Director, Quality & Patient Safety – ST Health Presbyterian

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    "description": "Purpose:Provides administrative leadership and overall direction to the Quality, Patient Safety, Regulatory and Infection Control functions.Responsibilities:Recommend changes to policies and procedures to senior leadership. Provide oversight of Policy and Procedure Committee and the revisions and improvements to the process.Provides administrative leadership and overall direction to the Quality, Patient Safety, Regulatory and the Infection Control functions.Develop, implement, or utilize appropriate existing system data management capability that supports clinical program initiatives, decision support and regulatory compliance.Implement programs and activities, which support the organization's quality goals. Provide oversight for all appropriate ST Health pay for performance programs.Complete performance reviews to maintain compliance.Serve as the senior internal consulting resource for clinical measurement, analysis and reporting.Make decisions and evaluate outcomes with adequate knowledge, information and consideration of physician stakeholders and members of all departments.Ensure budgetary standards/expectations are met by monitoring and maintaining expenses and man-hour utilization.Serves as the local leadership contact, in conjunction with Patient Safety staff, for the ST Health Risk Management department and collaborates as such.Provide collaborative leadership on a consistent basis that smooth the interface points within the complex matrix environment that includes ST Health, employed physicians, private practice, and multiple clinical sites.Assume leadership role in the development of process improvement opportunities related to changes in clinical practice to support organizational goals. Apply innovative and creative skills to ensure that the process improvement opportunities are identified and addressed as well as meet the needs of quality and safety goals and meets regulatory guidelines.Works collaboratively with CQSI to ensure current and future obligations are met with respect to Public Reporting of quality outcomes.Develop relationships and integrate all team members including physicians into the team's work. Report program findings, results, and changes at various settings and meetings. Form relationships with various setting in the continuum of care based on program issues/work.Conduct an analysis of clinical variance trends and recommendations for clinical practice changes. Investigate and implement creative methods to improve process.Provide leadership and preparation for Regulatory Compliance including DOH Licensure and Joint Commission Accreditation SurveysEffectively participate and engage in activities to support and achieve organizational strategic goals including an analysis of quality programs and patient care outcomes.Demonstrate an interactive leadership style that influences thinking and reshapes the quality environment.Demonstrate a collaborative leadership role in the External Regulatory Survey process, to ensure compliance and continual readiness for accreditation and licensure surveys.Lead multidisciplinary teams, as assigned, in the development and ongoing progress of clinical outcomes to achieve organizational objectives of reducing resource utilization while promoting quality patient outcomes.Provide administrative oversight for Infection Control including surveillance, data collection, education, and collaboration to reduce HAI's.Demonstrate responsiveness to the changing priorities and targets in the field of quality and patient safety.Serves as Facility Contact for PHC4 and PHCQA.Demonstrate initiative to address complex, high-risk problems and translate them into opportunities and challenges with all levels of management.Provide input into CQSI data analytics development and reports.Coach and advise professional staff in the formulation of their development plan.Manage all human and financial aspects of the department to assure that standards for quality and cost effectiveness are met. Prepare annual man-hours; expense and capital budget for responsible cost centers based on an analysis of needs of patients, clinical programs, staff and physicians.Collaborate with professionals across ST Health to identify and support joint educational opportunities to change clinical practice. Active participation on System Quality, Safety, Regulatory and Infection Control teams.Master's Degree required7-10 years of healthcare related experience required, with 5-7 years of supervisor experience preferredCertification in related area of expertise preferredAdvanced interpersonal communications skills to assure a collaborative positive culture of quality and safety Knowledge of various aspects of quality and process improvement through IHC, IHI, Lean Systems management and other techniquesExperience in effective presentation of quality efforts to medical professionals of multiple disciplines Excellent interpersonal skills and demonstrated Leadership qualities Knowledge of Clinical PracticesKnowledge of regulatory requirements of multiple accrediting organizations including TJC, DOH and CMS Advanced analytic skills Ability to effective and succinctly communicate verbally and in writing to all levels of the organizationsLicensure, Certifications, and Clearances: CPHQ (Certified Professional in Healthcare Quality) preferredAct 34  ST Health is an Equal Opportunity Employer/Disability/Veteran",
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type: 'JobPosting'
title: 'Director, Quality & Patient Safety - ST Health Presbyterian'
url: 'https://pepper2.socialhost.dev/job/23362482/director-quality-patient-safety-st-health-presbyterian/'
job_id: '23362482'
organization: 'SFX Demo'
location: 'Pittsburgh, PA'
employment_type: 'Full-Time'
date_posted: '2026-01-22T16:30:20.247Z'
date_modified: '2026-05-18T09:14:25.253Z'
---

# Director, Quality & Patient Safety - ST Health Presbyterian

- Location: Pittsburgh, PA
- Employment type: Full-Time
- Category: Other
- Shift: Day Job
- Business unit: ST Health Presbyterian
- Pay: not listed — this posting doesn’t list a range yet. Your recruiter can share it before you apply.
- Organization: SFX Demo
- Posted: 2026-01-22T16:30:20.247Z

## Description

**Purpose:**
Provides administrative leadership and overall direction to the Quality, Patient Safety, Regulatory and Infection Control functions.

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