Mount Sinai Careers

System Behavioral Health Safety and Quality Director

New York, New York
Professional / Managerial / Administrative


Job Description

The Mount Sinai Health System

Do you have what it takes to wear the badge?

 

The Mount Sinai Health System’s commitment to excellence extends beyond delivering world-class health care. The System’s ongoing success is dependent upon our highly motivated, nonclinical professionals working to improve business operations. Our leadership team is driven to provide exceptional service by cultivating a workforce that is dedicated to upholding Mount Sinai’s mission of delivering innovative, breakthrough medicine with compassion and integrity.

 

Are you ready to discover the world of limitless possibilities that comes with wearing the badge? Explore more about this opportunity and how you can help us write a new chapter in our story of unrivaled patient care!

 

What You’ll Do:

The System Behavioral Health Safety and Quality Director is a credentialed individual responsible for overseeing all safety and quality activities in the Behavioral Health Service Line in the Mount Sinai Health System.  Responsible for coordination, standardization, and alignment of all safety and quality policies, procedures and initiatives across the Service Line, including but not limited to clinical policies, incident reporting and review, and performance improvement initiatives.  Promotes a a culture of transparency and accountability through the reinforcement of patient safety throughout the Service Line.  Ensures a robust process for compliance with all regulatory requirements and institutional policies and procedures regarding Safety and Quality. Reports to the System Vice President, Behavioral Health, and matrixed reporting to the System Vice President, Quality and Regulatory Affairs and the System Vice President, Risk Management and Patient Safety.  

 

o   Aligns standards, processes and policies of all Safety, Quality, Risk Management and Performance Improvement across the Service Line.

o   Develops and oversees Service Line-wide structure and process of Adverse Event reporting and review, including Serious Adverse Events and any and all events requiring report to Behavioral Health oversight agencies (ie, Justice Center, OMH, OASAS)

o   Collaborates with campus-based Senior Leadership (Chair, Vice Chair) and Quality leadership, along with MSHS Risk Management to

§  Oversees, reviews, and monitors investigations, evaluations, and corrective actions;

§  Oversees reporting to NIMRS (OMH), OASAS, NYPORTS, and the Joint Commission

§  Oversees and leads the Adverse Event response process across the Service Line, including identification and prioritization of cases for root cause analysis to ensure patient safety

§  Assures appropriate structure and effective content and process of campus-based departmental reviews of serious adverse events and other reportable events

§  Co-chairs departmental reviews of select serious adverse and other reportable events

§  Develops effective, robust, and implementable corrective action plans

§  Oversees the implementation and spread of corrective actions

o   Develops and creates structures and processes to lead and organize the work of  campus-based Behavioral Health Safety and Quality/Performance Improvement Managers and Specialists and ensures successful completion of campus-based objectives.

o   Review Committees and assures timely reporting to this committee, extramural agencies (Justice Center, DOH, OMH, OASAS), and development and implementation of any corrective action plans. 

o   Serves as one of the senior Service-Line leadership representatives to extramural agencies regarding matters of safety, quality, risk management and performance improvement (OMH/OASAS/Justice Center/ et al).

o   Assures readiness for all regulatory surveys, and leads management during site visits regarding all QA/PI requirements.

o   Coordinates activities which assure compliance with standards established by the Joint Commission, CMS, NYSDOH, NYS OMH, NYS OASAS, NYS Justice Center, and any other regulatory agencies.

 

o   Tracks, analyzes, aggregates and trends events, near misses, and other incidents to identify, address and report on Service-Line wide and campus-based patterns

o   Oversees the collection of data, report preparation, and statistical analyses so that requested data is reported and analyzed in an appropriate manner.

o   Analyzes campus-specific and Service-Line performance on publicly reported quality measures (ie, IPFQR, OMH and OASAS-specific quality measures), and works with campus leadership to continuously improve performance.

