Mount Sinai Careers
Director of Nursing Safety, Quality, and Performance Improvement
Strength Through Diversity
Ground breaking science. Advancing medicine. Healing made personal.
Roles & Responsibilities:
The Director of Nursing is responsible for the overall strategic
planning for all clinical programs to ensure implementation of the mission,
philosophy, patient care standards and nursing informatics to support quality
nursing practice. S/he is accountable for the budget planning and resources to
enhance the quality of patient care, personnel and resource management, and in
collaboration with senior nursing leadership, the annual goals, objectives and
Duties and Responsibilities:
1. PATIENT EXPERIENCE
1. Leads nursing practice using the tenets of the Professional Practice Model of Relationship Centered Care and the Care Delivery Model of Modified Primary Nursing for the promotion of the patient experience.
2. Demonstrates proficiency in all aspects of Purposeful Hourly Rounding (PHR) and role models expected behaviors.
3. Ensures the integration of PHR into clinical activities to enhance Relationship Centered Care.
4. Confirms that staff members round hourly on all patients by review of rounding validation data and observation of unit rounding.
5. Validates Associate Director/Clinical Nurse Manager competency in PHR and provides consistent meaningful feedback with more focused feedback as needed.
6. Synthesizes quantitative and qualitative feedback regarding the patient experience and staff engagement to Associate Directors, Clinical Nurse Managers, staff and the Interdisciplinary Patient Care Team that leads to the development and implementation of an action plan.
7. Follows up on all patient concerns in a timely manner, provides service recovery as needed and escalates patient concerns as appropriate.
8. Demonstrates caring, respect, compassion, empathy and active listening through dialogue, body language and actions.
2. QUALITY AND SAFETY
1. Designs, supports and leads a safe, therapeutic and efficient patient-centered care environment for professional practice.
2. Identifies and investigates issues or variances in practice/operations by participating in the RCA process and develops and implements corrective action plans.
3. Fosters a fair and open culture that encourages error and near-miss occurrence reporting.
4. Leads interdisciplinary quality improvement teams using the principles of high reliability.
5. Communicates with staff and leadership about unit progress, changes, and compliance with quality and safety metrics.
6. Responds to escalations of potential safety hazards or gaps from best practice by correcting concerns following institutional chain of command protocol.
7. Monitors institutional information technology infrastructure and corrects gaps in clinical nurse documentation.
8. Leads staff participation in quality and safety initiatives and mandated compliance measures.
9. Demonstrates accountability for all unit quality and safety practices and compliance, and ensures maintenance of mandatory staff competency evaluations.
10. Reviews unit progress, changes and compliance with quality and safety metrics with Associate Directors, Clinical Nurse Managers and Assistant Nurse Managers.
11. Coaches/mentors Associate Directors and Clinical Nurse Managers in the escalation of potential safety hazards and validation of compliance with hospital and departmental ensure and procedures and regulatory agency standards.
12. Fosters a professional practice environment through facilitation of collegial interdisciplinary relationships, peer review, nursing research, innovation and joint practice arrangement through affiliating universities.
3. OPERATIONS AND ADMINISTRATION
1. Supports the implementation of the mission, vision, goals and objectives of the department, throughout the clinical service and individual patient care units.
2. Provides administrative oversight to a service line, department or group of units to ensure that all activity (staffing, support services, inter disciplinary collaboration, resources and financial viability) supports the goals of the organization.
3. Works collaboratively with Associate Director/ Clinical Nurse Manager/Assistant Nurse Manager, physician dyads and all members of the healthcare team to develop a cohesive unit leadership group.
4. Maintains service line compliance with all regulatory agency mandates, including the regulations of NYS DOH and The Joint Commission.
5. Oversees Associate Directors/Clinical Nurse Managers/Assistant Nurse Managers to ensure 24 hour patient care delivery, throughput, staffing and processes to insure efficient and effective operations.
6. Oversees the development and implementation of several unit or service line budgets, including capital equipment allocation, budget variances, management of OT and vacancies according to MSHS financial goals.
7. Oversees control of positions and the recruitment and retention of qualified staff.
8. Maintains patient/employee confidentiality in the management of information.
9. Monitors availability and maintenance of nursing equipment and supplies.
10. Evaluates Associate Director/Clinical Nurse Manager and Assistant Nurse Manager performance. Mentors, coaches, counsels and disciplines staff as needed.
11. Conducts leadership staff meetings with Associate Directors to ensure communication about progress, changes and compliance with all hospital ensure and procedures and regulatory agency standards.
12. Encourages, recognizes and rewards manager and staff participation in quality and safety initiatives, compliance and successes.
13. Facilitates organizational change initiatives by using effective strategies.
14. Leads a shared decision making model by establishing a structure of shared governance, just culture and staff engagement in practice councils, departmental meetings and initiatives.
15. Interprets and implements collective bargaining agreements affecting staff while enforcing compliance of union contracts.
16. Serves as chairperson/member in hospital wide committees to represent nursing.
17. Serves in the position of Administrator on Call (AOC) as assigned.
4. PROFESSIONAL DEVELOPMENT
1. Evaluates and directs the environment of care to support clinical colleagues, patients and their families and members of the health care team.
2. Advances clinical competence in nursing practice and leadership to progress from competent to expert.
3. Develops and leads an environment that cultivates a professional image of nursing to colleagues, communication standards include styles and methods that demonstrate caring, respect, empathy and trust.
4. Recommends and supports standards that ensure that ethical principles are incorporated into decision making for patient and family in collaboration with the clinical nursing staff and the health care team.
5. Encourages and facilitates a spirit of scholarship, inquiry, life-long learning and innovation for self and others.
6. Oversees and supports staff in shared decision making through facilitating specialty practice councils, and as a chairperson/ member of nursing department committees, and unit initiatives.
7. Acquires and disseminates knowledge and skills relative to the role, patient population, clinical specialty and global or local health community needs
8. Serves as a professional role model and preceptor for new leadership, staff and students.
9. Establishes and implements a system that supports best practice patient care decisions, safe and efficient patient throughput and access to resources for the unit/clinical service area.
10. Incorporates the values of research and evidenced based practice and its application to the environment of care.
11. Contributes to the profession of nursing through leadership and participation in professional organizations.
5. General Skills and Competencies
1. Must have relevant clinical experience in area of nursing practice assigned
2. Evidence of ability to maintain and promote interpersonal relationships, communicate appropriately to others, and work effectively and efficiently to solve problems
3. Demonstrates the ability to work in a team displaying effective communication and critical thinking
4. Ability to read, write, understand and speak English in a clear and concise manner
5. Visual, physical, auditory and cognitive ability to assess patient status
6. Physical and mental health necessary to care for acutely ill patients with a broad variety of diagnoses and behaviors on a daily basis
7. Ability to walk, stand, lift, stoop, push and respond quickly in a variety of situations and for an extended period of time
8. Manual dexterity to perform a variety of clinical procedures relevant to practice area (i.e. venipuncture, urinary catheterization, cardiopulmonary resuscitation)
9. Ability to use data entry, retrieval systems and the electronic medical record documentation system in a proficient manner
Bachelor of Science with a major in nursing and Master’s degree in nursing or health related specialty required; doctorate preferred.
Licensed as a registered nurse with current registration in New York State.
Professional Board Certification in leadership and/or clinical specialty strongly preferred.
7+ years minimum demonstrated clinical and administrative expertise in area of nursing practice assigned.
Strength Through Diversity
The Mount Sinai Health System believes that diversity is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. 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 work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care.
Explore more about this opportunity and how you can help us write a new chapter in our story!
Who We Are
Over 38,000 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 West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
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.