Director Patient Safety - Union Hospital at ChristianaCare

Job Requisition #: JR68265

End Date: 6/30/2023

Location: Elkton, Maryland

Position Type: Management/Executive, Professional

Shift: Day Shift, No Rotation

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Director, Patient Safety - Union Hospital at ChristianaCare

Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare!

The Patient Safety and Accreditation Department is Hiring! We are searching for a Director, Patient Safety, Accreditation & Quality to join our team.

In this role, the Director is responsible for facilitating the development, management and implementation of Union Hospital's initiatives and programs in quality, performance improvement, infection prevention and specialty programs in support of the hospital's goals and mission. Responsible for leading survey readiness programs within Union Hospital to support the organization's mission and values. This role plans, organizes and leads survey and regulatory compliance with The Joint Commission, Centers for Medicare and Medicaid (CMS), Commission on Cancer, Urgent Care and Laboratory accreditation standards as well as all regulatory investigations, announced or unannounced. The Director works to improve processes and programs related to accreditation preparation, annual QA/PI plans as well as ensuring sustained compliance with submitted plans of correction. The Director reports directly to the Chief Medical Officer while working in close collaboration with Nursing, Medical Staff and other disciplines as part of an organizational team to provide focus and education on Regulatory, Quality, Performance Improvement, and Patient Safety issues.

The Director of Accreditation, Patient Safety, and Quality will work closely with hospital leadership on planning, implementing, and/or evaluating the implementation of systems that: create a culture of safety; proactively identify risk; encourage adverse event reporting and detailed analysis of safety events and near misses; facilitate leadership, clinician and staff learning. This role is responsible for oversight of patient safety councils, to include the hospital as well as ambulatory sites. The Director is responsible for the development of strategies to assure the organization continues to proactively address safety and quality concerns to meet the organization's vision.

Christiana care offers:

  • Diverse and Inclusive culture

  • Robust benefit package including full medical, dental and vision

  • 403(b) with a company match

  • Generous paid time off with annual roll-over and opportunities to cash out

  • 12 week paid parental leave

  • Incredible Work/Life benefits including annual membership to, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more

Education and experience requirements:

  • Bachelor's degree in nursing, healthcare or business related field required

  • Master's degree preferred.

  • Minimum of five (5) years of leadership/management responsibilities and relevant experiences as defined in the above.

  • Minimum of 5 years hospital or healthcare industry experience.

  • Knowledge of The Joint Commission, CMS and other regulatory standards related to QAPI, IP, grievances and peer review required.

  • Knowledge of healthcare delivery organizational structure and clinical care required.

  • Organizational and time management skills required.

  • Project management experience required.

  • High level proficiency with data management and analysis required; experience in quality and PI preferred.

  • Education, understanding of, and/or experience in one or more of the following are strongly preferred: IT, PI, utilization management/coding, team facilitation, staff education, RCA/FMEA, peer review design, risk management, grievance resolution, patient safety, human factors, regulatory requirements, and accreditation


  • Current State RN licensure

  • Certification as a Professional in Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CPPS) or Certified Joint Commission Professional (CJCP).

About ChristianaCare

Headquartered in Wilmington, Delaware, ChristianaCare is one of the country's most dynamic health systems, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs. ChristianaCare includes an extensive network of outpatient services, home health care, medical aid units, two hospitals (1,227 beds), a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women's health. ChristianaCare is a not-for-profit teaching health system with more than 260 residents and fellows. We are continually ranked by US News & World Report as a Best Hospital. With our unique, data-powered care coordination service and a focus on population health and value-based care, ChristianaCare is shaping the future of health care.

EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

UPDATE: ChristianaCare is committed to prioritizing the health and safety of our patients and caregivers. As we continue to meet the needs of our caregivers and our community through the COVID-19 pandemic, our commitment to health and safety requires that we take new steps to ensure a safe environment for medical care for our patients and a workplace that avoids preventable harm for our caregivers. For this reason, vaccination for COVID-19 is required for all caregivers at ChristianaCare and is considered a safety standard that is job-related and consistent with business necessity for all caregivers.

Why do WE offer careers full of possibilities?

For the Love of Health.

Inclusion & Diversity

At ChristianaCare, we’re committed to treating everyone with dignity and respect. We believe in a safe, inclusive work environment that fosters collaboration between caregivers from all walks of life. We know that each unique viewpoint is vital in delivering high-quality, safe patient care to everyone who walks through our doors. Our policies, benefits, hiring practices, employee resource groups, and corporate citizenship demonstrate our commitment to inclusion and diversity throughout our system.

Why do we embrace inclusion and diversity? For the Love of Health.

Our Values

We serve together in Love and Excellence. Our unique values, Love and Excellence are bold and powerful, and they are the reason why working for ChristianaCare is special. The behaviors associated with our values guide how caregivers interact with everyone they work with and make for an exceptional work experience. We believe that when you lead with Love, Excellence is inevitable.


ChristianaCare’s comprehensive total rewards package is one of the most competitive in the region. We are proud to offer excellent benefits that reflect the organization’s commitment to being exceptional today and even better tomorrow.

At ChristianaCare, we provide access to high-quality and affordable benefits designed to meet our caregivers where they are. You can tailor your benefits to meet your needs now and adjust them as your priorities change.

Take advantage of ChristianaCare’s wide-ranging benefit offerings from supporting optimal health through medical, prescription, dental and vision coverage to valuable wellness and work/life programs, which include paid parental leave, coverage for infertility and assisted reproductive technologies, an employer-funded short-term disability program, and more.

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Our Region

A Great Place To Live

Our region offers a diversity of cultures, lifestyles, sports and entertainment events, housing options and educational opportunities. Located between Philadelphia and Washington, D.C., our locations provide easy access to two international airports, employment opportunities in a tri-state area, and proximity to some of the nation's top universities and colleges, as well as beaches in MD, DE and NJ!

Why Delaware? Why Maryland?

We Serve Together

For the Love of Health

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