Nursing Jobs in Hanover, NJ
$93,400 - $116,800 / year
Overview Supports interdepartmental Quality Improvement (QI) initiatives focused on promoting high-quality, safe, and equitable member care. Serves as a clinical and operational resource to QI committees, workgroups, and leadership. Analyzes outcomes, HEDIS/CAHPS/Stars performance, and trend data to identify opportunities for improvement in care coordination, quality, and member experience. Designs, implements, and evaluates QI programs aligned with DOH, CMS, and NCQA standards. Collaborates across departments—including Care Management, Utilization Management, Provider Relations, Compliance, and Analytics—to sustain continuous improvement, advance health equity, and ensure regulatory readiness. What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities What You Will Do Conducts clinical assessment including and not limited to, medication reconciliations, post-discharge transitions of care assessment and follow-up post emergency department assessment. Collaborates across departments to ensure compliance with DOH, CMS, and NCQA requirements. Coaches teams in applying continuous improvement methodologies (PDSA, LEAN, RCA) to achieve strategic objectives and national benchmarks for quality, satisfaction, and cost. Partners with analytics and program teams to identify trends and address performance gaps. Performs clinical reviews with network providers to validate diagnoses, address care gaps, and support accurate HEDIS/QARR documentation. Collaborates with providers to improve adherence to evidence-based care and quality measures. Participates in multidisciplinary QI teams and committees to support design, implementation, and evaluation of improvement initiatives related to clinical performance, documentation, and regulatory compliance. Supports development of annual QI work plan, program evaluation, and performance reporting. Supports value-based programs through data review, gap identification, and provider feedback. Performs medical record audits to evaluate adherence to documentation, coding, and quality standards. Provides education, feedback, and guidance to PCPs on VNS Health Medical Record Documentation Standards. Conducts audits of patient care records to monitor care quality and documentation accuracy.. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review methodology. Performs utilization and quality assessment reviews to maintain compliance with Federal and State regulatory requirements. Identifies & analyzes results to inform the development of correction plans. Collaborates with management to develop measurable action plans based on root-cause analysis, outcome trends, and survey results (HEDIS, CAHPS, Stars). Presents recommendations to QI committees and leadership to drive improvement and accountability. Participates in the preparation for and assists with site visits of external providers for the purpose of regulatory quality compliance. Develops and disseminates training materials, clinical guidelines, and quality protocols to promote consistent evidence-based care across provider networks and internal teams. Provides education sessions and quality coaching as needed. Conducts follow-up reviews and reassessments to ensure corrective actions for regulatory findings, complaints, or incidents are implemented effectively and sustained over time. Documents progress and escalates unresolved issues as appropriate. Develops, maintains, and updates QI policies and procedures aligned with evolving regulatory and industry standards. Collaborates with analytics to collect, interpret, and share performance data with internal teams to drive transparency and accountability. Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State or New Jersey required Education: Bachelor's Degree Nursing, Social Work or other Behavioral Health field required Work Experience: Minimum of five years experience in a health plan or health care setting required Minimum of four years quality improvement experience required Minimum of two year experience, quality management, practice improvement and compliance required Demonstrated experience leading or facilitating cross-functional quality initiatives required Excellent oral, written and interpersonal communication skills, including group facilitation skills required Knowledge of basic Performance Improvement tools and methodologies (e.g., PDSA, LEAN, Six Sigma). preferred Experience applying data analysis to clinical and operational improvement strongly desired. preferred Pay Range USD $93,400.00 - USD $116,800.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. $93,400 - $116,800 / year
Overview Supports interdepartmental Quality Improvement (QI) initiatives focused on promoting high-quality, safe, and equitable member care. Serves as a clinical and operational resource to QI committees, workgroups, and leadership. Analyzes outcomes, HEDIS/CAHPS/Stars performance, and trend data to identify opportunities for improvement in care coordination, quality, and member experience. Designs, implements, and evaluates QI programs aligned with DOH, CMS, and NCQA standards. Collaborates across departments—including Care Management, Utilization Management, Provider Relations, Compliance, and Analytics—to sustain continuous improvement, advance health equity, and ensure regulatory readiness. What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability Employer-matched retirement saving funds Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Generous tuition reimbursement for qualifying degrees Opportunities for professional growth and career advancement Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities What You Will Do Conducts clinical assessment including and not limited to, medication reconciliations, post-discharge transitions of care assessment and follow-up post emergency department assessment. Collaborates across departments to ensure compliance with DOH, CMS, and NCQA requirements. Coaches teams in applying continuous improvement methodologies (PDSA, LEAN, RCA) to achieve strategic objectives and national benchmarks for quality, satisfaction, and cost. Partners with analytics and program teams to identify trends and address performance gaps. Performs clinical reviews with network providers to validate diagnoses, address care gaps, and support accurate HEDIS/QARR documentation. Collaborates with providers to improve adherence to evidence-based care and quality measures. Participates in multidisciplinary QI teams and committees to support design, implementation, and evaluation of improvement initiatives related to clinical performance, documentation, and regulatory compliance. Supports development of annual QI work plan, program evaluation, and performance reporting. Supports value-based programs through data review, gap identification, and provider feedback. Performs medical record audits to evaluate adherence to documentation, coding, and quality standards. Provides education, feedback, and guidance to PCPs on VNS Health Medical Record Documentation Standards. Conducts audits of patient care records to monitor care quality and documentation accuracy.. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review methodology. Performs utilization and quality assessment reviews to maintain compliance with Federal and State regulatory requirements. Identifies & analyzes results to inform the development of correction plans. Collaborates with management to develop measurable action plans based on root-cause analysis, outcome trends, and survey results (HEDIS, CAHPS, Stars). Presents recommendations to QI committees and leadership to drive improvement and accountability. Participates in the preparation for and assists with site visits of external providers for the purpose of regulatory quality compliance. Develops and disseminates training materials, clinical guidelines, and quality protocols to promote consistent evidence-based care across provider networks and internal teams. Provides education sessions and quality coaching as needed. Conducts follow-up reviews and reassessments to ensure corrective actions for regulatory findings, complaints, or incidents are implemented effectively and sustained over time. Documents progress and escalates unresolved issues as appropriate. Develops, maintains, and updates QI policies and procedures aligned with evolving regulatory and industry standards. Collaborates with analytics to collect, interpret, and share performance data with internal teams to drive transparency and accountability. Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State or New Jersey required Education: Bachelor's Degree Nursing required Work Experience: Minimum of five years experience in a health plan or health care setting required Minimum of four years quality improvement experience required Minimum of two year experience, quality management, practice improvement and compliance required Demonstrated experience leading or facilitating cross-functional quality initiatives required Excellent oral, written and interpersonal communication skills, including group facilitation skills required Knowledge of basic Performance Improvement tools and methodologies (e.g., PDSA, LEAN, Six Sigma). preferred Experience applying data analysis to clinical and operational improvement strongly desired. preferred Pay Range USD $93,400.00 - USD $116,800.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. 
$135,283.20 - $170,414.40 / year
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Hiring Range: $135,283.20 - $170,414.40 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Location: Worcester, MA Facility: UMass Memorial Health Department: Critical Care Specialty : General Schedule: Full-Time UMass Memorial Medical Group seeks a Nurse Practitioner or Physician Assistant to join our adult Critical Care team. In this role, you will perform comprehensive assessments, diagnose and manage acute and chronic conditions, and deliver expert care with a high degree of autonomy. You will also engage in education, quality improvement, and leadership initiatives that support patient outcomes and team development. Our competitive compensation and benefits package places us as your top choice in the region . Our commitment to the communities we serve never wavers. We use knowledge and innovation to create breakthrough medicine. To create jobs. To make life better for those we serve. We are leaders in the training of physicians and those who work in every facet of health care. We make outstanding care accessible for all, regardless of ability to pay. We stand for quality, compassion, dignity, opportunity, fairness — and the relentless pursuit of healing. Key Highlights: We value motivated, growth-oriented clinicians who thrive in a highly functioning and supportive environment. Join a dynamic and highly skilled team of over 70 nurse practitioners and physician assistants who: · Provide coverage across 8 adult ICUs · Perform lifesaving procedures and manage complex conditions · Practice at the top of their license with autonomy and collaboration · Embrace education, mentorship, and continuous professional development · Are essential and respected members of our interdisciplinary ICU care team · Order, perform, and interpret diagnostic tests · Conduct in-depth health histories and physical examinations · Analyzes data collected to determine health status and identify differential diagnoses based on history, physical exam, and clinical findings. · Develop and implement care plans with physicians and patients · Manage therapeutic interventions and perform advanced procedures · Reassess and modify plan treatment plans to achieve medical and health goals. · Documents and communicate care outcomes and clinical findings to determine effectiveness of plan of care. Qualifications: For Nurse Practitioners · Master’s degree from an accredited Nurse Practitioner program (preferably ACNP/AGACNP) · Current Massachusetts NP license · Board Certification by the American Nurses Credentialing Center (ANCC) or the American Association of Nurse Practitioners (AANP). · Acute Care/Critical Care clinical experience required · Massachusetts Controlled Substances Registration and federal DEA Controlled Substance Registration For Physician Assistants · Bachelor’s degree from an accredited Physician Assistant program. · Current Massachusetts license, issued by the Physician Assistant Board · Current certification by National Commission on Certification of Physician Assistants (NCCPA). · Acute Care/Critical Care clinical experience required · Massachusetts Controlled Substances Registration and federal DEA Controlled Substance Registration Top Tier Benefits to Reflect Your Values and Needs. · Comprehensive medical, dental and vision coverage · Generous paid time off with 11 paid holidays · Practice/CME allowance · Pension plan with additional retirement options available · Paid family and medical leave; short-term and long-term disability programs · Tuition reimbursement, student loan forgiveness support, and PSLF ‑ eligible employment Concierge services for relocation · Organization-wide commitment to formal Clinician Wellness Program · Relocation bonus of up to $5,000 Visit UMass Memorial Medical Group to learn more about our organization Qualified candidates may contact Shane Cox , Provider Recruiter, at shane.cox@umassmemorial.org All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible. 
