RN Full-time
MedStar Health

Registered Nurse Clinical Data Specialist

$89,065 - $162,801 / year
About this Job:

General Summary of Position
Responsible for data collection data management accuracy and integrity of hospital outcomes data. Supports MedStar Health Vascular Institute system level quality and registry initiatives.

 

Primary Duties and Responsibilities

 

  • Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
  • Abstracts administrative and clinical data from patient records in accordance with regulatory and database abstraction guidelines. Provides required information in a format that is compliant with internal quality standards and those of the registries and/or databases.
  • Maintains current knowledge of abstraction rules and ensures data accuracy. Collects synthesizes and enters appropriate clinical data into designated repository (paper and/or computer format) to support database repository. Completes data entry in a timely fashion.
  • Participates in data validation and reporting. Interfaces with members of the medical and surgical teams and others as required obtaining required data and ensuring documentation is accurate complete timely and compliant with medical record and regulatory/database requirements.
  • Screens medical record charts for specific complications related to mortality and morbidity within MHVI.
  • Assists in the data abstraction for specific projects related to quality control. Assists in the design of data collection strategies.
  • Demonstrates the ability to competently care for an assigned group of patients serving as a role model for team collaboration and quality patient care as needed.
  • Maintains current clinical expertise in assigned populations.
  • Identifies trends and opportunities for improvement in clinical performance.
  • Prepares and presents data to administrative and clinical groups to facilitate performance improvement and implementation of evidence-based practice. Generates weekly QA and ad hoc reports as assigned. Reviews reports for accuracy and reliability.
  • Participates in performance improvement initiatives as the expert in data abstraction and documentation guidelines. Participates in quality and performance improvement efforts as required.
  • Develops/maintains familiarity with hardware and software and reporting tools.
  • Maintains routine trouble shooting skills with standard computer applications and database software. Works with vendor technical staff as needed.
  • Supports and upholds institutional policy on release of data patient confidentiality and database security standards. Ensures integrity of database through maintaining compliance with established standards daily.
  • Maintains effective communication channels between administrative clinical and professional staff.
  • Attends clinical quality and data meetings appropriate to area of clinical expertise. Supports regional MHVI efforts as assigned.
  • Participates in Regulatory Readiness and Patient Safety activities as assigned.
  • Participates in meetings and on committees and represents the department and hospital in community outreach efforts. Participates in multi-disciplinary quality and service improvement teams.
  • Performs other duties as assigned.

Minimal Qualifications
Education

  • Bachelor's degree in nursing clinical research or another relevant field required

Experience

  • 5-7 years Related experience; quality or process improvement experience required and
  • 5-7 years Experience in healthcare field preferably in a hospital setting; and 5 years of experience in facilitating clinical information systems and applications preferred

Licenses and Certifications

  • RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid RN License in State of Maryland required

Knowledge Skills and Abilities

  • Verbal and written communication skills.
  • Working knowledge of database software applications.
This position has a hiring range of : USD $89,065.00 - USD $162,801.00 /Yr.

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Demonstrates the ability to develop, implement and evaluate teaching plans for patient populations in unit specialty in accordance with applicable standards. Demonstrates the ability to apply knowledge of growth and development across the life span to the care of patients. Provides direct patient care to patients and families in a culturally, developmentally and ethically appropriate manner. Plans of care address the physical, psychosocial, spiritual and learning needs of the patient/family. 3. Clinical Scholarship Participates in QI, CPI and risk management activities at the unit, department or organizational level. Demonstrates the ability to effectively perform and improve all processes in order to achieve excellence with regard to Luminis Healths quality standards and benchmarks. Supports the use of evidence based guidelines and organizational policies and procedures to promote safe patient care and a safe practice environment. 4. Clinical Leadership Participates in unit shared governance according to departmental standards. Participates in the education and orientation of new staff. Delegates patient care activities as appropriate; evaluates delegated activities for expected patient care outcomes. Employs real time computer documentation when completing patient record. Educational/Experience Requirements: Graduate of an accredited school of nursing Adherence to the credentialing requirements of Luminis Health as stated in the nursing bylaws. Where applicable, completion of a BSN is required within 5 years of date of hire Required License/Certifications: Current licensure as a registered nurse by the Maryland Board of Nursing BLS - American Heart Association Health Provider If serving as a bilingual/multilingual interpreter, certification in Medical Interpretation is required to perform the duties of a qualified interpreter. Additional requirements by department: PALS Requirement: The following department(s) require PALS: Pediatrics Unit, Postanesthesia Care Unit, Endoscopy, Procedural Care Unit, Interventional Radiology. ACLS Requirement: The following department(s) require ACLS: Heart and Vascular Unit, Neuro Care Unit, ICU/IMU, Interventional Radiology, Postanesthesia Care Unit, Progressive Care Unit, Resource Nurses, Emergency Department, Prep, Telemetry, Outpatient Infusion, DRCC Bowie, Observation Unit, Endoscopy, Procedural Care Unit, Cardiac Cath Lab, Flex Nursing Unit, Operating Room (LHDCMC only), Cardiac Cath Lab, Observation Unit, DCMC IP Mental Health, and Edwards Pre-Op and PACU. New Grad and New to Specialty RN’s in ICU must get their ACLS within 6 months Chemotherapy/Immunotherapy Certification requirement: Certification within 6 months of hire if experienced or within 1 year for new graduate nurse The following department(s) require a Chemotherapy/Immunotherapy Certification: Oncology Unit NRP - Neonatal Resuscitation requirement: The following department(s) require NRP - Neonatal Resuscitation: Mother and Baby Unit, Neonatal Intensive Care Unit, Labor and Delivery Unit, and Women's Surgical Unit. BLS requirement: The following department(s) require BLS: Employee Health, Performance Improvement, Special Pathogens Unit, Neuro Care Unit, Pre-Anes Testing, Wound Care Center, Medical Staff Office, Nursing Administration, Nursing Graduate Program, Women's Surgical Unit, Joint and Spine Unit, 4 Medical, IV Therapy, Nursing Quality and Research, HSCRC Nursing Grant, Flex Nursing Unit, ICU, Operating Room, Short Stay Unit, Postanesthesia Care Unit, Progressive Care Unit, 4TH FLOOR, DCH 3 East Med Surg Telemetry, 3 West Oncology, Emergency Room, Oncology Unit, ACE Unit and 2 EAST OBS, Vascular Access Team. Working Conditions, Equipment, Physical Demands: There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens. Physical Demands - The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act. The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary. Pay Range $34 — $54 USD Luminis Health Benefits Overview: • Medical, Dental, and Vision Insurance • Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year) • Paid Time Off • Tuition Assistance Benefits • Employee Referral Bonus Program • Paid Holidays, Disability, and Life/AD&D for full-time employees • Wellness Programs • Employee Assistance Programs and more *Benefit offerings based on employment status Opt-in for text notifications! 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