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Director Of Quality And Regulatory Affairs; Full Time; Days
| Company | Mount Sinai |
| Address | , New York, 10029 |
| Employment type | FULL_TIME |
| Salary | $140,000 - $230,584 a year |
| Expires | 2023-09-08 |
| Posted at | 9 months ago |
The Director of Quality and Regulatory Affairs is responsible for the oversight and direction of the Quality and Regulatory Affairs Department for one (or more, as assigned) hospital under the Mount Sinai Health System. This position involves the support of system, and hospital goals with a focus on quality/performance improvement and compliance with regulatory requirements.
Responsibilities
- Coordinates all documentation requirements for the Performance Improvement and National Patient Safety Goal chapters of The Joint Commission manual.
- Performs other related duties.
- Maintains effective communication and working relationships with a wide variety of staff (hospital, medical, ambulatory, behavioral) to support and facilitate quality -related initiatives.
- Assigns duties and monitors performance and productivity of staff.
- Maintains current knowledge of quality improvement information, patient safety, and regulatory requirements.
- Assist in the coordination of a Failure Mode Effect Analysis at least every 18 months.
- Designs, develops, implements and evaluates quality improvement policies and procedures.
- Oversees action plans to sustain and improve performance related to publically reported performance measures including core measures, eCQMs and pay for performance contractual obligations for both inpatient and outpatient settings.
- Coordinates and directs the quality committee structure.
- Directs the management and coordination of all on-site regulatory survey activity to include CMS, NYSDOH, The Joint Commission hospital triennial and Disease Specific Certification surveys. Directs the planning, preparation, scheduling and management of regulatory survey.
- Directs and coordinates the survey response corrective action plans and monitoring activities.
- Completes annual performance appraisals.
- Implements and supports high reliability principles in the design of quality improvement activities.
- Develops and facilitates the use of data collection tools to support data analysis.
- Recommends capital expenditures as necessary.
- Responsible for supporting the management of an operating budget for the department.
- Serves as an internal consultant for quality improvement and regulatory compliance.
- Assists in the development of goals and objectives to support alignment with the strategic initiatives of the system as well as compliance with Federal, State, City and Joint Commission requirements.
- Supports the coordination and direction all activities to ensure the effective implementation of the Quality Improvement Plan.
- Interviews, hires, orients, and trains QI staff.
- Coordinates the activities of the Quality and Regulatory Affairs Program including the design of program goals, timelines, objectives and measurable/actionable performance metrics.
Qualifications
- 5 years minimum in leadership position in health care quality improvement including at least 2 years of experience in managing staff. Knowledge of regulatory requirements. Strong communication and organizational skills. Knowledge of LEAN, High Reliability principles, Six-Sigma, and Change Management preferred.
- Bachelors Degree required, Masters degree preferred
Compensation Statement
The 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 this role is $140,000.00 - $230,584.00 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.
Non-Bargaining Unit, 535 - Quality Assurance - MSH, Mount Sinai Hospital
Employer Description
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:
- Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.
- 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.
- 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.
We work hard to acquire and retain the best people and to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to professional advance. We share the belief that all employees, regardless of job title or expertise contribute to the patient experience and quality of patient care.
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
The 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 $140000 - $230584 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.
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