthcare - Modern Healthcare + 150 Top Places to work in Healthcare - Becker's Healthcare + 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 - AARP + Gold-Level "Well Workplace": Wellness Council of America (WELCOA) + One of the 100 Best Workplaces for “Millennials” Great Place to Work® and FORTUNE® magazine + One of the 20 Best Workplaces in Health Care: Great Place to Work® and FORTUNE® magazine + Official Health Care Partner of the New York Jets + NJ Sustainable Business Since 1932, Newton Medical Center has been providing care to the people of Sussex and warren counties in New Jersey, Pike County in Pennsylvania and southern Orange County in New York. We are home to the Center for Breast Health, the only one of its kind in Sussex County, addressing all of a woman’s breast health needs with state-of-the-art technology, resources, education, support and follow-up care. Newton Medical Center recently achieved the American Nurses Credentialing Center’s Pathway to Excellence designation and is one of a select few health care facilities in New Jersey accredited by the Intersocietal Accreditation Commission (IAC) in all three echocardiography procedures: adult transthoracic, adult transesophogeal and adult stress. Atlantic Health System offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted: Team Member Benefits + Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members) + Life & AD&D Insurance. + Short-Term and Long-Term Disability (with options to supplement) + 403(b) Retirement Plan: Employer match, additional non-elective contribution + PTO & Paid Sick Leave + Tuition Assistance, Advancement & Academic Advising + Parental, Adoption, Surrogacy Leave + Backup and On-Site Childcare + Well-Being Rewards + Employee Assistance Program (EAP) + Fertility Benefits, Healthy Pregnancy Program + Flexible Spending & Commuter Accounts + Pet, Home & Auto, Identity Theft and Legal Insurance ____________________________________________ Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer. EEO STATEMENT Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.