Safety and Quality Manager

**FOR FUTURE OPPORTUNITIES**

The Safety and Quality Manager is accountable for the incident investigation and reporting process, and identifying, assessing, reporting, educating and recommending solutions to quality improvement and risk management issues.    This individual may also address educational, certification and competency issues for the staff, and coordinates JCAHO and other regulatory standards and related initiatives through interdisciplinary communication with leadership.

 

Duties and Responsibilities                                                                                                            

1. Accountable for incident investigation and reporting, and recommendation of quality improvement and risk management issue solutions.   S/he supports excellence in the delivery of patient care services, patient management, the unit and clinical service objectives and the goals of the organization.
2. Collaborates with leadership staff to ensure that the highest expectations of regulatory and professional standards are met.  S/he provides support to clinical leadership in the development of interdisciplinary standards relevant to the department.
3. Maintains, reviews and updates all specialty policies in accordance with hospital, professional and regulatory standards.
4. Identifies, responds to and investigates potential and actual risk management issues.  Reports significant events to the appropriate regulatory agency and internal hospital staff.  Tracks corrective action plans to completion.
5. Collaborates with other disciplines to identify opportunities for improving patient outcomes, to reduce future risk and to enhance customer satisfaction.
6. Assesses staff educational needs and develops training programs to address their needs. Provides individual and group education programs to meet corrective action goals; if applicable to specific department role, may be responsible for staff members to be appropriately credentialed, competent and have completed required educational programs.
7. May assist in the development of new educational programs based on professional standards, performance improvement data and regulatory agency (i.e. JCAHO and the Department of Mental Hygiene) recommendations.
8. May participate in relevant process improvement committees.
9. Other related duties as assigned.       

 

Education Requirements                                                                                                                

Master’s Degree required, preferably in a health science

 

Experience Requirements                                                                                                               

3+ years’ experience with a preferred minimum of 2 years in a clinical role and exposure to quality and safety management

 

Licensing and Certification Requirements                                                                                   

Current NYS clinical licensure in a relevant field  (i.e., RN, NP, PA, Social Work, Mental Health Counselor, or related) is preferred.

 

General Skills and Competencies                                                                                                  

Excellent written, verbal and interpersonal skills

Excellent organizational and decision-making skills

Demonstrated knowledge of quality management and/or Continuous Quality Improvement (CQI) principles and New York State Department of Mental Hygiene and JCAHO standards and regulations

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 environment of anti-racist behaviors among and between departments and co-workers.

We work hard to acquire and retain the best people and to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to professional advance. We share the belief that all