 

o   Provides senior level supervision and oversight to members of the System Behavioral Health Safety and Quality Team in all aspects of performance.

o   Works effectively within matrixed reporting environment to campus-specific department leadership and safety/risk leadership, as well as with System-based counterparts.

o   Completes annual Performance Appraisals for Safety and Quality team, and mentors and guides campus-based Behavioral Health Safety and Quality staff.

o   Work collaboratively with Health System and campus leadership, medical staff, nursing staff, and all clinical staff to accomplish goals

o   Serve as a Service Line and System-wide internal resource regarding Behavioral Health quality, performance improvement, and regulatory affairs

o   Confers with and advises System Administration, Human Resources, Corporate Compliance and Legal Affairs based on clinical expertise and experience. 

o   Fosters an environment that supports transparency and fairness, in which staff members feel safe to report errors and participate in the analysis and mitigation of them.

o   Maintains strict confidentiality in all matters. 

o   Demonstrates a professional, courteous, and respectful attitude in dealing with patients, families, and significant others.

o   Displays courtesy, tact, patience during interactions with all members of the hospital staff and extended community.

 

What You’ll Bring: 

  • Master’s or higher education required in Nursing, Social Work, or other relevant discipline within professions in Behavioral Health
  • Current NYS licensure (Nursing, Psychology, Social Work, P.A. or related profession)
  • Certification in Risk Management and/or Patient Safety strongly preferred.
  • Minimum of 5 years of progressive clinical management experience within clinical behavioral health services. 
  • Strong preference for experience in inpatient/emergency behavioral health services management. 
  • Must have experience in management and oversight of behavioral health-related quality assurance and performance improvement activities. 
  • Demonstrated excellent interpersonal, leadership and organizational skills, including a proven track record of influencing others and effective management
  • Substantial experience and established competency assuring compliance with the range of regulatory requirements pertaining to the operation of health services.
  • Analytic ability to collect and organize information, identify problems and trends, and formulate and implement corrective plans and programs.
  • Ability to develop, coordinate, prioritize and allocate resources.
  • Adept at program development, conflict resolution, and working collaboratively with physicians, nurses, and other providers in interdisciplinary teams to continuously improve patient care. 
  • Ability to demonstrate and maintain professional credibility and value with physicians, nursing, quality leaders and others, both inside and outside of the Service Line
  • Proven leadership through challenging operational issues.

 

Do you share our dedication to extraordinary service and have what it takes to wear the badge? Apply now!

 

 

Who We Are:

 

Over 35,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.

 

Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai Roosevelt, Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.

 

The Mount Sinai Health System is committed to the tenets of diversity and workforce that are strengthened by the inclusion of and respect for our differences. We offer our employees a highly competitive compensation and benefits package, a 403(b) retirement plan, and much more.

 

The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.

 

EOE Minorities/Women/Disabled/Veterans

 


What You’ll Bring: 

  • Master’s or higher education required in Nursing, Social Work, or other relevant discipline within professions in Behavioral Health
  • Current NYS licensure (Nursing, Psychology, Social Work, P.A. or related profession)
  • Certification in Risk Management and/or Patient Safety strongly preferred.
  • Minimum of 5 years of progressive clinical management experience within clinical behavioral health services. 
  • Strong preference for experience in inpatient/emergency behavioral health services management. 
  • Must have experience in management and oversight of behavioral health-related quality assurance and performance improvement activities. 
  • Demonstrated excellent interpersonal, leadership and organizational skills, including a proven track record of influencing others and effective management
  • Substantial experience and established competency assuring compliance with the range of regulatory requirements pertaining to the operation of health services.
  • Analytic ability to collect and organize information, identify problems and trends, and formulate and implement corrective plans and programs.
  • Ability to develop, coordinate, prioritize and allocate resources.
  • Adept at program development, conflict resolution, and working collaboratively with physicians, nurses, and other providers in interdisciplinary teams to continuously improve patient care. 
  • Ability to demonstrate and maintain professional credibility and value with physicians, nursing, quality leaders and others, both inside and outside of the Service Line
  • Proven leadership through challenging operational issues.

 

Do you share our dedication to extraordinary service and have what it takes to wear the badge? Apply now!

 

 

Who We Are:

 

Over 35,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.

 

Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai Roosevelt, Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.

 

The Mount Sinai Health System is committed to the tenets of diversity and workforce that are strengthened by the inclusion of and respect for our differences. We offer our employees a highly competitive compensation and benefits package, a 403(b) retirement plan, and much more.

 

The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.

 

EOE Minorities/Women/Disabled/Veterans