Quality Improvement Coordinator Licensed (RN, NP, or PA) - Mount Sinai St. Luke's

Job Description

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.

Roles and responsibilities:

The Quality Improvement Coordinator is responsible for coding and evaluation of Serious Adverse Events  (SAEs) and Hospital Acquired Conditions  (HACs), as defined by Medicare and Medicaid,  and Patient Safety Indicators  (PSIs), as defined by AHRQ, with review of medical records, follow up and data analysis.   This individual participates in planned and unplanned regulatory site visit activity, and collaborates with other QA/PI colleagues of the promotion of quality care and regulatory compliance.

  • Oversees the accurate coding and evaluation of Serious Adverse Events  (SAEs) and Hospital Acquired Conditions (HACs) defined by Medicare and Medicaid, and Patient Safety Indicators (PSIs) as defined by AHRQ including:   (a), validation of coding;  (b), Follow-up with appropriate parties including clinicians, Medical Records staff, Clinical Documentation Specialists, Risk Management personnel and others.
  • Validates the existence, accuracy and completeness of MERS records for SAEs or other complications; notifies Risk Manager of material differences, if any.
  • Investigates and coordinates responses to IPRO Quality of Care Citations.
  • Participates in the preparation, planning, coordination and oversight of planned and unplanned regulatory site visits by:  the Joint Commission, New York State Department of Health, etc., as required.
  • Facilitates and participates in Institutional Quality and Performance Improvement Committee Functions and operations as assigned, especially those convened specifically for the purpose of promoting quality of care and regulatory compliance.
  • Collaborates with Performance Improvement Coordinators and other departments to facilitate and monitor the timely completion of agreed-to Corrective Action Plans with identified stakeholders and other responsible parties.
  • Performs other related duties.


  • Bachelor’s degree in Nursing, or related science; Masters preferred

Experience Requirements

  • 5 years of relevant experience in a health related environment


Licensing/Certification Requirements

  • NYS RN, NP or PA license

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. 


EOE Minorities/Women/Disabled/Veterans 

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