CentraState Healthcare System

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Performance Improvement/Patient Safety Coordinator

Performance Improvement/Patient Safety Coordinator

Position Type 
Regular Full-Time
CentraState Medical Center
Posted Date 
Work Schedule 

More information about this job


CentraState's mission 

To enhance the health and well being of our communities through the compassionate delivery of quality healthcare.


Our vision 

To have an organization of caring professionals trusted as our community's healthcare system of choice for clinical excellence.


We are dedicated to service excellence for our patients, residents, families and community.


Compassion, sensitivity and integrity, for those we serve as well as those with whom we work, are essential.


We are also committed to an environment that supports continuous quality improvement and positive change.


This environment is enhanced by education that improves our individual and collective capabilities. We understand that cooperation with individuals and institutions with whom we share common goals is integral to the fulfillment of our mission.



E-mail Recruitment Team


Scope of Service:

  • Provides support to the VP Quality and Patient Safety in the design, development, and management of System projects and initiatives related to the strategic planning initiatives relevant to performance improvement, patient safety and high reliability.

Job Specific Duites:

  • Assists in the development and implementation of patient safety, performance improvement, regulatory readiness and high reliability programs.
  • Provides system administrator support for safety reporting system, reviews safety events and provides the necessary follow-up.
  • Tracks and trends the safety data and develops appropriate action plans and risk-modification strategies.
  • Conducts root cause analyses in response to unexpected occurrences that caused or may cause serious physical or psychological injury.
  • Assists with submission to the New Jersey Patient Safety Division of Department of Health and other regulatory agencies.
  • Produces and submits clinical data reports as requested by administration, clinical departments or committees, using available information systems and databases.
  • Participates in statistical analysis, interpretation and monitoring of clinical data.
  • Establishes and supports organizational multidisciplinary and unit-based teams for safety and performance improvement initiatives.
  • Serves as a safety/performance improvement resource by collaborating with personnel and departments involved in patient safety and performance improvement activities.
  • Demonstrates and applies knowledge of performance improvement processes and regulatory standards to provide project support and data collection assistance for the improvement of organizational or departmental systems and processes.
  • Ensures and monitors compliance with the national patient safety goals and results of the patient safety culture survey; reviews and monitors actions from safety events.
  • Conducts proactive risk assessments to mitigate loss and promote patient safety.
  • Integrates knowledge of external standards, including Joint Commission and other state and federal regulations pertaining to quality and safety.
  • Conducts research and promotes implementation of evidence-based guidelines.



  • Bachelors degree required.
  • Masters degree preferred.

Work Experience:

  • Two to three years of quality management/performance improvement, safety and/or risk management experience required.
  • Experience in an acute care environment required.

Licenses and Certifications:

  • Current NJ RN license preferred.
  • Job related certification preferred.

Required Knowledge and Skills:

  • Strong critical thinking skills.
  • Strong interpersonal, writing, verbal and analytical skills.
  • Must be a self-starter and work well under multiple deadline constraints.
  • Must be proficient with the Microsoft Office Suite.
  • Experience with Microsoft Visio, Access, and Project Management desired.

Physical Demands

Working Conditions:

Normal office environment with occasional visits to locations across the System and off-site.



Daily potential for exposure to blood and/or body fluids.


Physical Demands:

Sitting - Frequently

Standing/Walking - Occasionally

Kneeling/Stooping - Rarely

Bending/Climbing - Never

Reaching above shoulder, at waist or below waist - Rarely

Lifting/Pushing or Pulling up to 40 pounds - Never

Lifting/Pushing or Pulling over 40 pounds - Never

Typing/Filing - Frequently 


Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.