Manager of Quality, Patient Safety and Risk

Why work for CMHA York Region?

We are a team committed to our vision of mental health support for all. We offer an inclusive, innovative and high-performance work culture that helps us deliver transformational impact. The organization cares about the growth, safety and well-being of employees and offers:

• Competitive Total Compensation (including salary, benefits, pension)
• HOOPP (Healthcare of Ontario Pension Plan)
• Comprehensive Health Benefits
• Robust Performance and Career Development program
• Learning & development opportunities

We are hiring a Manager of Quality, Patient Safety and Risk!

Closing Date: June 3, 2026

Benefits Package: Full Extended Health & Dental, Life Insurance, EAP, STD, LTD, & Pension Plan. Generous paid time off including vacation, sick, and personal days after the waiting period.

Salary: The salary range for this role is $90,434- $109,591per annum. *This represents steps 1-7 of a seven-step salary grid. Candidate experience and internal equity will be considered when determining the starting salary

Location: The home office is located at 1101 Nicholson Rd, Unit 5, Newmarket, Ontario. Due to the nature of this role, candidates will be required to attend events in and around York Region and South Simcoe with regular travel in York Region.

Job Profile

As a leadership team member, the Manager of Quality, Patient Safety, and Risk provide the expertise, tools, and means to promote continuous quality improvement, a culture of safety, and risk awareness at CMHA. This involves designing and managing processes and activities throughout the organization on an ongoing basis to achieve excellence. The Manager will lead the accreditation process, provide coaching to CMHA staff in the areas of risk management, patient safety, and continuous quality improvement, engage clients/families, staff, and stakeholders in continuous quality improvement, and lead organizational-level QI projects. The Manager is data driven and supports the development, tracking, analysis, interpretation and evaluation of quality, patient safety and risk metrics while also mentoring and guiding relevant stakeholders in the use of data and evidence-based decision making. The Manager also supports the development, implementation and evaluation of the Quality, Patient Safety and Risk operational workplans that are aligned with organizational strategic priorities, in addition to working collaboratively with relevant stakeholders to mitigate, avoid and manage risksThis role is directly supervised by the Senior Director, of Operational Excellence, Integrated Care Planning and Strategic Projects.

Duties Include but are not limited to:

Accreditation

• Manages the full accreditation cycle and acts as CMHA-YRSS Accreditation Coordinator
• Manages the accreditation survey process and works with relevant stakeholders to implements accreditation tools and instruments as appropriate (e.g.: Worklife Pulse, Patient Safety Culture Instrument, self-assessments)
• Leads the interpretation of accreditation tool and instrument results, and supports other leaders in the development of action plans
• Identifies areas of potential non-compliance and assists in developing remedial action to meet compliance
• Develops strategies for on-going compliance, embedding accreditation criteria into daily work so that CMHA YRSS remains in a state of ongoing accreditation preparedness
• Informs and instructs the management team and staff on accreditation processes and requirements to fully meet the accreditation standards
• Coordinates accreditation schedule and hosts accreditation surveyors as necessary
• Ensures accreditation surveyors are provided with appropriate documents and resources as required

Quality Improvement, Patient Safety & Risk Management

• Coach, mentor and support teams engaged in quality improvement (QI) initiatives across the organization, promoting systems thinking and the use QI and patient safety best practices
• Design and deliver QI and patient safety education to clinical and non-clinical interdisciplinary teams to build capacity, as required
• Develop tools, templates, and resources to support quality improvement work
• Provide risk management support and advice as needed regarding high-risk situations, complex cases and patient safety matters
• Contribute to the development, facilitation or successful utilization of risk management tools and frameworks such as Root Cause Analysis, Failure Mode Effect Analysis, safeguard analysis, Lean, Six Sigma, project management etc. as required
• Engages staff, management, clients, families, partnership organizations, and other stakeholders in quality improvement initiatives as appropriate
• Develops staff to lead and coach others on quality improvement tools and practices to promote a quality improvement culture at CMHA
• Provides project management for select quality improvement projects as required
• Participate in internal and external projects, working groups, and other quality related initiatives as assigned, including representing CMHA YRSS in CMHA Ontario’s Quality Leads group
• Supports the VP, Clinical Operations & Director in conducting regular environmental scans for strategic planning purposes
• Supports expansion of the client/family voice in the mental health/addiction system
• Drafts policies and procedures as required
• Provides staff support to the Board level Quality & Safety Committee and the Client and Family Advisory Committee
• Works collaboratively with Health and Safety coordinator on all relevant safety plans
• Complete reports for stakeholders and senior leaders as required

Incident Reporting

• Leads and supports the corporate incident reporting process
• Manages and analyzes incident reporting data (in addition to performance metrics, self-assessments, and patient feedback) to identify improvement opportunities and provide recommendations in alignment with the organization’s strategic plan
• Identifies and communicates potential risks associated with incident report trends to leadership team, and supports the development of mitigation strategies

Requirements:

• Bachelor's degree or diploma from a college or university
• Regulated health professional with registration in good standing with the appropriate college preferred
• Continuing education courses in quality improvement e.g. areas including root cause analysis, client safety, client engagement, client experience, quality improvement plans, dashboard development
• Formal education in incident and risk management
• Lean Six Sigma certification is an asset
• Canadian Risk Management (CRM) designation an asset
• Formal education in project management or PMP designation an asset

Prior Work Experience

• Five years or more experience related to quality improvement, patient safety, and risk management, including experience developing quality scorecards and helping teams evaluate quality data
• Experience facilitating the accreditation process
• Experience in incident management
• Experience in clinical risk management
• Experience working in a community setting
• Experience in project management an asset

Knowledge

• Extensive knowledge of the accreditation process; preferably with Accreditation Canada
• Thorough knowledge of the health care agenda in Ontario
• Extensive knowledge of the issues, concepts and practices related to continuous quality improvement, patient safety and risk management Knowledge of client/family experience tools
• Proficient knowledge of legislation and regulatory environment applicable to the healthcare sector, including the Excellent Care for All Act, Quality of Care Information Protection Act and Privacy Act, Mental Health Act, PHIPA, Occupational Health and Safety Act, and Ontario Human Rights Code

Additional Requirements:

• A valid Canadian Driver's license, a minimum of $1,000,000 third-party liability insurance

Working Conditions:

This role works extensively at a desk using a computer and telephone for up to 7 hours per day in a standard open office setting. Weekend and evening hours may be required.

Disclaimer: In keeping with mental health reform, best practices, funding, and direction this position may later require knowledge, skills, abilities, and working conditions not noted here.

Application Procedure:

Complete the application form and submit the following:

• Cover letter with 300 words or less and tell us why you would want this role and why you should be considered for the position (PDF or Word)
• Resume (PDF or Word)

CMHA-YRSS supports the recovery of people with mental illness and promotes diversity in the workplace. We welcome all applicants including persons with lived experience, women, aboriginal people, people with disabilities, and members of the 2SLGBTQ+, visible minority, and immigrant communities to apply.

While we thank all candidates for their interest, only those selected for an interview will be contacted.