Responsible for leading and/or facilitating patient safety and quality improvement projects in accordance with the annual Quality and Safety Plan. Provides management support and guidance to organizational leaders and clinicians in accordance with the Clinical Performance Improvement Peer Review Program of the Medical and Dental Staff. Facilitates and/or promotes organizational regulatory compliance according to the requirements of The Joint Commission (TJC), District of Columbia Department of Health (DCDOH) licensure and Centers for Medicare and Medicaid (CMS). EDUCATION: Bachelor's degree required in a relevant discipline such as Nursing, Healthcare Administration, Industrial Engineering, Organizational Development, Human Factors, or equivalent with additional training in quality improvement processes required. PRIOR EXPERIENCE: Three years of clinical or operational experience in a large acute care hospital. Two years of collective experience in a healthcare quality management/systems and patient safety. Must have an understanding of project management and be able to utilize project management concepts and tools as appropriate. Experience as a team leader/ facilitator with demonstrated problem solving skills; communication skills to effectively write reports and make formal presentations. CERTIFICATION/REGISTRATION/LICENSURE: Certification as a professional in Healthcare Quality (CPHQ), Certified Patient Safety Officer (CPSO), Lean Sigma, or other American Society for Quality (ASQ) certification or relevant credential is preferred; but is required within 12 months of hire. Standing member of a healthcare quality improvement or patient safety professional society is required within 12 months of hire.