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RN, Quality Reviewer/Auditor (Remote)


Provides consultative services and manages quality improvement activities and initiatives for VNSNY CHOICE Health Plans. Contributes to the development of whole system measures and annual Enterprise quality strategic plan. Implements, monitors, and evaluates quality improvement strategies based on national benchmark data to achieve top decile performance. Analyzes performance and recommends improvement initiatives and/or corrective actions. Utilizes quality improvement framework, Plan, Do, Study, Act, to facilitate rapid cycle improvement strategies. Serves as a resource to quality improvement committees and work groups. Integrates compliance and regulatory requirements into QI processes. Works under general direction. Licensure: License and current registration to practice as a registered professional nurse, preferably in New York State, required. Valid driver's license or NYS Non-Driver photo ID card, may be required as determined by operational/regional needs. Education: Bachelors degree in health care administration, human services or business administration or related discipline or the equivalent work experience in a related professional field required. Experience: Minimum of four years clinical experience in a health care setting, including at least two years with a focus on quality improvement and measurement, required. Knowledge of health care delivery systems, patient care, care coordination, and clinical processes required. Ability to perform statistical/quantitative analysis required. Excellent oral, written and interpersonal communication skills required. Knowledge of basic Performance Improvement tools and methodologies preferred.


The Visiting Nurse Service of New York (VNSNY) is the nation's largest not-for-profit home- and community-based health care organization, serving the five boroughs of New York City, and Nassau, Suffolk, and Westchester Countries. For over 125 years, VNSNY has been committed to improving the health and well-being of people through high-quality, cost effective healthcare in the home and community. We offer a wide range of services, programs, and health plans to meet the diverse needs of our patients, members, and clients from before birth to the end of life. Each day, more than 13,000 VNSNY employees - including nurses, rehabilitation therapists, social workers, other allied professionals, and paraprofessionals - deliver compassionate care, unparalleled medical expertise, and 24/7 solutions and resources to more than 44,000 patients and members, helping them to live the best lives possible in their homes and communities.