Senior Registered Nurse

16 hours ago

Somerville, Massachusetts, United States Mass General Brigham Full time
Job Title: Senior Registered Nurse - Quality Assurance Specialist

Mass General Brigham is seeking a highly skilled Senior Registered Nurse to join our Quality Assurance team. As a Senior Registered Nurse - Quality Assurance Specialist, you will play a critical role in ensuring the highest quality of care for our patients.

Job Summary:

The Senior Registered Nurse - Quality Assurance Specialist will be responsible for coordinating and implementing quality assurance activities, including the development and review of training materials, auditing, and monitoring of clinical team members. This role will also involve working closely with the Clinical Quality Assurance & HEDIS Manager to maintain a high level of quality performance and compliance with regulatory requirements and accreditation standards.

Key Responsibilities:
  • Conduct monthly file audits for all file requirements.
  • Participate in and/or lead clinical Interrater Reliability Testing (IRR).
  • Proactively communicate and collaborate within the Clinical and Quality Departments to identify key areas of focus and develop a Quality Assurance (QA) plan.
  • Develop written summaries of specific key areas of training required for clinical staff based on audit results.
  • Monitor staff adherence to designated NCQA UM, NCQA Complex Care Management (CCM), Quality Improvement (QI) and other standards, contractual and regulatory requirements with ongoing assessment of performance.
  • Work with the Clinical Quality Assurance Manager to communicate recommendations for operational changes based on survey findings to Quality and Clinical leadership.
  • Participate in training activities for clinical staff to support adherence to NCQA and other regulatory and internal documentation standards/requirements.
  • Support business requirements for system and process improvements.
  • Work with Medical Record Review staff to assist with the medical record review process.
  • Support the Appeals and Grievance team to assist with auditing and compliance.
Requirements:
  • Registered Nurse with 5+ years of clinical experience in a healthcare setting.
  • Valid unrestricted Massachusetts RN professional license.
  • Quality Assurance auditing experience a plus.
  • NCQA experience preferred.
  • Complex Care Management experience preferred.
  • Utilization Management (InterQual) experience preferred.
About Us:

Mass General Brigham is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Our work centers on creating an exceptional member experience – a commitment that starts with our employees. We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.

  • Senior Registered Nurse

    1 day ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    About the RoleMass General Brigham is seeking a highly skilled and experienced Registered Nurse to join our team as an Operating Room Senior. This is a unique opportunity to work in a dynamic and fast-paced environment, providing exceptional patient care and contributing to the success of our organization.Key ResponsibilitiesActing under the direction of the...

  • Senior Registered Nurse

    7 hours ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Job Title: Senior Registered Nurse - Quality Assurance SpecialistMass General Brigham is seeking a highly skilled Senior Registered Nurse to join our Quality Assurance team. As a Senior Registered Nurse - Quality Assurance Specialist, you will play a critical role in ensuring the highest quality of care for our patients.Key Responsibilities:Conduct regular...

  • Senior Registered Nurse

    5 days ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Job Title: Senior Registered Nurse - Quality Assurance SpecialistMass General Brigham is seeking a highly skilled Senior Registered Nurse to join our Quality Assurance team. As a Senior Registered Nurse - Quality Assurance Specialist, you will play a critical role in ensuring the highest quality of care for our patients.Job Summary:The Senior Registered...

  • Senior Registered Nurse

    4 days ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Job Title: Senior Registered Nurse - Quality Assurance SpecialistMass General Brigham is seeking a highly skilled Registered Nurse to join our team as a Senior Registered Nurse - Quality Assurance Specialist. This role will be responsible for coordinating clinical quality assurance activities, including the development and review of training materials,...

  • Senior Health Virtual RN

    1 day ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Job Title: Senior Clinical Quality Assurance Nurse AuditorMass General Brigham Health Plan is seeking a highly skilled Registered Nurse to join our team as a Senior Clinical Quality Assurance Nurse Auditor. This role is responsible for coordinating clinical quality assurance activities, including training and auditing materials, and performing audits to...

  • Senior Nursing Director

    2 days ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Job Title: Senior Nursing DirectorMass General Brigham is seeking a highly skilled and experienced Senior Nursing Director to lead our nursing team in Somerville, Massachusetts.About the Role:The Senior Nursing Director will be responsible for overseeing the 33 bay Center for Perioperative Care Unit (CPC), 92 bay Post Anesthesia Care Units (PACUs), and the...

  • Senior Nursing Director

    1 day ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Job Title: Senior Nursing DirectorMass General Brigham is seeking a highly skilled and experienced Senior Nursing Director to lead our nursing team in Somerville, Massachusetts.About the Role:We are looking for a seasoned nursing professional with a strong background in leadership and management to oversee the nursing department at our hospital. The...

