Registered Nurse - Clinical Quality Abstractor, FT

Employment Type

: Full-Time


: Miscellaneous

Inspire health. Serve with compassion. Be the difference. Job Summary RN-Clinical Quality Abstractor is responsible for collection, validation and clinical quality review of patient-level data for national clinical quality initiatives (i.e., Core Measures) or other clinical data registries (i.e. STS, NSQIP, Cancer, Trauma, etc.) necessary to support specialty Centers of Excellence, Accreditation or Certification requirement. The scope of the data abstractor work involves: managing the overall medical record retrieval process for abstracting the required data; collecting numerous complex data elements using established definitions; ensuring the integrity of the electronic data transmitted to an established national database/registry; preparing, presenting and interpreting clinical quality data reports and working with clinical team members on quality improvement projects. The position translates clinical documentation into information that can be used for actionable improvement; recognize and identify variances between and within systems, evaluate potential causes of variation and work collaboratively to support action plans for clinical care improvement. The position facilitates the establishment of a data-driven culture in the clinical quality and operational areas on the journey to high reliability. The position supports the organization/market/campus or care setting's clinical and administrative leadership team, quality leadership, Subject Matter Experts (SMEs), stakeholder groups and ad hoc teams related to data abstraction and performance improvement. Provides guidance, consultation and standard work for the design and maintenance of registry and clinical databases. * Accountabilities * Abstract clinical data elements from the medical record per guidelines/ definitions of the patient-selection criteria and sponsoring/regulatory entity (e.g. CMS Core Measures) or national clinical data registry (e.g. STS Adult Cardiac Surgery Database, etc.); develop efficient data collection and data management processes; ensure data integrity through validation and clarification of case scenarios with provider and clinical staff; maintain proficiency and productivity in terms of volume of patient records assessed and abstracted; uploads/ submits data files to sponsoring organization and investigates/ corrects data submission errors; work with vendors and quality organizations to resolve questions, issues or problems related to software, report capacity, benchmarking reports, etc. 50% * Serve as consultant/ subject-matter expert on the abstracted data; trains and informs providers, clinical staff and leadership on any changes that directly affect abstraction, clinical processes, reporting and evidence-based practice and patient care. 5% * Produce reports addressing variances; monitor quality metrics and identify significant data trends; provide support, data analyses, etc. to aid in supporting organizational improvements in clinical care and outcomes. 10% * On an as needed basis, attend clinical councils / service-line meetings to share data and information, contributing to improvement in patient care and outcomes; ad hoc member of related performance improvement teams. 5% * Perform a detailed medical record review when non-compliance, variation or deviation with practices is determined to identify trends and contributing factors; share data with providers clinicians, quality improvement coordinators and other parties for appropriate action. 10% * Intervene real-time when an area of non-compliance is identified within a core measures/service line registry indicator, attempting to rectify while patient is in house; establish processes to contact and communicate with the provider for orders, clarification, documentation or other follow-up. 15% * Foster collaboration between abstraction staff and clinical leaders to achieve the required results for quality patient care and accurate documentation for data abstraction and submission. 5% Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Education Bachelor's Degree- Nursing or related health science field Minimum Experience 2 years - Clinical data abstraction, data management and/or data oversight. Experience working with healthcare data required. Required Certifications/Registrations/Licenses RN - REGISTERED NURSE - NLRN In lieu of the Above Minimum Requirements In lieu of BSN, will accept ADN or nursing diploma and 3 years of experience in data abstraction, data management and/or data oversight. Other Required Experience Healthcare registry certification (specialty specific) - Preferred Experience in quality improvement, quality review, and performance improvement methodologies; ability to effectively communicate opportunities for improvement - Required Detail oriented; ability to work independently and to adhere to standards/definitions of sponsoring agencies/ entities; effective oral and written communication skills and ability to interact and build relationships within quality improvement teams. - Required Utilizes appropriate resources to make decisions regarding data abstraction, interpretation and dissemination. - Required Work Shift Day (United States of America) Location Greenville Memorial Med Campus Facility 1001 Corporate Services - Upstate Department 10209027 Quality Management Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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