RN, Quality Assurance

• Performs responsibilities of the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) surgical clinical database including selection, abstraction, and follow-up of accurate and reliable data
• Responsible for analysis, summary and distribution of both raw and risk adjusted data
• organize and participate in new and ongoing quality assurance/performance improvement projects
• Serve as Quality Assurance Liaison (QAL) for the assigned Department of Surgery Division
• NSQIP Surgical Clinical Reviewer (SCR): accurately complete standard program tasks including selection, data collection, time management, data quality checks, and follow up in support of participation in the ACS Adult NSQIP Database
• Comprehensive chart review through expert navigation of electronic medical record
• NSQIP Surgical Clinical Reviewer (SCR): accurately compile additional data (target procedure or outside databases) in support of surgical quality improvement programs
• Collected definited variables through comprehensive chart review
• Analyze, summarize and distribute both raw and risk adjusted data by preparing reports utilizing the NSQIP database as requested
• Analyze patient outcomes to identify patterns and trends in care delivery in order to facilitate quality initiatives for surgical patients
• Utilize evidence-based practice and quality principles to guide project management and develop quality assurance/performance improvement projects
• Serves as Division quality assurance liaison (QAL): support assigned division quality program with data summaries, quality audits, quality assurance reviews, annual QA/PI plan revisions and other tasks as identified
• Attend and facilitate regular QA meetings
• Develops and maintains status as NSQIP expert by attending conference calls as well as attending national quality and safety meeting
• Proactively engage in educational opportunities
• Other duties as assigned

• Current valid NYS Registered Nurse license required
• Bachelor's/Master’s degree preferred
• Minimum three (3) years RN experience, with surgical nursing experience
• or equivalent combination of education and experience required
• Ability to interact with all members of the surgical team and administrative staff in a professional and courteous manner preferred
• Detail oriented with strong organizational and prioritization skills and ability to work independently under general guidance
• Proficiency in Microsoft Office (Word, Excel, PowerPoint, Access, Outlook), software/web applications, and electronic medical record
• Statistical knowledge preferred
• Clinical chart review and abstraction experience preferred
• Quality Assurance and Process Improvement (QA/PI) experience preferred

Certified Professional in Healthcare Quality (CPHQ)