Associate Director Nursing, RN - Harlem Health Center – Days – Full-time

Mount Sinai Health System•Manhattan, NY

About The Position

The Associate Director of Nursing manages and oversees nursing practice for assigned clinical areas. The role is responsible for strategic planning for program operations, personnel management, annual goals and objectives, and fiscal targets. The Associate Director serves as a liaison to other clinical services, helps ensure personnel matters comply with contractual agreements, and supports positive employee-management relationships. Responsibilities also include nursing schedules, operating room case flow when applicable, service efficiency, physician satisfaction, patient safety goals, regulatory survey preparation, specialized training, and continuing education. The role collaborates with nursing and physician leadership to maintain high standards of patient care and responsiveness to patients, families, and the organization, and develops mechanisms for collaboration among nurses, clinical staff, physicians, and other practitioners. The position leads patient-experience efforts using Relationship Centered Care and Modified Primary Nursing, including Purposeful Hourly Rounding, review of patient-experience feedback, service recovery, and follow-up on patient concerns. It leads quality and safety practices, investigates practice or operational variances, supports corrective action, promotes reporting of errors and near misses, and guides interdisciplinary improvement and compliance initiatives. The Associate Director provides administrative oversight of a service line, department, or group of units, including staffing, operations, budgets, resources, recruitment and retention, regulatory compliance, performance management, and communication with unit leaders. The role supports shared governance, organizational change, collective bargaining agreement compliance, hospital-wide committees, and Administrator on Call duties as assigned. The position also advances professional development, clinical competence, evidence-based practice, scholarship, ethical decision-making, and nursing leadership. It serves as a role model and preceptor and supports staff participation in practice councils, committees, and professional organizations.

Requirements

Bachelor of Science degree with a major in nursing.
Master’s degree in nursing or a health-related specialty.
Three to five years minimum of demonstrated clinical and administrative expertise in the assigned area of nursing practice.
Registered nurse licensure in New York State.
Basic Life Support (BLS) certification.

Nice To Haves

Professional board certification in leadership and/or a clinical specialty.

Responsibilities

Manage and oversee nursing practice for assigned clinical areas and develop strategic plans for program operations, personnel management, annual goals, objectives, and fiscal targets.
Serve as a liaison to other clinical services and support compliance with contractual agreements and positive employee-management relationships.
Manage nursing schedules, operating room case flow when applicable, service efficiency, and physician satisfaction.
Oversee attainment of patient safety goals, regulatory survey preparation, specialized training, and continuing education.
Collaborate with nursing and physician leadership to maintain high standards of patient care and responsiveness to patients, families, and organizational needs.
Lead nursing practice using Relationship Centered Care and Modified Primary Nursing to promote a positive patient experience.
Model and integrate Purposeful Hourly Rounding; review validation data, observe rounding, assess manager competency, and provide feedback.
Use quantitative and qualitative patient-experience and staff-engagement feedback to develop and implement action plans.
Follow up on patient concerns, provide service recovery as needed, and escalate concerns appropriately.
Design and lead a safe, therapeutic, efficient, patient-centered care environment.
Investigate practice and operational variances, participate in root cause analysis, and develop and implement corrective action plans.
Promote reporting of errors and near misses and lead interdisciplinary quality-improvement teams using high-reliability principles.
Communicate unit progress, changes, and compliance with quality and safety metrics; correct safety hazards and documentation gaps through appropriate channels.
Lead staff participation in quality, safety, and compliance initiatives and maintain mandatory staff competency evaluations.
Coach and mentor clinical nurse leaders in safety escalation and compliance with policies, procedures, and regulatory standards.
Foster interdisciplinary relationships, peer review, nursing research, innovation, and joint practice arrangements with affiliating universities.
Provide administrative oversight of service lines, departments, or groups of units to align staffing, support services, collaboration, resources, and financial viability with organizational goals.
Work with clinical nurse managers, assistant nurse managers, nursing shift managers, physician dyads, and the healthcare team to develop cohesive unit leadership.
Maintain compliance with regulatory requirements, including New York State Department of Health and The Joint Commission requirements.
Oversee 24-hour patient care delivery, throughput, staffing, and operational processes.
Oversee unit or service-line budgets, capital equipment allocation, budget variances, overtime, and vacancies in accordance with financial goals.
Oversee position control, recruitment, and retention of qualified staff; monitor nursing equipment and supplies.
Maintain patient and employee confidentiality and evaluate, mentor, coach, counsel, and discipline staff as needed.
Conduct leadership staff meetings and encourage and recognize participation and success in quality, safety, and compliance initiatives.
Facilitate organizational change and lead shared decision-making through shared governance, just culture, staff engagement, practice councils, meetings, and initiatives.
Interpret and implement collective bargaining agreements and enforce union-contract compliance.
Represent nursing on hospital-wide committees and serve as Administrator on Call when assigned.
Evaluate and direct the environment of care and advance clinical competence in nursing practice and leadership.
Promote professional nursing standards, caring communication, ethical decision-making, scholarship, lifelong learning, and innovation.
Support staff participation in shared decision-making, specialty practice councils, nursing committees, and unit initiatives.
Acquire and share knowledge relevant to the role, patient population, clinical specialty, and health-community needs.
Serve as a professional role model and preceptor for new leaders, staff, and students.
Establish systems supporting evidence-based patient-care decisions, safe and efficient throughput, and access to unit resources.
Contribute to nursing through leadership and participation in professional organizations.