System Director, Advanced Practice Providers – MSHS Oncology Services

The System Director of Advanced Practice Providers (APPs) provides strategic, operational, and professional leadership for Advanced Practice Providers across Mount Sinai Health System's oncology enterprise. This role is responsible for the oversight, development, and optimization of APP practice across inpatient, ambulatory, procedural, research, and specialty oncology services.

Under the One Mount Sinai framework, the System director serves as the system leader for oncology APPs, driving standardization of APP practice, workforce planning, quality initiatives, professional development, onboarding, credentialing alignment, and performance management across all oncology locations. The position reports to the System Chair of Oncology services, Vice President of Nursing Oncology Services and Vice President of Advanced Practice Nursing (APN) and Vice President of Physician Assistant (PA) services and partners closely with physician, nursing, operational, and medical staff leadership to ensure a highly engaged, high-performing APP workforce that supports exceptional patient care, academic excellence, and organizational growth.

The System director provides direct operational, professional practice, regulatory, and performance leadership across inpatient, ambulatory, procedural and research settings. The role also maintains system level strategic oversight through a matrixed reporting structure for additional oncology-affiliated APPs, representing a system-wide oncology APP community of Nurse Practitioners and Physician Assistants ensuring alignment with One Mount Sinai standards for practice, onboarding, competency, quality, regulatory compliance and workforce planning.

Patient Experience

1. 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.

2. Demonstrates proficiency in all aspects of Purposeful Hourly Rounding (PHR) and role models expected behaviors.

3. Ensures the integration of PHR into clinical activities to enhance Relationship Centered Care.

4. Confirms and periodically observes daily patient rounding.

5. Validates Director of Nursing competency in PHR, and provides consistent meaningful feedback with more focused feedback as needed.

6. Synthesizes quantitative and qualitative feedback regarding the patient experience and staff engagement to Directors of Nursing, Associate Nursing Directors, Clinical Nurse Managers, Assistant Nurse Managers, Nursing Shift Managers and the Interdisciplinary Patient Care Team that leads to the development and implementation of an action plan.

7. Follows up on all patient concerns in a timely manner, provides service recovery as needed and escalates patient concerns as appropriate.

8. Demonstrates caring, respect, compassion, empathy and active listening through dialogue, body language and actions.

Quality and Safety

1. Designs, supports and leads a safe, therapeutic and efficient patient-centered care environment for professional practice.

2. Identifies and investigates issues or variances in practice/operations by participating in the RCA process and develops and implements corrective action plans.

3. Fosters a fair and open culture that encourages error and near-miss occurrence reporting.

4. Leads interdisciplinary quality improvement teams using the principles of high reliability.

5. Communicates with staff and leadership about unit progress, changes, and compliance with quality and safety metrics.

6. Responds to escalations of potential safety hazards or gaps from best practice by correcting concerns following institutional chain of command protocol.

7. Monitors institutional information technology infrastructure and corrects gaps in clinical nurse documentation.

8. Leads staff participation in quality and safety initiatives and mandated compliance measures.

9. Demonstrates accountability for all unit quality and safety practices and compliance, and insures required evaluation of staff competencies is maintained.

10. Reviews unit progress, changes and compliance with quality and safety metrics with Directors and Associate Directors.

11. Coaches and mentors Directors in the resolution of potential safety hazards and validation of compliance with hospital and departmental policies and procedures and regulatory agency standards.

12. Fosters a professional practice environment through the facilitation of collegial interdisciplinary relationships, peer review, nursing research, innovation and joint practice arrangement through affiliating universities.

Operations and Administration

1. Supports implementation of the mission, vision, goals and objectives of the department, throughout the clinical service and individual patient care units.

2. Provides administrative oversight to service lines, departments or groups of units to ensure that all activity (staffing, support services, inter disciplinary collaboration, resources and financial viability) supports the goals of the organization.

3. Works collaboratively with the Director of Nursing/Associate Director/ Clinical Nurse Manager/Assistant Nurse Manager/Nursing Shift Manager, physician dyads and all members of the healthcare team to develop a cohesive unit leadership group.

4. Maintains service line compliance with all regulatory agency mandates, including the regulations of NYS DOH and The Joint Commission.

5. Oversees nursing leadership and managers to ensure 24 hour patient care delivery, throughput, staffing and processes to insure efficient and effective operations.

6. 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.

7. Oversees control of positions and the recruitment and retention of qualified staff.

8. Maintains patient/employee confidentiality in the management of information.

9. Monitors availability and maintenance of nursing equipment and supplies.

10. Evaluates Director/Associate Director of Nursing performance. Mentors, coaches, counsels and disciplines staff as needed.

11. Conducts leadership staff meetings with Directors to ensure communication about progress, changes and compliance with all hospital policies and procedures and regulatory agency standards.

12. Encourages, recognizes and rewards manager and staff participation in quality and safety initiatives, compliance and successes.

13. Facilitates organizational change initiatives by using effective strategies.

14. 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.

15. Interprets and implements collective bargaining agreements affecting staff while enforcing compliance of union contracts.

16. Serves as chairperson/member in hospital wide committees to represent nursing.

17. Serves in the position of Administrator on Call (AOC) as assigned.

Professional Development

1. Evaluates and directs the environment of care to support clinical colleagues, patients and their families and members of the health care team.

2. Advances clinical competence in nursing practice and leadership to progress from competent to expert.

3. 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.

4. 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.

5. Encourages and facilitates a spirit of scholarship, inquiry, life-long learning and innovation for self and others.

6. 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.

7. Acquires and disseminates knowledge and skills relative to the role, patient population, clinical specialty and global or local health community needs

8. Serves as a professional role model and preceptor for new leadership, staff and students.

9. 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.

10. Incorporates the values of research and evidenced based practice and its application to the environment of care.

11. Contributes to the profession of nursing through leadership and participation in professional organizations.

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 $153,723.00 - $230,584.00 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.

Non-Bargaining Unit, 379 - Oncology Administration - MSH, Mount Sinai Hospital