Senior Quality Assurance Manager Nurse

1199 Seiu National Benefit Fund

$110K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Valid NY State RN license; Bachelor's degree required
  • 6+ years of nursing experience in relevant care settings
  • 3+ years in quality improvement and 4+ years in management
  • Strong clinical assessment and patient education skills
  • Excellent nurse-physician communication and leadership skills
  • Knowledge of HEDIS and NCQA standards
  • Intermediate computer literacy, basic proficiency in Microsoft Office preferred

Responsibilities

  • Provide strategic leadership to nursing and allied clinical staff
  • Oversee daily operations to ensure efficient workflows
  • Coordinate and develop Quality Improvement initiatives
  • Analyze population-based data to identify quality improvement opportunities
  • Act as a liaison between the fund and providers on care quality
  • Review performance data and recommend operational enhancements
  • Engage clinical staff in quality assurance outreach projects
  • Assist with recruiting, onboarding, and evaluating clinical staff
  • Supervise and coach Wellness clinical staff for competency improvement
  • Educate members on health conditions and lifestyle changes
  • Participate in seasonal vaccination efforts and health outreach events
  • Perform additional duties as assigned

Benefits

  • Hybrid work environment
  • Permanent full-time employment
  • Opportunity for leadership in a significant healthcare fund
  • Involvement in community health initiatives
  • Engagement with diverse healthcare challenges in NYC
Full Job Description
Requisition #:

7506

# of openings:

1

Employment Type:

Full time

Position Status:

Permanent

Category:

Non-Bargaining

Workplace Arrangement:

Hybrid

Fund:

1199SEIU National Benefit Fund

Work Hours:

To Be Determined

Internal Closing Date:

8/13/26

Job Classification:

Exempt

Responsibilities
• Provide strategic and operational leadership to registered nurses and allied clinical staff
• Oversee daily operations, ensuring efficient workflows and appropriate staffing levels
• Participate in coordinating and developing Quality Improvement initiatives and monitor performance metrics and outcomes
• Review generic charts and other population-based data to identify trends, gaps, and opportunities for quality improvement across chronic conditions for provider groups and individual providers, then address them
• Serve as a clinical liaison between the Fund and Providers on quality-of-care concerns (HEDIS and other Performance Measures)
• Review performance, evaluate effectiveness, analyze data, identify trends, and collaborate with business leads to recommend enhancements
• Engage Fund Registered Nurses (RN), Health Educators (HE), and Social Workers (SW) in quality assurance projects, such as outreach to members with gaps in care
• Assist Medical Director in hiring, recruiting, onboarding and evaluation of clinical staff
• Provide supervision, mentoring, coaching, and clinical oversight of all Wellness clinical staff to strengthen competencies.
• Educate members regarding acute and chronic conditions and promote healthier lifestyle behaviors.
• Participate in seasonal vaccination and other types of testing as needed.
• Participate in Health Fairs, Screenings, and Outreach Events in New York City and outer borough locations as needed
• Perform additional duties and projects, as assigned by management
Ability to work flexible hours including evenings and weekends as needed

Qualifications
• A valid New York State Registered Nurse (RN) license is required; Bachelor's degree required
• Minimum of six (6) years of nursing experience in ambulatory care, community health care, or medical/surgical settings, including at least three (3) years in quality improvement and four (4) years in management required
• Strong experience in clinical assessment, patient education, motivational interviewing, critical thinking, independent decision-making, quality assurance, and quality improvement
• Excellent nurse-physician communication, leadership, coaching, and team-building skills are required.
• Knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) and National Committee for Quality Assurance (NCQA)
• Intermediate computer and digital literacy
• Basic proficiency in Microsoft Outlook, Word, and Excel is preferred

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