Job Information

St. Joseph Health / Covenant Health Patient Safety Program Manager - Quality Management *Sign on Bonus $20,000* in Napa, California

We are looking for a Patient Safety Program Manager for the Quality Management Department at Queen of the Valley Medical Center.

Location: Napa, CA

Work Schedule: Full Time - 80 Biweekly Hours

Shift: 8-hour, Days

Job Summary:

Provides professional, comprehensive nursing care for patients in an acute care environment. Accountable for the delivery of coordinated, safe, compassionate, therapeutic, evidence-based quality care to patients and families.

The Patient Safety Manager (PSM) will have primary oversight over QVMC's acute care facility-wide patient safety program. The PSM will facilitate teams towards process improvements which support the reduction of medical/health care errors and other factors that contribute to unintended adverse patient outcomes. The PSM provides leadership with safety assessments, coordinates the activities of high reliability, educates on the system-based causes for critical, sentential or high harm events. The PSM consults with management and staff and communicates literature-based ideas regarding effective patient safety strategies to others within the organization to facilitate creating a culture of safety for QVMC. The PSM is responsible for working collaboratively with clinical leaders and medical staff for the purpose of measurably improving patient safety and reducing patient harm/errors. This requires the systematic implementation of effective, reliable care practices and developing an appropriate institutional patient safety culture. The PSM will also assist/co-lead Accreditation by supporting on-site surveys and investigations, such as Joint Commission, California Department of Health (CDPH), etc. and fill in during absences of the Director of Clinical Excellence. The PSM will facilitate the good catch committee and participate in other committees as assigned to help ensure a safe environment for patients, staff, and visitors.

Essential Functions:

• Effectively advocates for ethical and holistic care by partnering in care planning.

• Assists the Director of Clinical Excellence to review, and refinement of the scope of the Patient Safety Program within the SWR ministries on an annual basis.

• Coordinate the activities on the Culture of Safety and High Reliability journey for QVMC and act as the northern California liaison for HPI.

• Partner with the Risk Manager to help with the investigation of patient safety issues in coordination with leadership. Support and improve mechanisms for internal communication of patient safety related information.

• Assist with Root Cause Analysis or Intensive Reviews of internal safety events in collaboration with Risk Management and the Director of Clinical Excellence.

• Based on identified risks, gives recommendations on processes for conducting proactive risk assessments (FMEA) to the Clinical Excellence and leadership teams.

• Actively participates/facilitates in performance improvement activities including QI teams: identified potential QI problems and actively participates in solving problems identified.

• Design and implement educational presentations that facilitate the understanding and implementation of patient safety standard for QVMC on an ongoing basis.

• Support and encourage event reporting throughout the organization through a Just Culture reporting system.

• Supports the development of a recognition program aimed at improving patient safety, for example the Good Catch Program.

• Acts as the backup and assists with the daily screening and management of the unusual incident reporting system.

• Facilitates and assists with the Survey Readiness AMP tracer program.

• Acts as the backup administrator for the policy governance program.

• Assist the Director of Clinical Excellence with Accreditation by supporting on-site surveys and investigations, such as Joint Commission, etc., and fill in during absences of the Director of Clinical Excellence.

• Oversee the publication of the weekly QVMC newsletter “The Q”.

• Daily contacts with hospital staff to maintain an understanding of the hospitals’ patient safety practices, and to be an accessible resource to staff in matters of patient safety.


• Ability to use independent, critical judgment in all aspect of patient care delivery.

• Expertise in group facilitation and evaluation methodologies, data display and statistics.

• Strong professional, organizational and interpersonal skills for working with teams, physicians, committees and senior management.

• Knowledge of quality improvement principles and issues regarding patient safety.

• Proficient in Word, Excel, and PowerPoint.

• Preferred: Lean/Six Sigma.

Minimum Position Requirements:


  • Bachelor's Degree

  • Bachelor's Degree in Nursing, or 4 additional years of related experience.


  • 1 year recent experience in nursing; 2 years preferred.

  • 5 years experience in an acute care hospital setting.

Licenses/Certifications: If RN: Licensed to practice as a Registered Nurse in the State of California or other clinical field requiring licensure issued by the State of California.

Preferred Position Qualifications:

Education: Bachelor's Degree in Healthcare related field such as nursing, pharmacy or ancillary clinical service.


  • Management experience and/or experience with risk and the implementation of HPI and cause analysis.

  • Experience in healthcare quality, accreditation, and/or patient safety.

Licenses/Certifications: Additional certifications; may be required, based on assigned work area(s).

For 50 years, Queen of the Valley Medical Center has been the premiere medical facility in the Napa Valley. Our long history of providing high quality and caring service is founded on four core values: Compassion, Dignity, Justice, Excellence and Integrity. These central principles inspire us to reach out to those in need and to help heal the whole person-mind, body and spirit.

Queen of the Valley Medical Center combines the region's most qualified physicians and staff with the most advanced technology available. Because we have such high standards of care, our programs have been recognized regionally and nationally for their demonstrated success of outcome and care which is par with university hospitals.

Queen of the Valley Medical Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Queen of the Valley Medical Center complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Positions specified as "on call/per diem" refers to employment consisting of shifts scheduled on as "as needed basis" to fill in for staff vacancies.

Company: Queen of the Valley Medical Center

Category: Non- Clinical Lead/ Supervisor/ Manager

Req ID: R353925