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Recruitment #21-000886-0001




MDH, Springfield Hospital Center, Sykesville, MD

Main Purpose of Job

The main purpose of this position is to provide leadership for continuous performance improvement and safety in the hospital. This position will also manage staff in Performance Improvement, Risk Management, and Patient Safety.

Job duties:

  • Provides leadership to the hospital for performance improvement and safety issues including acting as chair for the PISC. The position oversees performance improvement, risk management, and patient safety.
  • Identifies areas for targeting continuous improvement and risk reduction. Develops action plans to address these areas. Monitors implementation of the plans and develops tools to measure the success.
  • Advises leadership and other key staff regarding their roles related to the requirements of (and changes in requirements of) licensing/accrediting bodies (TJC, OHCQ, CMS, etc.).  Assure that staff understand the meaning of and their roles in implementing and maintaining these requirements. Monthly shares how the hospital is performing in accordance to The Joint Commission and the federal government level of the Center for Medicaid/Medicare services. (Examples: tracer methodology, changing indicators such as staff effectiveness, etc.)
  • Develops tools, educational materials, etc. to convey information regarding compliance with standards, changes in standards, elements of performance, etc.  Develops methods for conveying and educating staff on information to be shared.


Education: A Bachelor's degree from an accredited college or university.

Experience: Six years of experience in administrative staff or professional work. Two years of this experience must have involved one or more of the following: the supervision of other employees, overseeing and coordinating the general operations of a unit, applying rules and regulations, or exercising responsibility for the development of policies or procedures.


1. Additional experience in administrative staff or professional work may be substituted on a year-for-year basis for the required education.

2. Additional graduate level education at an accredited college or university may be substituted at the rate of 30 semester credit hours on a year-for-year basis for the required experience.

3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work related to the administration of rules, regulations, policy, procedures and processes, or overseeing or coordinating unit operations or functioning as a staff assistant to a higher ranking commissioned officer on a year-for-year basis for the required education and experience.


Preferred candidates should possess the following:

  • At least one year of supervisory experience; and,
  • Experience working with joint commission standards and or surveyors.


Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operator's license valid in the State of Maryland.


Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. The evaluation may be a rating of your application based on your education, training and experience as they relate to the requirements of the position. Therefore, it is essential that you provide complete and accurate information on your application. Please report all related education, experience, dates and hours of work. Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview). 

Complete applications must be submitted by the closing date. Information submitted after this date will not be added. 

Incorrect application forms will not be accepted. Resumes will not be accepted in lieu of a completed application.

Candidates may remain on the certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.



Online applications are highly recommended. However, if you are unable to apply online, the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment.  No postmarks will be accepted.

If additional information is required, the preferred method is to upload.  If you are unable to upload, please fax the requested information to 410-333-5689. Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.

For questions regarding this recruitment, please contact the MDH Recruitment and Selection Division at 410-767-1251.

If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or

Appropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service 1-800-735-2258.

We thank our Veterans for their service to our country.

People with disabilities and bilingual candidates are encouraged to apply.

As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.