Quality Review Coordinator (RN)

Location: Burlington, MA
Job ID: 175460-1A
Date Posted: Jun 30, 2022
Category: Nursing

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Job Description

Welcome To

Welcome to Lahey Hospital & Medical Center, part of Beth Israel Lahey Health. Lahey Hospital & Medical Center is a world-renowned tertiary medical center known for its innovative technology, pioneering medical treatment and leading-edge research. A teaching hospital of Tufts University School of Medicine, the hospital provides quality health care in virtually every specialty and subspecialty, from primary care to cancer diagnosis and treatment to kidney and liver transplantation. It is a national leader in a number of health care areas, including stroke, weight management and lung screenings, among many others. Lahey also helps to advance medicine through research and the education of tomorrow's health care leaders.

About the Job

Under the direction of the Director of Quality & Safety, coordinates the delivery of care and concurrent collection of outcome data for targeted patient populations. Works closely with physicians and clinical staff to support programs that encourage evidence-based standards of care for Lahey Clinic patients. The Quality Clinical Reviewer collects, aggregates, analizes and reports data regarding the patient populations being followed to the appropriate clinical and administrative teams. Project manages initiatives for disease management.


Essential Duties & Responsibilities including but not limited to: 

  1. Participates in the development of methods for data collection and assessment for targeted patient populations.  
  1. Collects data on targeted patient populations through daily concurrent review as well as retrospective chart review.
  1. Interacts with caregivers to ensure that patients being followed meet goals and targets for timely delivery of care according to current practice standards.
  1. Enters data collected into appropriate databases.
  1. Analyzes and reports data collected to appropriate committees and teams.
  1. Acts as member or facilitator on hospital or medical committees, preparing agendas, minutes, etc.
  1. Manages projects and processes for quality and patient safety.
  1. Participates in policy development for committees and processes being managed.
  1. Organizes and presents educational sessions related to projects and processes being managed.
  1. Project manages disease management initiatives.
  1. Performs other duties as assigned or directed to ensure the smooth operation of the department/unit
  1. Organizational Requirements:
  • Maintains strict adherence to the Lahey Clinic Confidentiality Policy.
  • Incorporates Lahey Clinic Guiding Principles, Mission Statement and Goals into daily activities.
  • Complies with all Lahey Clinic Policies. Complies with behavioral expectations of the department and Lahey Clinic.
  • Maintains courteous and effective interactions with colleagues and patients.
  • Demonstrates an understanding of the job description, performance expectations, and competency assessment.
  • Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
  • Participates in departmental and/or interdepartmental quality improvement activities.
  • Participates in and successfully completes Mandatory Education.
  • Performs all other duties as needed or directed to meet the needs of the department.


 Minimum Qualifications:


Education: Graduate of a state approved and/or accredited School of Nursing.

Licensure, Certification, Registration:  Current license to practice professional nursing from the Massachusetts Board of Registration. 

Skills, Knowledge & Abilities:  Excellent oral and written communication skills, demonstrated ability to commuicate with physician and senior leadership, excellent interpersonal skills, knowledge of quality improvement techniques, data collection and analysis.Project management skills required. 

Experience:    Minimum of three years of clinical experience, two years in case, quality or utilization management.


40 Hours / Day

About Us

Beth Israel Lahey Health is dedicated to improving health and wellness and making a difference in the lives of our patients, their families and all members of the communities we serve.  Formed in March 2019, Beth Israel Lahey Health is a patient-centered, integrated care delivery system providing a continuum of services spanning academic, tertiary and community hospitals, dedicated orthopedic and psychiatric hospitals, primary and specialty care, community acute care, ambulatory care, behavioral services and home health.  Beth Israel Lahey Health Performance Network is a unified joint contracting and population health management organization, jointly governed by participating physicians and hospitals.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.