RN Quality & Care Improvement Navigator

EmblemHealth; New York (NY); On-site; USD 88,000 - 101,000; Full time

Job summary

AdvantageCare Physicians (ACPNY) in New York City is seeking a Quality Navigator to serve as an embedded clinical quality resource within provider practices. The role partners with providers, care management teams, and interdisciplinary stakeholders to identify and close care gaps, optimize chronic disease management, and drive practice-level quality improvement initiatives.

The ideal candidate has a BSN and NYS RN licensure with at least 2 years of clinical experience, including ambulatory

Qualifications

• BSN required, current NYS RN licensure.
• Minimum 2 years of clinical experience; at least 1 year in ambulatory settings.
• Experience in Medicare Advantage, Managed Care, Population Health, or Quality Improvement.

Responsibilities

• Support quality improvement initiatives to enhance outcomes and care delivery.
• Identify care gaps using analytics and HEDIS checklists; conduct proactive outreach.
• Assist with CAHPS performance and patient engagement through effective communication.
• Document care gaps and follow up in the EHR (Epic) and coordinate with care teams.
• Collaborate with care teams and community resources to improve access and outcomes.

Skills

Analytical skills

Communication skills

Patient engagement

Education

BSN

RN Licensure NYS

Tools

Epic EMR

Population health platforms

Job description

AdvantageCare Physicians (ACPNY) in New York City is seeking a Quality Navigator to serve as an embedded clinical quality resource within provider practices. The role partners with providers, care management teams, and interdisciplinary stakeholders to identify and close care gaps, optimize chronic disease management, and drive practice-level quality improvement initiatives.

The ideal candidate has a BSN and NYS RN licensure with at least 2 years of clinical experience, including ambulatory