Primary Function/General Purpose of Position
The primary function of the Cardiovascular Registry and Accreditation Manager is to assume management responsibility for abstracting, tracking, and presenting compliance to the performance standards established by the American College of Cardiology (ACC), Society of Thoracic Surgeons (STS), Virginia Cardiac Services Quality Initiative (VCSQI), and other cardiovascular regulatory bodies. This role participates in the cornerstone activities related to the quality of cardiovascular care in a Comprehensive Cardiovascular Service Line, which includes a multi-disciplinary approach to the evaluation of quality improvement, and the quality of cardiovascular data.
Essential Job Functions
Attends and manages all cardiovascular related accreditation activities for the Market through management of a quality data abstraction team:
American College of Cardiology (ACC)
Society of Thoracic Surgeons (STS)
Virginia Cardiac Services Quality Initiative (VCSQI)
American Heart Association, Get with the Guidelines
Oversees the required data abstraction positions and interface with QCentrix to populate and present required reports quarterly for all above named accreditations and others as needed.
Maintains all cardiovascular program documentation of activities for compliance and accreditation, for quality performance.
Participates in and ensures accurate documentation of all qualitive initiatives in accordance with the standards / accrediting body templates for above named accreditations.
Facilitate quality reporting updates to physicians and hospital leadership teams as it pertains to the above accreditations.
Gathers and documents cardiovascular improvement program activities as it relates to accreditation efforts and improvement with overall performance for the service line.
Ensure proper collection and maintenance of documentation and quality reporting to ensure compliance with the standards for all above named accreditations.
Collaborates with the quality department in tracking for outcomes annually and participates in special studies as requested by the Medical Director for Cardiovascular Service Line, HVSL Committee, Service Line Director, and Administration.
Oversees the completion of the quality improvement initiatives that directly support HVSL performance annually as required by accrediting bodies.
Leads policy and procedure development, revision, and implementation to maintain compliance with current state and national guidelines, standards, and coding regulations.
Serves as active member of the Heart and Vascular Service Line.
Provides Cardiovascular quality performance support to physicians, including working with staff physicians to select patients for discussion, prepares registry information for patient care discussions, as well as maintains documentation of abstraction activity and performance.
Tracks compliance with the standards for above named accreditations and reports updates to committees quarterly and recommends corrective action to Service Line Medical Director and Heart and Vascular Service Line Council if activity falls below the annual goal or requirements.
Serves as a professional role model, mentor, and subject matter expert resource.
Monthly audit compliance with the standards by physicians and submit report to Manager (Synoptic Operative Standards).
Attends local, state, regional or national education activities as recommended by the Service Line Medical Director and Supervisor to maintain knowledge and understanding of current guidelines, standards, and coding rules to ensure compliance.
Provides Cardiovascular quality performance support to physicians, including working with staff physicians to select patients for discussion, prepares registry information for patient care discussions, as well as maintains documentation of abstraction activity and performance.
Tracks compliance with the standards for above named accreditations and reports updates to committees quarterly and recommends corrective action to Service Line Medical Director and Heart and Vascular Service Line Council if activity falls below the annual goal or requirements.
Serves as a professional role model, mentor, and subject matter expert resource.
Monthly audit compliance with the standards by physicians and submit report to Manager (Synoptic Operative Standards).
Attends local, state, regional or national education activities as recommended by the Service Line Medical Director and Supervisor to maintain knowledge and understanding of current guidelines, standards, and coding rules to ensure compliance.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Licensing/Certification
Cu
rrent Oncology Data Specialist (ODS)
(required)
Education
Two year Associate degree in major meeting NCRA requirements (required)
Four year Bachelor's Degree in Healthcare related major (preferred)
Work Experience
Minimum of three years of experience as a Cardiovascular Data Specialist.
(required)
Training
Anatomy
Physiology
Disease Processes
Cardiovascular Diagnosis,
Medical Terminology
Electronic Health Records
Healthcare Applications,
Cardiac Registry
Data Analysis
Statistical Reporting,
Range
Minimum:
$38.64
Maximum:
$61.82
Language
Patient Population
Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.
Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.
Neonates (0-4 weeks)
Infant (1-12 months)
Pediatrics (1-12 years)
Adolescents (13-17 years)
Adults (18-64 years)
Geriatrics (65 years and older)
X
Not applicable to this position
Working Conditions
X
Periods of high stress and fluctuating workloads may occur.
Long-distance or air travel as needed- not to exceed 10% travel.
X
General office environment.
May be exposed to high noise levels and bright lights.
May be exposed to physical altercations and verbal abuse.
May be exposed to limited hazardous substances or body fluids.*
May be required to use physical restraints.
May be exposed to human blood and other potentially infectious materials.*
May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.
X
May have periods of constant interruptions.
X
Required to car travel to off-site locations, occasionally in adverse weather conditions.
X
Prolonged periods of working alone.
Other:
Not applicable to this
position
Physical Requirements
Physical Demands
Frequency
0%
1-33%
34-66%
67-100%
Lifting/ Carrying (0-50
lbs.)
X
Lifting/ Carrying (50-100
lbs.)
X
Push/ Pull (0-50
lbs.)
X
Push/ Pull (50-100
lbs.)
X
Stoop,
Kneel
X
Crawling
X
Climbing
X
Balance
X
Bending
X
Work Position
Frequency
0%
1-33%
34-66%
67-100%
Sitting
X
Walking
X
Standing
X
Additional Physical Requirements/Hazards
-
Physical Requirements -
Select if a physical requirement for this job.
X
Manual dexterity (eye/hand coordination)
X
Perform shift work
Maneuver weight of patients
X
Hear
alarms/telephone/audio
recordings
Reach above shoulder
X
Repetitive arm/hand movements
Finger Dexterity
Color Vision
X
Acuity – far
X
Acuity – near
Not applicable to this
position
Hazards -
Select if a potential hazard for this job.
Depth perception
Use of Latex products
Exposure to
toxic/caustic/chemicals/detergents
Exposure to moving mechanical parts
Exposure to dust/fumes
Exposure to potential electrical shock
Exposure to x ray/electromagnetic energy
Exposure to high pitched noises
Gaseous risk exposure
Other:
X
Not applicable to this
position
Skills
Soft/Interpersonal Skills:
Analytical Skills,
Self-motivation
Self-directed
Written Communication
Verbal Communication
Time Management
Administrative Planning
Quality Control
Meeting Minutes
Documentation
Training, Mentoring, and Coaching
Research
Workforce
Management/Productivity
As a Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
What we offer
Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support
Benefits may vary based on the market and employment status.
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email
[email protected]
. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at
[email protected]
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Questions:
-
Are you a *current* employee of Bon Secours Mercy Health, Roper St. Francis Healthcare or a Bon Secours Mercy Health facility? Current Agency Employees that are working on site at Bon Secours Mercy Health or Roper St. Francis Healthcare are not considered current employees and should answer no to this question.
- Yes. Current employees must log into Workday and submit a transfer application via Browse Jobs.
- No
-
Are you a current employee of any Bon Secours Mercy Health partner affiliates (Ensemble)?
- Yes
- No
-
Are you legally authorized to work in the United States?
- Yes
- No
-
Will you now or in the future require the organization to commence (“sponsor”) an immigration case in order to employ you (for example, H-1B or other employment-based immigration case)?
- Yes
- No
-
Are you able to perform the essential, job-related functions of the position for which you are applying with or without reasonable accommodation?
- Yes
- No
-
Do you currently hold a relevant valid professional license, certification, or registration, or (if required for the position to which you are applying) do you expect to meet this qualification prior to starting in this position? If the position to which you are applying does not require a professional license, certification, or registration, please select No.
- Yes
- No
-
Have you been excluded, or are you currently under investigation for healthcare fraud, abuse, or misconduct; or restricted from participating in any Federal or State healthcare program, including Medicare and/or Medicaid?
- Yes
- No