  • Senior Nursing Director

    5 hours ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Job Title: Senior Nursing DirectorMass General Brigham is seeking a highly skilled and experienced Senior Nursing Director to lead our nursing team in Somerville, Massachusetts.About the Role:Lead the nursing team in providing high-quality patient care and services.Develop and implement nursing policies and procedures to ensure compliance with regulatory...

  • Senior Nursing Director

    2 days ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Senior Nursing Director Opportunity at Mass General BrighamMass General Brigham is seeking a highly skilled and experienced Senior Nursing Director to lead our Perioperative and Procedural Care Units. As a key member of our nursing leadership team, you will be responsible for overseeing the delivery of high-quality patient care, managing staff, and driving...

  • Senior Nursing Director

    1 day ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Job Title: Senior Nursing DirectorMass General Brigham is seeking a highly skilled and experienced Senior Nursing Director to lead our nursing team in Somerville, Massachusetts.About the Role:We are looking for a talented nurse leader to oversee the 33 bay Center for Perioperative Care Unit (CPC), 92 bay Post Anesthesia Care Units (PACUs), and the 10 bay...

  • Senior Nursing Director

    5 days ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Senior Nursing Director Opportunity at Mass General BrighamMass General Brigham is seeking a highly skilled and experienced Senior Nursing Director to lead our Perioperative and Procedural Care Units. As a key member of our nursing leadership team, you will be responsible for overseeing the delivery of high-quality patient care, managing staff, and driving...

  • Senior Registered Nurse

    24 hours ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Sr. Clinical Quality Assurance Nurse AuditorMass General Brigham is seeking a highly skilled Registered Nurse to fill the role of Sr. Clinical Quality Assurance Nurse Auditor. This position is responsible for coordinating clinical quality assurance activities, including the development and review of training materials, auditing, and preparation for NCQA...

  • Senior Nursing Director

    4 days ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Job SummaryMass General Brigham is seeking a highly skilled and experienced Senior Nursing Director to lead the Perioperative and Procedural Care Unit. This is an outstanding opportunity for a nurse leader to oversee the Center for Perioperative Care Unit, Post Anesthesia Care Units, and the Post-procedure Observation Unit.Key ResponsibilitiesOversee the...

  • Dialysis Nurse Opportunity

    3 weeks ago

    Somerville, Massachusetts, United States Travel Nurse Source Full time

    About the PositionA Dialysis Registered Nurse, (RN) is a nurse who specializes in providing care to patients with end-stage renal disease. This role requires a high level of clinical expertise and compassion.Job Requirements**Licensure and Certification**: Current RN licensure in the state where the assignment is located, and certification in dialysis...

  • Perioperative Registered Nurse

    3 days ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Perioperative Registered Nurse OpportunityMass General Brigham is seeking a skilled Perioperative Registered Nurse to join our team in Somerville, Massachusetts.Job SummaryWe are looking for a dedicated and compassionate Registered Nurse to provide high-quality patient care in our Perioperative department. As a Perioperative Registered Nurse, you will be...

  • Perioperative Registered Nurse

    23 hours ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Perioperative Registered Nurse OpportunityMass General Brigham is seeking a skilled Perioperative Registered Nurse to join our team in Somerville, Massachusetts.Job SummaryWe are looking for a dedicated and compassionate Registered Nurse to provide high-quality patient care in our Perioperative department. As a Perioperative Registered Nurse, you will be...

  • Perioperative Registered Nurse

    4 days ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Job Title: Perioperative Registered NurseMass General Brigham is seeking a skilled Perioperative Registered Nurse to join our team in Somerville, Massachusetts.Job Summary:We are looking for a dedicated and compassionate Registered Nurse to provide high-quality patient care in our Perioperative department. As a Perioperative Registered Nurse, you will be...

  • Perioperative Registered Nurse

    1 day ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Perioperative Registered Nurse OpportunityWe are seeking a skilled Perioperative Registered Nurse to join our team at Mass General Brigham. As a Perioperative Registered Nurse, you will be responsible for providing high-quality patient care in the operating room.Key Responsibilities:Assess and plan patient care in accordance with nursing standards and...

  • Perioperative Registered Nurse

    5 hours ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Perioperative Registered Nurse OpportunityWe are seeking a skilled Perioperative Registered Nurse to join our team at Mass General Brigham. As a Perioperative Registered Nurse, you will be responsible for providing high-quality patient care in the operating room.Key Responsibilities:Assess and plan patient care in accordance with nursing standards and...

  • Perioperative Registered Nurse

    4 hours ago

    Somerville, Massachusetts, United States Mass General Brigham Full time

    Perioperative Registered Nurse OpportunityMass General Brigham is seeking a skilled Perioperative Registered Nurse to join our team in Somerville, Massachusetts.Job Summary:We are looking for a dedicated and compassionate Registered Nurse to provide high-quality patient care in our Perioperative department. As a Perioperative Registered Nurse, you will be...