Performance Improvement Program Manager II - RN - Accreditation

Job Details ChristianaCare is seeking an Accreditation & Patient Safety Project Manager to plan, manage and execute initiatives that strengthen accreditation readiness, regulatory compliance, patient safety and quality across our health system. This highly collaborative role partners with clinical, operational and senior leaders to translate complex regulatory requirements into practical, sustainable improvements in patient care. If you have experience in healthcare accreditation, patient safety, quality or performance improvement—and enjoy bringing teams together to solve complex problems—we’d like to hear from you. What You’ll Do Lead systemwide accreditation and continuous readiness initiatives, including tracers, rounds and self-assessments. Interpret accreditation and regulatory standards and help clinical and operational teams translate requirements into action. Identify compliance gaps and partner with leaders to develop and implement sustainable improvement plans. Support preparation for accreditation, state and CMS surveys , including corrective action plans and follow-through. Manage patient safety, quality and performance improvement projects from planning through implementation and evaluation. Monitor outcomes, identify opportunities for improvement and recommend strategies when goals are not met. Facilitate multidisciplinary teams and educational activities that strengthen organizational readiness. Present findings, progress and recommendations to clinical, operational and senior leadership. Qualifications: Bachelor’s degree in healthcare administration, business, nursing, public health or a related field. Bachelor's of Science in Nursing (BSN) preferred. Minimum two years’ work experience in accreditation and/or patient safety preferred. Strong project management, organizational, analytical and communication skills. Ability to manage multiple priorities and effectively influence and collaborate across clinical and operational teams. NAHQ certification within one year of hire. Why ChristianaCare? This is an opportunity to make an impact beyond a single department. You’ll collaborate across ChristianaCare to strengthen the systems, practices and culture that support safe, high-quality care and better patient outcomes . CHRISTIANACARE OFFERS: Full Medical, Dental, Vision, Life Insurance, etc. Two retirement planning offerings, including 403(b) with company contributions. Generous paid time off with annual roll-over and opportunities to cash out. 12 week paid parental leave. Tuition assistance. Incredible Work/Life benefits including annual membership to , access to backup care services for dependents through Care@Work, retirement planning services, financial mentorship, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more! Annual Compensation Range $79,497.60 - $127,212.80 This pay rate/range represents ChristianaCare’s good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law. Post End Date Sep 21, 2026 EEO Posting Statement ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program. To learn more about our benefits for eligible positions visit