Summary

Responsible for supporting the interrelationship with clinical software applications which allow conversion of metrics associated with the care of the patient at Cape Fear Valley Medical Center. Convert metrics into knowledge which leads to continuous improvement in quality and safety. Support of multiple patient specific Quality database. Position requires strong troubleshooting, analytical skills, strong organizational and communication skills in gathering information from doctors, pharmacists and nurses, defines problems and designs a system of procedures to resolve problems. Responsible for providing professional consultative oversight to the maintenance, upgrading, evaluation and implementation of the healthcare computer software systems and associated ancillary systems and for maintaining competency of the systems. Develop and maintain good communication with contacts is essential to accomplishing the objectives of this position. Perform chart abstraction and registry data entry for any of the following: ACC, PCI, ICD, ACTION, Adult Cardiac STS, and other assigned clinical studies. Ensure accuracy and timely completion of registry data. Perform follow-up with physicians/cardiologists when further clarification is needed to obtain accurate data abstraction.

Job description

Summary

Responsible for supporting the interrelationship with clinical software applications which allow conversion of metrics associated with the care of the patient at Cape Fear Valley Medical Center. Convert metrics into knowledge which leads to continuous improvement in quality and safety. Support of multiple patient specific Quality database. Position requires strong troubleshooting, analytical skills, strong organizational and communication skills in gathering information from doctors, pharmacists and nurses, defines problems and designs a system of procedures to resolve problems. Responsible for providing professional consultative oversight to the maintenance, upgrading, evaluation and implementation of the healthcare computer software systems and associated ancillary systems and for maintaining competency of the systems. Develop and maintain good communication with contacts is essential to accomplishing the objectives of this position. Perform chart abstraction and registry data entry for any of the following: ACC, PCI, ICD, ACTION, Adult Cardiac STS, and other assigned clinical studies. Ensure accuracy and timely completion of registry data. Perform follow-up with physicians/cardiologists when further clarification is needed to obtain accurate data abstraction.

Major Job Functions

Abstract specific data elements from the medical record for entry into the registry databases and/or Midas database
Ensure accuracy, integrity and timely completion of required data entry
Aggregate, review and analyze data while monitoring processes and identify opportunities for improvement based on this analysis
Identify and communicate medical record discrepancies and data element deficiencies found during the chart abstraction process
Keep abreast of changes in data definitions and proactively prepares for the implementation of new data measures
Participate in the presentation of data transparency necessary to provide excellence in patient care
Lead and evaluate the qualities and benefits of database utilization
Lead in education related to data abstraction and conversation of this data to knowledge throughout nursing services
Responsible for system assessment, process analysis, identification of system requirements, and functional definition of planned system changes for the cardiac division
Develop and manage project plans for the deployment of new and/or changes to information system applications
Administer system applications and serves as an educator and resource regarding system functionality
Identifies opportunities for and contribute to the improvement of quality, safety and cost, as well as patient, customer and employee satisfaction
Other duties as assigned

Minimum Qualifications

The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:

Education and Formal Training

Bachelor’s degree in nursing required
Master’s degree preferred
Current Registered Nurse licensure in North Carolina or compact state licensure required

Work Experience

5 years hospital-based RN experience required

Knowledge, Skills, and Abilities Required

Proficiency in reading, writing, and speaking the English language
Ability to prioritize and process multiple tasks, responsibilities and work projects, demonstrating strong organizational and time management skills
Detail oriented and self-directed
Effective communication both verbal and written with a wide variety of health care professionals including physicians
Familiarity with patient medical records, documentation, and terminology

Physical Requirements

Ability to move throughout the Health System
Visual acuity for reviewing data, reports and observing process flows
Audiological acuity for monitoring group discussions and interactions
Verbal ability to effectively express ideas and views to staff
There are no anticipated occupational exposures to blood borne pathogens or body fluids
Must be able to lift 35 pounds

Required Licenses and Certifications

RN - Board Of Nursing

Requirements

Bachelor’s degree in nursing required
Master’s degree preferred
Current Registered Nurse licensure in North Carolina or compact state licensure required
5 years hospital-based RN experience required
Proficiency in reading, writing, and speaking the English language
Ability to prioritize and process multiple tasks, responsibilities and work projects, demonstrating strong organizational and time management skills
Detail oriented and self-directed
Effective communication both verbal and written with a wide variety of health care professionals including physicians
Familiarity with patient medical records, documentation, and terminology
Must be able to lift 35 pounds

Company overview

Cape Fear Valley Health is a comprehensive regional healthcare system based in Fayetteville, North Carolina, serving southeastern North Carolina and surrounding regions. Established in 1956, it has grown to become North Carolina's 8th largest health system, operating as a private not-for-profit organization with 7,500 employees and over 1,000 physicians. The system encompasses eight hospitals with 988 total beds, including Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Bladen County Hospital, Hoke Hospital, and Harnett Health facilities. Annually, the system serves more than 1 million inpatient and outpatient visits across its network of over 150 locations. Cape Fear Valley Health specializes in cardiac care, cancer treatment, surgical services, neuroscience, pediatrics, rehabilitation, orthopedics, and behavioral health. The organization has earned numerous national recognitions including Healthgrades Top 100 Hospital for Cardiac Care, IBM Watson Top 50 Cardiovascular Hospital, and The Leapfrog Group Grade-A for Patient Safety. With a mission to provide exceptional healthcare for all patients, the system emphasizes patient-centered care, innovation, and community service while maintaining multiple disease-specific certifications from The Joint Commission.