Quality Improvement Specialist - Psychiatry - Full Time/Days

Job Description

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.

Roles & Responsibilities:

Assist and support quality improvement and regulatory activities for the Department of Psychiatry (including the reporting and documentation of these activities through the department’s quality structure).  Engage in the development and monitoring of quality improvement projects.  Serve as a quality reviewer by conducting chart reviews of closed and open records, and validating corrective action plans/safety solutions.  Serve as a regulatory liaison to the NYS OASAS AND Joint Commission.  Reporting to the Assistant Director of Safety and Quality.

  • Facilitate the identification of opportunities for improvement and assist in the design and ongoing measurement of performance indicators and outcomes
  • Develop and design quality/performance improvement studies including creation of data collection tools, documentation monitoring, and analysis of findings under the supervision of Assistant Director of Safety and Quality.
  • Maintain an inventory of quality improvement activities and coordinate the flow of that information through the department’s quality structure.
  • Conduct chart review/data abstraction for CMS and Joint Commission requirements, review for both quality and completion.
  • Design and implement proactive strategies to improve performance on CMS Core Measures.
  • Member of committees including:  Incident Review and Quality Improvement and Assurance. 
  • Attend the Special Investigator Training.  Conduct case reviews on NYS Justice Center complaints and other potential quality of care issues
  • Follow up on corrective action plans, and manage NYS Justice Center Inquiries.
  • Provide guidelines on compliance with New York State & NYC DOHMH regulations for quality activities.
  • Maintain current knowledge of quality improvement information to serve as an advisor to all staff.
  • Maintain effective communication and working relationships with staff at all levels within the institution regarding quality improvement activities including linkages with the hospital Quality Improvement Department.
  • Responsible for data entry projects. 
  • Responsible to perform all other duties as assigned. 
  • Participates in the department’s performance improvement activities.
  • Maintains patient/employee confidentiality in the management of information.
  • Observes System compliance policies.
  • Adheres to departmental policies and procedures.
  • Participates in the development of other staff members.
  • Meets regulatory, licensure and annual health assessment requirements.
  • Identifies learning strengths and needs.
  • Utilizes learning resources.
  • Uses individual and group supervision appropriately via ongoing discussion of client status, prioritization of tasks, problem-solving techniques, issues, and identification of reactions that impeded or facilitate services.
  • Demonstrates a professional, courteous, and respectful attitude in dealing with patients, families and significant others.
  • Display courtesy, tact and patience during interactions with all members of the hospital staff and extended community.
  • Functions as team member by willingly covering clients when needed and by maintaining an attitude of concern for the safety and well-being of other team members.
  • Maintains a cooperative attitude by performing all duties, as assigned, in a pleasant and timely manner.
  • May be required to perform other duties as assigned or perform other duties when necessary.


  • Bachelors Degree in Mental Health related field required
  • Master's Degree preferred
  • At least 2 years of related experience
  • Knowledge of PDSA quality improvement methodology.
  • Intermediate to advanced skills in Microsoft Word, Excel, PowerPoint and Access.
  • Ability to perform database queries as needed. Ability to create insightful visual displays of performance data and present to all levels of staff.
  • Knowledge and comfortability with medical and psychiatric terminology.
  • Knowledge of current quality/performance improvement standards.
  • Knowledge of NYS OASAS and NYS Justice Center regulations strongly preferred.
  • Training experience preferred
Strength Through Diversity

The Mount Sinai Health System believes that diversity and inclusion 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 healthcare delivery together.
We work hard to recruit and retain the best people, and to create a welcoming, nurturing work environment where you have the opportunity and support to develop professionally. We share the belief that all employees, regardless of job title or expertise, have 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 hospitals, including Mount Sinai Beth Israel, Mount Sinai 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. 

EOE Minorities/Women/Disabled/Veterans


for Live Chat Click Here