Quality Nurse Lead

LiveOnNY•New York, NY

12h•$110,000 - $130,000

About The Position

The Quality Nurse Lead provides day-to-day functional oversight, guidance, and workflow coordination for the Quality Nurse team. The role is accountable for timely and accurate completion of assigned reviews of deceased patient records for organ and tissue donation potential. It supports education and training, monitors deadlines and review status, assists with urgent reviews and audit variances, and works closely with the Senior Director of Quality to address escalations from Hospital Services. The Lead assigns and reprioritizes work within departmental priorities, monitors team and individual performance, provides coaching, and follows through on deficiencies. This is functional oversight without direct personnel supervision; formal personnel decisions remain with the Senior Director of Quality and Human Resources. The role supports improvement of donation practices, resolution of issues involving hospital death lists, and cross-departmental relationships. It supports LiveOnNY’s mission and commitment to organ, eye, and tissue donation. All services must comply with applicable federal and state laws, regulations, oversight requirements, and LiveOnNY policies, procedures, and work instructions, including requirements from CMS, New York State, FDA, and OPTN. This exempt position requires full professional dedication and availability to meet leadership and operational needs inside and outside standard business hours. Outside employment, consulting, or business activity requires advance written approval from the Chief Operating Officer under LiveOnNY’s Conflicts of Interest Policy. The role does not provide direct patient or donor care and does not make donor-suitability or recovery decisions. Complex or ambiguous clinical, regulatory, or ethical situations must be escalated to leadership. LiveOnNY offers a competitive salary and comprehensive benefits package. The stated salary range is $110,000–$130,000.

Requirements

Current Registered Professional Nurse (RN) license in the State of New York.
Bachelor of Science in Nursing (BSN) from an accredited institution.
Master’s degree in Nursing or a related field.
At least three years of clinical nursing experience, including at least two years of chart review and medical record data abstraction experience.
Strong lead-level coordination, coaching, and workflow oversight skills, with accountability for team review accuracy, completion, and correction of deficiencies.
Strong analytical and problem-solving skills, including the ability to evaluate data, draw conclusions, and recommend improvements.
Proficiency with common computer applications, including Word, Excel, and PowerPoint.
Excellent written and verbal communication skills and the ability to present findings clearly to all levels of staff.
Ability to work in a fast-paced environment and manage multiple priorities.
Strong interpersonal skills for interacting with medical professionals and internal teams.
Ability to apply critical thinking and clinical knowledge when assessing potential organ and tissue donation opportunities.
Availability for a rotating on-call schedule, including evenings and weekends.
Ability to meet physical demands, including standing, walking, lifting, and using vision for data analysis.
Reliable transportation for travel throughout LiveOnNY’s DSA and, when required, outside the DSA.

Nice To Haves

Experience in critical care, emergency care, organ donation, or transplantation.
Experience in quality improvement, regulatory compliance, or organ procurement processes.
Knowledge of medical terminology, anatomy, physiology, and ICD-10 coding.
Previous experience in audit, performance improvement, transplant care, or care of critically ill neurological patients.
Knowledge of or experience with process improvement methodologies such as Lean, Six Sigma, or RCA.

Responsibilities

Provide day-to-day guidance and functional oversight to Quality Nurses and ensure assigned team reviews are accurate and completed on time.
Support onboarding, education, and ongoing training of Quality Nurses.
Monitor review accuracy, status, performance metrics, and timelines; provide feedback and coaching; escalate persistent concerns to the Senior Director of Quality.
Coordinate urgent reviews and escalate issues to minimize referral-review delays.
Assign and reprioritize daily reviews, track progress, address backlogs, and escalate barriers beyond the Lead’s authority.
Audit process variances, help identify root causes, coordinate corrections, and verify completion; escalate unresolved or recurring deficiencies.
Coordinate with hospitals to obtain comprehensive lists of hospital deaths within specified timeframes.
Review deceased patient records to determine whether organ and tissue donation referral criteria were met.
Document and submit review findings accurately and promptly; maintain status reports and data integrity; communicate progress and findings to leadership.
Build working relationships with Medical Records Departments and hospital stakeholders, and improve reporting accuracy and timeliness.
Track, trend, and analyze metrics and present data clearly.
Audit donor and non-donor hospital medical records for clinical triggers for organ donation referral.
Collaborate with leadership to identify improvements in donation practices and support performance improvement initiatives and strategies to increase organ recovery.
Prepare audit reports and support implementation and tracking of approved corrective actions.
Work with the Senior Director of Quality to resolve Hospital Services escalations and issues affecting the donation process.
Troubleshoot issues with obtaining hospital death lists.
Foster cross-departmental collaboration and communicate issues, barriers, concerns, and potential solutions professionally.
Participate in quality and process improvement initiatives, including Lean, Six Sigma, and PDSA efforts.
Participate in continuing education and professional development.
Use LiveOnNY electronic donor record systems, communications systems, applications, and documentation tools to manage workflow and enter data accurately and promptly.
Maintain complete and confidential documentation and perform reviews, audits, and oversight in accordance with applicable CMS, OPTN, New York State, FDA, and LiveOnNY requirements.
Participate in QAPI reviews, case reviews, audits, and performance improvement initiatives as assigned.
Exercise sound clinical judgment within assigned review and audit responsibilities and promptly escalate complex situations.
Perform other duties as assigned.
Be available for a rotating on-call schedule, including evenings and weekends, and travel throughout LiveOnNY’s DSA and, when required, outside the DSA.