Manager Patient Safety & Regulatory Compliance

Company: Waukesha Memorial Hospital
Location: Waukesha
Posted on: April 25, 2025

Job Description:

Location: Waukesha

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Job Type: Days - 1st Shift
Weekly Hours: 1.0- 40 hours
We Are Hiring: Manager Patient Safety & Regulatory Compliance

Are you passionate about creating a culture of safety and high reliability in healthcare? Do you thrive on building collaborative systems that improve patient outcomes and regulatory compliance? ProHealth Care is seeking an experienced and driven leader to step into the critical role of Manager of Patient Safety & Regulatory Compliance-a key position influencing care quality across our inpatient and ambulatory sites.

What You'll Do:

As the Manager of Patient Safety and Regulatory Compliance, you will lead system-wide strategies that elevate patient safety, ensure regulatory excellence, and proactively manage infection prevention efforts across ProHealth Care.

You'll work with a highly engaged team and partner closely with frontline staff, leaders, and providers to:

Champion Patient Safety:
Drive robust safety systems aligned with The Joint Commission (TJC) National Patient Safety Goals. Lead root cause analyses (RCA), proactive risk assessments, and support Just Culture practices throughout the organization.

Lead and Inspire Teams:
Provide leadership and operational oversight for the Patient Safety, Infection Prevention and Control, and Regulatory Compliance teams. Guide hiring, development, and performance management within your department.

Ensure Compliance & Readiness:
Monitor compliance with all federal, state, and accreditation requirements. Develop and communicate corrective actions, policies, and procedures to maintain a survey-ready environment.

Drive Learning and Improvement:
Lead investigations into safety events, facilitate learnings, and present findings to leadership committees. Share insights across the system to prevent recurrence and build organizational resilience.

Leverage Data for Results:
Use safety event reporting and clinical data to uncover trends, target improvements, and implement evidence-based actions that reduce clinical risk.

Schedule Details: 8:00-4:30, Monday- Friday with flexibility as needed.
What You'll Bring:

Credentials & Education:

Bachelor's degree in Nursing required; Master's degree preferred upon hire, or minimally required within 5 years.

WI RN license required.

CPPS or CPHQ certification (or obtained within 2 years of hire).

Experience:

5 + years in clinical care (nursing or allied health).

At least 5 years in quality, safety, or risk management roles.

Leadership & Communication:

Proven ability to lead interdisciplinary teams and communicate effectively with all levels-from front line to executives and medical staff.

Adept at navigating emotionally sensitive situations, handling confidential data with discretion, and balancing clinical insight with operational savvy.

Core Skills:

Strong organizational, analytical, and problem-solving skills.

Comfortable with presenting complex data and trends to influence action.

Skilled in assessing incidents objectively and facilitating improvement without blame.

Why Join ProHealth Care:

We have nearly 5,000 dedicated clinical and non-clinical employees and physicians who work together every day to serve the health and well-being of our community. At ProHealth Care everyone contributes to the care our patients receive. And, everyone is treated with kindness and respect in our welcoming environment.

This Position Will Offer You:

Engaging and community focused culture
Competitive Salaries
Opportunity for professional career growth
Robust benefits for full-time and regular part-time roles, including Generous PTO; Choices in insurance; HSA; Tuition reimbursement; immediate 401K match; discounted tickets to various entertainment, social, and sporting events

ProHealth Care is an equal opportunity employer and is committed to an inclusive work environment and values the perspectives of our people. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Do You Fit at ProHealth Care?

Here at ProHealth Care, we strive to be the best we can be, while continually improving the care we deliver. With patient care at the center of all we do, it is ingrained into our culture to attract the best and the brightest to ProHealth Care. We have a promise to our patients and employees: The way you should be treated. We live by this commitment and remain dedicated to creating a warm, safe and welcoming environment.

Nearest Major Market: Waukesha
Nearest Secondary Market: Milwaukee

Keywords: Waukesha Memorial Hospital, Oshkosh , Manager Patient Safety & Regulatory Compliance, Executive , Waukesha, Wisconsin