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Registered Nurse (RN) / Quality Improvement Ambulatory - HEDIS / Manhasset

North Shore-LIJ Health System

Nassau, NY
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Job Details

Job Title: Registered Nurse (RN) / Quality Improvement Ambulatory - HEDIS / Manhasset
Job Number: 0016SL


Some Travel to Outpatient Practices/Ambulatory Sites through Long Island/NYC.

Provides clinical quality management services for the voluntary faculty in the IPA. Monitors performance data on valued based contracts and promotes improved healthcare outcomes. Collaborates with the Pay for Performance Committee and the Medical Director to establish a vision and direction for Quality Improvement within the framework of current value based contracts, market initiatives, existing program work plans and strategic plan. Helps develop improvement projects with direct physician outreach. Organizes and helps disseminate provider reports.


Responsibilities include:


1. Participates in clinical quality improvement programs and committees, performs follow up as necessary. 
* 2. Develops and implements necessary teams, tools and care process changes in parallel with physician practices efforts to improve patient/member outcomes. 
* 3. Participates in analysis of network aggregate results of existing clinical outcome measures. Collaborates with medical director and informatics resources to develop, monitor and analyze performance measures. 
* 4. Reviews data on measure performance and helps implement the clinical quality program. 
* 5. Works with outlier practices to improve performance. 
* 6. Supports quality initiatives associated with value based contracts (both commercial and governmental). 
7. Performs other related duties, as required. 

*ADA Essential Functions 


Some Travel to Outpatient Practices/Ambulatory Sites through Long Island/NYC.

 Bachelor’s Degree in Nursing, required. 
• Current license to practice as a Registered Professional Nurse in New York State. 
• Minimum of five (5) years of nursing experience, required. 
• Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS), Quality Assurance Reporting Requirements (QARR), National Committee for Quality Assurance (NCQA), Medicare Shared Savings Program Accountable Care Organization (ACO) and Group Practice Reporting Organization (GPRO) measures, preferred. 
• Knowledge of industry quality improvement methods and tools as well as program design, implementation and evaluation. 
• Proficient computer skills: MS Office applications, Word, Excel, PowerPoint and Access. 

Job Quality Management

Primary Location Nassau County-Manhasset-600 Community Dr

Schedule Full Time

Shift Day Job

Shift Detail 

North Shore-LIJ Health System is the nation's third largest non-profit, secular healthcare system, New York City's ninth largest employer, and the largest employer on Long Island.