Safety and Quality Manager

Mount Sinai Hospital Safety and Quality Manager Position Summary The Safety and Quality Manager leads incident investigation and reporting and identifies, assesses, and recommends solutions for quality improvement and risk‑management concerns. The role supports staff education and competency initiatives and coordinates compliance with Joint Commission and other regulatory standards through effective interdisciplinary communication. This position advances clinical excellence across obstetric and gynecologic services by integrating quality improvement, patient safety, and Labor and Birth Unit research coordination to promote high‑reliability, evidence‑based care. Serving as a strategic liaison among clinical teams, research investigators, and institutional leadership, the Manager ensures optimal OB/GYN quality and safety outcomes. Duties and Responsibilities Safety and Quality Lead incident investigation and reporting, recommending quality improvement and risk‑management solutions, and supporting excellence in patient care and departmental goals Ensure compliance with Joint Commission (TJC), New York City Department of Health and Mental Hygiene (NYC DOHMH), New York State Department of Health (NYS DOH), and institutional standards; maintain and update OB/GYN specialty policies Collaborate with interdisciplinary teams, including nursing, neonatology, infection control, and Quality Improvement/Quality Assurance (QI/QA) to advance safety and regulatory readiness Facilitate safety huddles, debriefs, multidisciplinary reviews, and structured analyses such as Root Cause Analysis (RCA) and Failure Mode and Effects Analysis (FMEA) Conduct targeted chart audits, monitor key performance indicators (KPIs), and prepare data‑driven reports to support accountability and continuous improvement Collect, audit, and submit regulatory and institutional data; maintain databases supporting audits, performance tracking, and corrective action plans; respond to protocol‑related inquiries Assess staff educational needs and deliver training on patient safety, research ethics, and perinatal best practices; promote high‑reliability principles including Situation‑Background‑Assessment‑Recommendation (SBAR) communication, teamwork training, and Just Culture Disseminate national standards, evidence‑based models, and institutional guidelines to clinical and research staff Serve as liaison for Labor and Birth Unit research activities, overseeing screening, enrollment, informed consent, Institutional Review Board (IRB) compliance, and supervision of research coordinators Provide education and promote high‑reliability culture by developing and delivering training on patient safety, research ethics, and perinatal best practices; reinforcing SBAR communication, teamwork, and Just Culture; and disseminating national standards, evidence‑based models, and institutional guidelines to clinical and research staff Research Oversight and Coordination Serve as the primary point of contact for Labor and Birth Unit research activities, ensuring effective coordination between clinical and research teams Support clinical trials and observational studies by managing patient screening, enrollment, and informed consent processes Ensure compliance with Institutional Review Board (IRB) requirements, institutional protocols, ethical standards, and data‑privacy guidelines Supervise and mentor clinical research coordinators and support investigators conducting perinatal research Participate in feasibility assessments for proposed research projects involving perinatal populations Maintain organized, compliant specimen‑collection spaces and coordinate inventory and supply needs for research activities Qualifications Education Requirements Master’s Degree required, preferably in a health science Experience Requirements 3+ years’ experience with a preferred minimum of 2 years in a clinical role and exposure to quality and safety management Licensing and Certification Requirements Current NYS clinical licensure in a relevant field (i.e., RN, NP, PA, Social Work, Mental Health Counselor, or related) is preferred. Computer Skills MS Office Suite-Intermediate preferred General Skills and Competencies Excellent written and interpersonal Skills Excellent organizational and decision-making skills Demonstrated knowledge of quality management and/or Continuous Quality Improvement (CQI) principles and New York State Department of Mental Hygiene and Joint Commission standards and regulations Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well‑being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next 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 48,000 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 more than 9,000 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, top 5 in Cardiology/Heart Surgery, and top 20 in 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. 11 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. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $96461 - $159161 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. #J-18808-Ljbffr Icahn School of Medicine at Mount Sinai