Manager- Quality, Safety & Accreditation

At Gillette Childrens we believe every child deserves the safest highest-quality care possible. TheManager of QualitySafetyand Accreditationplaysa central rolein making that a reality. This leader drives the strategy and day-to-day execution of Gillettes quality improvementinfection control surveillance and preventionpatient safety and accreditation programs. This is a highly visible collaborative role for someone who thrives at the intersection of data people and systemschange. The manager will partner with clinical and operational leaders across the organization to build and sustain a culture where safety is everyonesresponsibilityand continuous improvement is a shared value.

This is a hybrid position with a minimum expectation of working onsite 50% of the time. The primary work location is our main campus in downtown St. Paul.

Compensation & Benefits

The annual salary range for this opportunity is $117478 to $176217 with a median salary of $146848/annually. Pay is dependent on several factors including relevant work experience and internal equity. Salary is just one component of the compensation package for employees. Gillette supports career progression and offers a competitive benefits package including a retirement saving match tuition and certification reimbursement paid time off and health and wellness benefits for .5 FTE and above.

Primary Job Responsibilities

Quality and Patient Safety Leadership

• Own the strategy and execution of Gillettes quality improvement patient safety infection preventionand accreditationpreparednessreviewprograms.
• Partner with clinical and operational leaders to build systems that proactivelyidentifyrisk reduce harm and create lasting improvements in care delivery.
• Lead the organizations event review process including serious safety event (SSE) investigations root cause analyses and follow-through on corrective actions.
• Oversee the infection control and prevention program.
• Champion a just culture and high-reliability mindset throughout the organization helping teams move from reactive to proactive safety practices.
• Serve as a visible and trusted resource for staff at all levels who want to raise safety concerns or improve care processes.

Accreditation and Regulatory Compliance

• Maintain continuous survey readinessforallapplicable regulatory bodies including but not limited to the Joint Commission CARF CAPetc.
• Lead the planning coordination and response for all accreditation surveys including unannounced visits.
• Track regulatory changes and translate new requirements into actionable plans for impacted departments.
• Ensuretimelyresolution of survey findings and deficiencies in partnership with operational leaders.
• Serve as the organizations primary point of contact foraccreditationbodies and regulatory agencies.

Data Analytics and Reporting

• Develop andmaintainquality dashboards and scorecards that provide clear real-time visibility into performance across safety quality and compliance metrics.
• Provide regular quality and safety reports to senior leadershiptheQuality and Safety Committee of the Board andrelevant internal committees.
• Use data analytics including predictive tools where available to identify emerging risks and improvement opportunities.
• Support departments in building their own measurementcapabilitiesso quality improvement is distributed not centralized.

Education Training and Team Development

• Design and deliver quality and safety education for clinical and non-clinical staff during onboarding and on an ongoing basis.
• Build the organizations internal capacity for performance improvement through coaching mentoring and hands-on facilitation support.
• Lead develop and manage a team of quality and safety professionals fostering a collaborative high-performingdepartmentculture.
• Represent Gillette Childrens at external quality and safety forums contributing to the broader learning community.

Departmental Management

• Manage department budget staffing and operations within established financial parameters.
• Conduct regular performance evaluations and provide ongoing meaningful feedback to direct reports.
• Collaborate with the COO and other senior leaders on strategic planning and priority-setting for quality and safety.

Qualifications

Required

• Bachelors degree in healthcare administration public health nursing business orrelatedfield. A masters degree is strongly preferred.
• Previous management experience or other leadership experience
• Five or more years of progressive experience in quality patient safety or accreditation in an acute care or specialty hospital setting.
• Certified Professional in Healthcare Quality (CPHQ) or commitment to obtain certification within one year of hire.

Knowledge Skills and Abilities

• Knowledge of hospital quality systems patient safety science evidence-based practice standards (including NIH-aligned frameworks) CMS Conditions of Participation state regulations and accreditation requirements with demonstrated experience leading accreditation surveys and maintaining ongoing readiness.
• Proven ability to use data to drive decision-making including experience with performance dashboards outcome metrics quality reporting tools and translating complex data into compelling narratives that motivate action at all organizational levels.
• Expertise in quality improvement and patient safety methodologies including root cause analysis failure mode and effects analysis (FMEA) systems thinking and the design and implementation of sustainable organization-wide improvement initiatives.
• Demonstrated success leading cross-functional teams building strong partnerships with clinical and administrative stakeholders and coaching others in quality improvement principles and practices.
• Strong leadership change management and facilitation skills with the ability to navigate ambiguity engage teams and drive results in complex environments.
• Excellent written verbal and presentation skills with the ability to communicate complex concepts clearly and effectively to diverse audiences.
• Experience managing budgets leading direct reports and overseeing departmental operations.
• Proficiency with electronic health record (EHR) platforms quality management systems and data visualization and reporting tools.
• Commitment to health equity and an understanding of how bias and social determinants of health influence patient safety quality outcomes and care delivery.
• Exceptional organizational skills with the ability to manage multiple priorities while maintaining attention to detail.

Preferred

• Experience in a pediatric rehabilitation or complex care specialty setting.
• Lean Six SigmaEvidence-Based Practiceor other structured performance improvement certification or training.
• Familiarity with high-reliability organization (HRO) principles and implementation.
• Experience presenting at regional or national quality and safety conferences.
• Knowledge of emerging technologies in quality management including predictive analytics and AI-enabled safety tools.

At Gillette Childrens we foster a culture where every team member feels a sense of belonging and purpose. We are dedicated to building an environment where all feel welcomed respected and supported. Our values are embedded at the heart of our culture. We act first from love embrace the bigger picture and work side-by-side with our patientsfamilies and colleagues to help every child create their own story. Together we work to ensure patients of all backgrounds and abilities reach their full potential.

Gillette Childrens is an equal opportunity employer and will not discriminate against any employee or applicant for employment because of an individuals race color creed sex religion national origin age disability marital status familial status genetic information status with regard to public assistance sexual orientation or gender identity military status or any other class protected by federal state or local laws.

Gillette Childrens is a global beacon of care for patients with brain bone and movement conditions that start in childhood. Our research treatment and supportive technologies enable every child to lead a full life defined by their dreams not their diagnoses.

To learn more about working at Gillette Childrens please visit Childrens participates in the U.S. Department of Homeland Security (DHS) E-Verify program which is an internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. If E-Verify cannot confirm that you are authorized to work Gillette will give you written instructions and an opportunity to contact DHS or the Social Security Administration (SSA) to resolve the issue before Gillette takes any further action. Please visit for further details regarding e-verify.

Required Experience:

Manager