Sr. Performance Improvement Program Manager-RN - Accreditation

Job Details Make a Difference in Quality, Safety, and Accreditation Excellence ChristianaCare is seeking an experienced Senior Project Manager, Accreditation to lead and support system-wide accreditation, regulatory readiness, and patient safety initiatives. In this highly visible role, you will partner with clinical, operational, and executive leaders to develop and implement strategic programs that drive continuous improvement, regulatory compliance, and exceptional patient outcomes. The ideal candidate is a collaborative healthcare leader with strong project management expertise, a deep understanding of accreditation and regulatory standards, and a passion for advancing quality and safety across a complex healthcare environment. What You'll Do Lead accreditation and regulatory readiness initiatives across the health system. Plan, manage, and execute complex projects that support patient safety, quality improvement, and accreditation compliance. Facilitate continuous readiness activities and ongoing assessments of accreditation and regulatory standards. Conduct gap analyses and collaborate with stakeholders to develop and implement corrective action plans. Interpret new regulatory requirements and assess organizational impact. Lead multidisciplinary teams focused on accreditation, Root Cause Analysis (RCA), Failure Mode and Effects Analysis (FMEA), and patient safety initiatives. Develop tools, templates, audits, tracers, and survey processes that support accreditation readiness. Partner with senior leadership to establish project goals, implementation strategies, and performance metrics. Drive organizational change through coaching, education, stakeholder engagement, and evidence-based practice implementation. Develop and maintain policies, procedures, and resources that support project objectives and regulatory compliance. Serve as a liaison between accreditation organizations, regulatory agencies, and internal stakeholders. Monitor project outcomes, evaluate effectiveness, and identify opportunities for improvement. Prepare reports, presentations, and updates for leadership and organizational committees. Collaborate with clinical and operational teams to promote a culture of safety, quality, and continuous improvement. Support educational initiatives and learning activities related to accreditation and patient safety programs. Required Qualifications: Master's degree in Nursing OR Bachelor's degree in Nursing and a Master's degree in a healthcare-related field. Current Delaware RN license or Compact RN licensure At least three years of experience leading complex, enterprise-level projects across multiple departments or service lines At least three years of experience utilizing quality improvement methodologies, patient safety principles, or Root Cause Analysis (RCA) Demonstrated success leading multidisciplinary teams and driving sustainable organizational change Experience managing projects involving quality, safety, accreditation, regulatory compliance, or performance improvement Ability to influence and collaborate effectively with clinical, operational, and executive stakeholders Certification through the National Association for Healthcare Quality (NAHQ) within one year of hire Preferred Qualifications: Formal project management training Lean Six Sigma Green Belt certification Experience mentoring healthcare professionals Knowledge of: Accreditation and regulatory standards Performance improvement methodologies Safety science Systems thinking Outcome analysis Health information technology Utilization management Team facilitation and education What Sets You Apart Strong project management and organizational skills Excellent facilitation, presentation, and communication abilities Ability to lead change and achieve results through influence and collaboration Strong analytical and problem-solving skills Commitment to continuous improvement, patient safety, and healthcare excellence ChristianaCare Offers: Incredible Work/Life benefits including medical/dental/ vision insurance coverage on your first day of employment, paid PTO, retirement plans, twelve weeks of paid parental leave, annual membership to , access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, 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 $85,862.40 - $137,384.00 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 Oct 30, 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