There was a decrease in the percentage of employee satisfaction from 2013-2014 on the aspects of culture of 6.94%, career opportunities and promotions of 6.88%, communication of 3.37%, leadership of 2.93%, work activities of 4.60%, work environment of 2.65%, and compensation or rewards of 3.36%. This study aimed to optimize employee job satisfaction by improving factors based on the Cartesian matrix in Menur Mental Hospital, East Java. research was conducted from April to June 2016. Primary and secondary data were collected using a questionnaire. Respondents were employees of the Menur Mental Hospital, East Java, which consisted of 82 samples. The sample represented all professional groups. 8 samples were taken from the total medical group, 25 samples were taken from the total nursing group, 3 samples were taken from the total pharmacists’ group, and 46 samples were taken from the total population of other health and non-health workers groups. The results showed a gap between expectations and perceptions of attributes and sub-attributes of job satisfaction. The biggest gap in the medical group was the attribute of empowerment of human resources and the sub-attribute of the proactive management attitude to seek feedback from employees. The biggest gap in the nursing group was the attribute of communication and the sub-attributes of the proactive management attitude to seek feedback from employees. Based on the analysis by the Cartesian matrix, the attribute of communication is the job satisfaction attribute having the most sub-attributes that go into the improvement priority.

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