Role Description
Manages a team to provide clinical synthesis, distribution, and analysis of internal and comparative data in support of system strategic, operational and quality projects. Works in collaboration with facility executives, service line leaders and operational leads. Translates operational and clinical needs into analytic and reporting strategies. Collaborates with service lines on development and execution plans for improvement opportunities in enterprise-wide clinical performance and outcomes. Oversees internal data collection and reporting and ensures submission standards are met for the appropriate governing entities.
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Establishes registry support services including all aspects of registry compliance with all applicable state agencies, federal regulations and statutes, including overseeing compliance with external accreditation standards.
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Ensures timely and accurate collection and submission of complex data as mandated by State and National databases, including CMS, Payor, and Accreditation entities.
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Oversees development and implementation of interoperability and validity processes, ensuring hardware and software requirements are in place to support efficiency and accuracy of documentation for abstraction, entry and submission, and ensuring appropriate data reporting tools are developed and utilized.
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Coordinates management oversight of all assigned registries across the enterprise to ensure uniformity, accuracy, timeliness, and integrity of the databases throughout the enterprise.
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Directs and executes multiple, concurrent projects independent of or with little supervision from leadership.
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Develop process for validation and inter-rater reliability audits within the registry to ensure accurate data abstraction.
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Serves as support liaison to service line committees within the enterprise, ensuring that report requirements for ongoing quality improvement activities are provided as requested.
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Abides by and oversees standards pertaining to mandated data submission and confidentiality rules and regulations set forth by state statute and federal regulations.
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Maintains current knowledge and understanding of privacy, confidentiality, and consent for release of information issues and directs abstraction/registry teammates on specific issues or changes as they occur and oversees all abstracted data requests according to legal and regulatory statutes.
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Assists in consulting, planning, preparing for formal site inspections and surveys by state or federal agencies and establishing, maintaining and supporting national accreditations that require registry support.
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Leads and coordinates implementation of data system software, executes updates, enhancements and corrections, as appropriate.
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Facilitates departmental operations including the development and implementation of orientation plans, training, monitoring of productivity, and updating policies and procedures.
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Provides team support in presentation skills, reporting, and interpreting results of the data including any statistically benchmarked comparisons.
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Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee engagement.
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Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
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Develops policies and procedures for data management.
Qualifications
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Bachelorβs Degree in healthcare related field
Requirements
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Three (3) years of experience in quality, abstraction, registry with 1 year of supervisory experience leading a team; healthcare environment
Experience Preferred
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5 years of orthopedic and/or trauma experience, such as in the OR, Med Surg, ER, ICU.
Knowledge, Skills & Abilities Required
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Excellent written and verbal communication skills.
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Knowledgeable and proficient in the use of software, data quality, data management, and presentation.
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Knowledge of statutory requirements and accreditation standards by the various agencies applicable to data abstraction and reporting.
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Demonstrates strong analytic skills and problem-solving ability to adequately analyze and display complex clinical data.
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Proficient use of Microsoft office or similar products to produce, display, and maintain statistical data.
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Ability to work independently with a high degree of accuracy and attention to detail.
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Knowledge of applicable software/tools needed for abstraction, reporting, and analysis.
Physical Requirements and Working Conditions
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Ability to sit for extended periods of time.
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Operates all equipment necessary to perform the job.
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Exposed to a normal office environment.
Benefits
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Paid Time Off programs
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Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
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Flexible Spending Accounts for eligible health care and dependent care expenses
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Family benefits such as adoption assistance and paid parental leave
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Defined contribution retirement plans with employer match and other financial wellness programs
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Educational Assistance Program