Director of Nursing
Job Summary
The Director of Nursing is responsible for the overall strategic planning for all clinical programs to ensure implementation of the mission, philosophy, patient care standards, and nursing informatics to support quality nursing practice. S/he is accountable for the budget planning and resources to enhance the quality of patient care, personnel, and resource management, and in collaboration with senior nursing leadership, the annual goals, objectives, and fiscal targets.
Responsibilities
Patient Experience
• Leads nursing practice using the tenets of the Professional Practice Model of Relationship Centered Care and the Care Delivery Model of Modified Primary Nursing for the promotion of the patient experience. • Demonstrates proficiency in all aspects of Purposeful Hourly Rounding (PHR) and role models expected behaviors. • Ensures the integration of PHR into clinical activities to enhance Relationship Centered Care. • Confirms that staff members round hourly on all patients by review of rounding validation data and observation of unit rounding. • Validates Associate Director/Clinical Nurse Manager competency in PHR and provides consistent meaningful feedback with more focused feedback as needed. • Synthesizes quantitative and qualitative feedback regarding the patient experience and staff engagement to Associate Directors, Clinical Nurse Managers, staff, and the Interdisciplinary Patient Care Team that leads to the development and implementation of an action plan. • Follows up on all patient concerns in a timely manner, provides service recovery as needed, and escalates patient concerns as appropriate. • Demonstrates caring, respect, compassion, empathy, and active listening through dialogue, body language, and actions.
Quality and Safety
• Designs, supports, and leads a safe, therapeutic, and efficient patient-centered care environment for professional practice. • Identifies and investigates issues or variances in practice/operations by participating in the RCA process and develops and implements corrective action plans. • Fosters a fair and open culture that encourages error and near-miss occurrence reporting. • Leads interdisciplinary quality improvement teams using the principles of high reliability. • Communicates with staff and leadership about unit progress, changes, and compliance with quality and safety metrics. • Responds to escalations of potential safety hazards or gaps from best practice by correcting concerns following institutional chain of command protocol. • Monitors institutional information technology infrastructure and corrects gaps in clinical nurse documentation. • Leads staff participation in quality and safety initiatives and mandated compliance measures. • Demonstrates accountability for all unit quality and safety practices and compliance, and ensures maintenance of mandatory staff competency evaluations. • Reviews unit progress, changes, and compliance with quality and safety metrics with Associate Directors, Clinical Nurse Managers, and Assistant Nurse Managers. • Coaches/mentors Associate Directors and Clinical Nurse Managers in the escalation of potential safety hazards and validation of compliance with hospital and departmental ensure and procedures and regulatory agency standards. • Fosters a professional practice environment through facilitation of collegial interdisciplinary relationships, peer review, nursing research, innovation, and joint practice arrangement through affiliating universities.
Operations and Administration
• Supports the implementation of the mission, vision, goals, and objectives of the department, throughout the clinical service and individual patient care units. • Provides administrative oversight to a service line, department, or group of units to ensure that all activity (staffing, support services, interdisciplinary collaboration, resources, and financial viability) supports the goals of the organization. • Works collaboratively with Associate Director/Clinical Nurse Manager, physician dyads, and all members of the healthcare team to develop a cohesive unit leadership group. • Maintains service line compliance with all regulatory agency mandates, including the regulations of NYS DOH and The Joint Commission. • Oversees Associate Directors/Clinical Nurse Managers/Assistant Nurse Managers to ensure 24-hour patient care delivery, throughput, staffing, and processes to insure efficient and effective operations. • Oversees the development and implementation of several unit or service line budgets, including capital equipment allocation, budget variances, management of OT, and vacancies according to MSHS financial goals. • Oversees control of positions and the recruitment and retention of qualified staff. • Maintains patient/employee confidentiality in the management of information. • Monitors availability and maintenance of nursing equipment and supplies. • Evaluates Associate Director/Clinical Nurse Manager and Assistant Nurse Manager performance. Mentors, coaches, counsels, and disciplines staff as needed. • Conducts leadership staff meetings with Associate Directors to ensure communication about progress, changes, and compliance with all hospital ensure and procedures and regulatory agency standards. • Encourages, recognizes, and rewards manager and staff participation in quality and safety initiatives, compliance, and successes. • Facilitates organizational change initiatives by using effective strategies. • Leads a shared decision-making model by establishing a structure of shared governance, just culture, and staff engagement in practice councils, departmental meetings, and initiatives. • Interprets and implements collective bargaining agreements affecting staff while enforcing compliance of union contracts. • Serves as chairperson/member in hospital-wide committees to represent nursing. • Serves in the position of Administrator on Call (AOC) as assigned.
Professional Development
• Evaluates and directs the environment of care to support clinical colleagues, patients, and their families and members of the health care team. • Advances clinical competence in nursing practice and leadership to progress from competent to expert. • Develops and leads an environment that cultivates a professional image of nursing to colleagues, communication standards include styles and methods that demonstrate caring, respect, empathy, and trust. • Recommends and supports standards that ensure that ethical principles are incorporated into decision-making for patient and family in collaboration with the clinical nursing staff and the health care team. • Encourages and facilitates a spirit of scholarship, inquiry, life-long learning, and innovation for self and others. • Oversees and supports staff in shared decision-making through facilitating specialty practice councils, and as a chairperson/member of nursing department committees, and unit initiatives. • Acquires and disseminates knowledge and skills relative to the role, patient population, clinical specialty, and global or local health community needs. • Serves as a professional role model and preceptor for new leadership, staff, and students. • Establishes and implements a system that supports best practice patient care decisions, safe and efficient patient throughput, and access to resources for the unit/clinical service area. • Incorporates the values of research and evidenced-based practice and its application to the environment of care. • Contributes to the profession of nursing through leadership and participation in professional organizations.
Qualifications
Compensation Statement
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 $166,400.00 - $239,200.00 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.
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.
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.