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 Responsibilitie

sSafety and Qualit

• yLead incident investigation and reporting, recommending quality improvement and risk‑management solutions, and supporting excellence in patient care and departmental goal
• sEnsure 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 policie
• sCollaborate with interdisciplinary teams, including nursing, neonatology, infection control, and Quality Improvement/Quality Assurance (QI/QA) to advance safety and regulatory readines
• sFacilitate 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 improvemen
• tCollect, audit, and submit regulatory and institutional data; maintain databases supporting audits, performance tracking, and corrective action plans; respond to protocol‑related inquirie
• sAssess 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 Cultur
• eDisseminate national standards, evidence‑based models, and institutional guidelines to clinical and research staf
• fServe as liaison for Labor and Birth Unit research activities, overseeing screening, enrollment, informed consent, Institutional Review Board (IRB) compliance, and supervision of research coordinator
• sProvide 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 staf

fResearch Oversight and Coordinatio

• nServe as the primary point of contact for Labor and Birth Unit research activities, ensuring effective coordination between clinical and research team
• sSupport clinical trials and observational studies by managing patient screening, enrollment, and informed consent processe
• sEnsure compliance with Institutional Review Board (IRB) requirements, institutional protocols, ethical standards, and data‑privacy guideline
• sSupervise and mentor clinical research coordinators and support investigators conducting perinatal researc
• hParticipate in feasibility assessments for proposed research projects involving perinatal population
• sMaintain organized, compliant specimen‑collection spaces and coordinate inventory and supply needs for research activitie

s
Qualificatio

nsEducation Requirement

s Master’s Degree required, preferably in a health scien

ce
Experience Requiremen

ts
3 years’ experience with a preferred minimum of 2 years in a clinical role and exposure to quality and safety manage

mentLicensing and Certification Requireme

nts Current NYS clinical licensure in a relevant field (i.e., RN, NP, PA, Social Work, Mental Health Counselor, or related) is prefer

red.Computer Sk

illsMS Office Suite-Intermediate prefe

rredGeneral Skills and Competen

• ciesExcellent written and interpersonal Sk
• illsExcellent organizational and decision-making sk
• illsDemonstrated knowledge of quality management and/or Continuous Qua
• lityImprovement (CQI) principles and New York State Department of Mental Hygiene and Joint Commission standards and regulat