Mount Sinai Careers

Director of Quality Initiatives (RN; CPHQ pref.) - Mount Sinai West (Columbus Circle Area)

New York, New York
Professional / Managerial / Administrative

Job Description

The Mount Sinai Health System

Do you have what it takes to wear the badge?

Director of Quality Initiatives (RN; CPHQ pref.) - Mount Sinai West (Columbus Circle Area) - 69694

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:
  • Oversee the coordination of quality improvement activities in keeping with the strategic vision of the Medical Center and direct the operations of the Department of Quality Improvement.
  • Oversees the coordination of activities for the QI program for all divisions of the hospital
  • Coordinates and directs activities in the Department of Quality Improvement to ensure provision of an effective Quality Improvement program.
  • Develops goals and objectives for the department that assure alignment with the strategic initiatives of the organization as well as compliance with Federal, State and Joint Commission standards.
  • Designs, develops, implements and evaluates quality improvement policies, procedures, and documentation tools.
  • Develops, implements, and monitors a capital and operating budget for the department.
  • Interviews, hires, trains, assigns and monitors productivity of staff , develops performance plans and evaluates the performance of all staff.
  • Maintains effective communication and working relationships with staff at all levels of the institution regarding quality improvement.
  • Maintains current knowledge of Quality Improvement information, Patient Safety, and Regulations to serve as an advisor to all personnel including the Medical Staff and Senior Management.
  • Oversee and direct the flow of information through the quality structure.
  • Facilitate and oversee follow-up for performance measurement for all quality initiatives.
  • Oversee and coordinates projects related to benchmarking opportunities (both internal and external).
  • Oversees the completion of the Core Measures Project and reports to senior leadership as appropriate.
  • Coordinates the Performance Improvement activities related to Joint Commission surveys and accreditation.
  • Oversee the quality improvement aspects of Joint Commission's “Sentinel Event Reporting” and the DOH's NYPORTS Program including Root Cause Analysis. 
  • Coordination of follow-up for quality of care denials.
  • Train and educate staff  on all levels regarding principles of QI, and quality improvement process including teaching workshops (i.e. QI, Data Management) and orientations (New Employee/Managers/Housestaff).
  • Joint Commission/Regulatory liaison back-up to the regulatory Vice President
What You’ll Bring:
  • Masters Degree in a health related field.
  • 5 years minimum in the health care field with an emphasis on quality improvement.  Knowledge of Joint Commission/NYSDOH requirements.  Strong organizational skills.  Ability to communicate effectively and work in conjunction with various professional and departmental groups.  Strong communication skills  both written and verbal.
  • Current RN license preferred.
  • Certificate in Healthcare Quality (CPHQ) preferred. 

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


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