Chief Medical Officer
Tiburcio Vásquez Health Center, Inc.
Surgical Clinical Reviewer – NSQIP/MBSAQIP
Center for Health Care Strategies
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Coordinate, collect, and complete NSQIP/Pediatric and MBSAQIP data on preoperative risk factors, intra-operative variables, and 30-day postoperative outcomes for eligible surgical cases.
- Enter over 130 data points accurately into secure registries (NSQIP and MBSAQIP) and ensure data integrity subject to external validation and statistical analysis.
- Conduct ongoing data analysis to identify performance gaps, trends, special cause variation, and causal factors using graphical tools and advanced statistical methods as needed.
- Build and submit quality assessment reports monthly, quarterly, and yearly to the NSQIP/Pediatric Advisory Committee and prepare reports for Surgeon Champions and committees.
- Collaborate with Surgeon Champion, NSQIP Committee Members, Infection Prevention Program, and multidisciplinary teams to manage data, identify improvement areas, and integrate infection surveillance.
- Function as an enterprise clinical data analyst, support program development, facilitate multidisciplinary teams/committees, and develop long-range quality/safety improvement goals and strategies.
- Participate in monthly NSQIP: P SCR calls/Webinars and attend the annual ACS NSQIP conference; escalate data integrity or completion barriers to Senior Director of Safety and Quality.
Requirements
- Bachelor’s Degree required. Masters in Nursing or related field preferred.
- Minimum of 5 years of progressively more responsible experience in health care required.
- NSQIP SCR Certification (required within 1 year of hire).
- Certified Professional in Healthcare Quality preferred.
- Experience in program development.
- Follows standards of good clinical practice and HIPPA guidelines in collecting protected medical information.
- Demonstrates proficiency in maintaining accurate data entry following NSQIP: P program criteria.
- Ability to identify occurrences per NSQIP program definitions.
- Ability to participate in monthly NSQIP: P SCR phone calls or Webinars and attend the annual ACS NSQIP conference.
- Must have ability to maintain integrity of database as demonstrated by external audit.
