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Job Description

The Director for the Risk Management and Patient Safety Department is responsible for overseeing the day to day operations of the department in collaboration with the Executive Director. This includes the coordination and investigation of Serious Adverse Events (SAE), including potentially reportable incidents to the New York State Department of Health and providing documentation of all related data and facilitates resolution of reported incidents. The Regional Director assumes responsibilities of the departments Exec Director in their absence. Provides oversight over multiple campuses within the MSHS.

Oversight includes proactive and reactive patient safety initiatives; participation in Root Cause Analysis (RCA) and Failure Mode Effect Analysis, interfacing with defense and in-house counsel, collecting, managing, and analyzing risk management data, conducting risk management and regulatory educational programs, and compliance with risk management-related standards of regulatory agencies.

Lastly, responsibilities include supervision and overall program direction of risk management staff. Formulation, review, and implementation of policies and procedures geared toward risk identification, assessment, reduction, and remediation.

Qualifications

• Bachelor of Science in Nursing or other health related fields; Masters degree preferred in Risk Management/Patient Safety or Nursing/Healthcare related field.

• 10 years minimum experience as a Director of clinical/healthcare risk management and hospital operations to include experience in a hospital or medical center dealing with regulatory issues.

• Experience with assessing occurrences for NYPORTS, with requisite reporting to the NYSDOH.

• NYS license in nursing or other health-related specialty required; CPHRM a plus.

Responsibilities

1. Assumes responsibilities of the departments Exec Director in the their absence

2. Provides leadership for Sentinel/Clinical Event process: identifies and prioritizes cases with appropriate leadership and Root Cause Analysis.

3. Acts as risk management liaison across the organization.

4. Provides critical oversight of all organizational regulatory obligations requiring broad knowledge of regulations, licensure, certification, and other requirements impacting institutional performance;

5. Oversight of all statewide occurrence reporting via NYPORTS.

6. Provides proactive and reactive patient safety initiatives, including participation in root cause analysis, failure mode effect analysis and Sentinel Event Alerts. This information is used to develop a process and plan for change that can be constantly monitored and evaluated for its effectiveness;

7. Provides leadership to staff in addition to training and education of new staff.

8. Collaborates with the professional liability carrier and oversees claims management with the carrier(s).

9. Works collaboratively with patient service department personnel to address patient concerns.

10. Monitors and reacts to the Incident Reporting system and other risk and safety information sources;

11. Acts as a resource and expert to department and organization members regarding risk management, insurance, legal and regulatory matters.

12. Participates on key committees to offer direction regarding risk management activities.

13. Takes an active role in the development of policies and procedures.

14. Assumes responsibility for keeping abreast of incident trends, patterns and the proper management of adverse events by department coordinators and others.

15. Spearheads projects as directed by superiors.

16. Develops and delivers risk management and regulatory educational programs to all departments in the organization.

17. Works with senior leadership in organizational operations and quality efforts, including on-call responsibilities.

18. Performs other related duties.

About Us

Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. 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 invite you to participate actively as a part of the Mount Sinai Health System team by:

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.

• Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.

• Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.

At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.

Explore more about this opportunity and how you can help us write a new chapter in our history!

“About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism.”

EOE Minorities/Women/Disabled/Veterans

Compensation Statement

Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $127044 - $194999.94 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.