Northwell Health Part Time Quality Management Coordinator- Peconic Bay Medical Center in Riverhead, New York

Req Number 001ROG

Job Category Quality Management

Job Description


Facilitates and participates-in the implementation of the multidisciplinary hospital-wide Quality Assurance (QM)/Performance Improvement (PI) program. Promotes collaborative practice among departments/services for improved clinical outcomes and processes of care. Plans and implements a systemic process to monitor the quality and appropriateness of patient care.


  1. Supports an information system for Quality Management data aggregation.
  • Maintains Quality Management and NYPORTS database.

  • Provides Department Chairman and Quality Management/ Performance Improvement Committees with data analysis of trends, including high-risk patients/ procedures.

  • Coordinates Root Cause Analysis and reports results to appropriate departments and regulatory agencies.

  • Evaluates risk management activities including monitoring of appropriate corrective actions/ improvements to render quality health care in all related phases.

  • Monitors statistical data from Quality Management reports and evaluations.

  1. Develops systems and procedures to carry out QM/PI functions.
  • Assists in the implementation of the philosophy, goals, and objectives of the Hospital.

  • Participates in departmental/service Quality Improvement committees, task forces and organizational performance improvement teams as appropriate.

  • Participates in program planning and development.

  1. Collaborates with the multidisciplinary health care team regarding development and implementation of QM/PI program.
  • Serves as a consultant to the multidisciplinary department/service Quality Improvement Committees.

  • Participates as a member of the institutional Quality Management/ Performance Improvement committees in planning, reviewing, and implementing activities related to the organizational goals and objectives.

  • Recommends topics for review, including but not limited to, high risk, high volume, or problem prone activities.

  1. Assists in the preparation process for accreditation and regulatory surveys.
  • Uses knowledge of standards of accreditation and regulatory agencies to advise and assists with assessment of adherence.

  • Maintains an effective reporting system (i.e. QM database and NYPORTS database) to communicate and document findings, action and follow-up resulting from systematic monitoring and evaluation criteria.

  1. Performs related duties, as required.

*ADA Essential Functions



  • Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, required. Master’s Degree, preferred.

  • Current license to practice as a Registered Professional Nurse in New York State.

  • Minimum of (5) five years clinical experience including general knowledge of QM principles, NYPORTS and JCAHO requirements.

  • Maintains current knowledge of Quality Management, NYPORTS and TJC requirements and supporting information system applications.