Director, Risk Management & Patient Safety - Hospital Risk Management - Mount Sinai Morningside - Full Time - Monday-Friday, 9am-5pm

The Director for the Risk Management and Patient Safety Department is responsible for overseeing the day to day operations of the department in collaboration with the Executive Director. This includes the coordination and investigation of Serious Adverse Events (SAE), including potentially reportable incidents to the New York State Department of Health and providing documentation of all related data and facilitates resolution of reported incidents. The Regional Director assumes responsibilities of the departments Exec Director in their absence. Provides oversight over multiple campuses within the MSHS.

Oversight includes proactive and reactive patient safety initiatives; participation in Root Cause Analysis (RCA) and Failure Mode Effect Analysis, interfacing with defense and in-house counsel, collecting, managing, and analyzing risk management data, conducting risk management and regulatory educational programs, and compliance with risk management-related standards of regulatory agencies.

Lastly, responsibilities include supervision and overall program direction of risk management staff. Formulation, review, and implementation of policies and procedures geared toward risk identification, assessment, reduction, and remediation.

1. Assumes responsibilities of the departments Exec Director in the their absence

2. Provides leadership for Sentinel/Clinical Event process: identifies and prioritizes cases with appropriate leadership and Root Cause Analysis.

3. Acts as risk management liaison across the organization.

4. Provides critical oversight of all organizational regulatory obligations requiring broad knowledge of regulations, licensure, certification, and other requirements impacting institutional performance;

5. Oversight of all statewide occurrence reporting via NYPORTS.

6. Provides proactive and reactive patient safety initiatives, including participation in root cause analysis, failure mode effect analysis and Sentinel Event Alerts. This information is used to develop a process and plan for change that can be constantly monitored and evaluated for its effectiveness;

7. Provides leadership to staff in addition to training and education of new staff.

8. Collaborates with the professional liability carrier and oversees claims management with the carrier(s).

9. Works collaboratively with patient service department personnel to address patient concerns.

10. Monitors and reacts to the Incident Reporting system and other risk and safety information sources;

11. Acts as a resource and expert to department and organization members regarding risk management, insurance, legal and regulatory matters.

12. Participates on key committees to offer direction regarding risk management activities.

13. Takes an active role in the development of policies and procedures.

14. Assumes responsibility for keeping abreast of incident trends, patterns and the proper management of adverse events by department coordinators and others.

15. Spearheads projects as directed by superiors.

16. Develops and delivers risk management and regulatory educational programs to all departments in the organization.

17. Works with senior leadership in organizational operations and quality efforts, including on-call responsibilities.

18. Performs other related duties.

• Bachelor of Science in Nursing or other health related fields; Masters degree preferred in Risk Management/Patient Safety or Nursing/Healthcare related field.
• 10 years minimum experience as a Director of clinical/healthcare risk management and hospital operations to include experience in a hospital or medical center dealing with regulatory issues.
• Experience with assessing occurrences for NYPORTS, with requisite reporting to the NYSDOH.
• NYS license in nursing or other health-related specialty required; CPHRM a plus.

Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:  

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
• Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
• Inspiring and fostering an en