Job Information
The Research Foundation for The State University of New York at Stony Brook Registered Nurse - Education/Clinical Quality Outcomes in Commack, New York
Collect medical data during annual monitoring exams and perform phlebotomy, spirometry and cognitive tests. Review and communicate urgent or stat results to the provider to follow up with member. If directed, follow-up with member providing required medical information and education. Be a point person for incoming calls from member services line or messages in patient portal to deal with medical questions from our members. Triage calls and deal efficiently with member questions. Review lab reports, ColoGuard reports, radiology reports, cancer screening results and other important test results, appropriately triage, and ensure timely follow-up communication with the members. Play a key role in member adherence to appointments with community providers, by identifying non-compliant members and outreaching to these members to motivate timely follow-up. Work collaboratively with Case Management and Member Services to enhance our compliance program and case management program. Ensure Quality Assurance in the Clinical areas: review records, measure outcomes, provide reports, implement and assess improvements. Provide training and feedback to staff to ensure compliance, safety and quality. Participate in quality assurance committee meetings to ensure collaborative solutions and help the teams meet performance and quality metrics and goals. Participate in quality assurance projects, audits, chart reviews and other data collection projects. Implement clinical improvement projects under the direction of the Nursing Supervisor in order to meet Program QA goals. Other duties as assigned.
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Equal Opportunity Employer, females, minorities, disabled, veterans.
Minimum Salary: 31200.00 Maximum Salary: 31200.00 Salary Unit: Yearly