Surgical Clinical Reviewer - NSQIP Accreditation & Regulatory

Overview

This is a Monday - Friday, full-time in-person position. No weekends or holidays.

Job Description Summary

Develops, implements and coordinates effective systems to evaluate and improve patient outcomes and quality care. Provides leadership in the areas of continuous quality improvement and compliance standards and supports the overall philosophy and mission.

Job Description

Essential Functions:

• Creates interdisciplinary quality improvement activities to meet strategic plans and compliance standards, and facilitates continuous improvement.
• Analyzes data, prepares reports, and communicates quality outcomes and patient satisfaction data to staff and committees.
• Manages the opening, review, finalization, trending, and reporting of patient and visitor events.
• Ensures compliance and participates in PPR process and Constant Readiness Program.
• Collaborates with internal departments and staff to coordinate quality improvement activities and policy compliance.
• Provides continuous quality improvement education and collaborates with staff to identify resources and educational needs to achieve performance goals.
• Maintains data accuracy and integrity in quality improvement databases and nursing scorecards.
  
  

Education Requirement

• Bachelor's Degree in Nursing or related field, required.
• Master's Degree in Nursing or related field, preferred.
  
  

Licensure Requirement

(not specified)

Certifications

(not specified)

Skills

• Excellent interpersonal and organizational skills necessary to present and communicate important information effectively to all levels of hospital staff.
• Effective presentation skills and the ability to analyze and interpret statistical data.
  
  

Experience

• Three years of experience as a clinician in a hospital setting, required.
• Two years of experience in the quality management field, preferred.
  
  

Physical Requirements

OCCASIONALLY: Decision Making, Lifting / Carrying: 0-10 lbs, Patient Equipment, Standing, Walking

FREQUENTLY: Problem solving

CONTINUOUSLY: Audible speech, Color vision, Computer skills, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Repetitive hand/arm use, Seeing – Far/near, Sitting

Additional Physical Requirements Performed But Not Listed Above

(not specified)

Accuracy and Attention to Detail - Extensive Experience (Meets Expectations), Bachelor's Degree, Data Gathering and Reporting - Extensive Experience (Meets Expectations), Effective Communications - Working Knowledge (Meets Expectations), NCH Core Values - Basic Understanding (Meets Expectations), Problem Solving - Extensive Experience (Meets Expectations), Systems Thinking - Extensive Experience (Meets Expectations)

"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"