Sepsis Registry Program Manager

Current Promotion: $3,000 sign-on bonus

About the Role

The Senior Program Manager (SPM) coordinates and manages all aspects of clinical registry projects, working in conjunction with the division leadership team to ensure the goals and objectives of each project are met. The SPM defines the abstracting and registry operations procedures for each project, provides training and direct supervision of assigned Data Abstractors (DAs), and coordinates and manages the validation activities for each project to ensure high-quality abstraction. This includes monitoring validation scores and corrections, as well as providing educational interventions as needed to assist abstractors with improving their quality.

Qualifications

• Two years of current abstraction experience with CMS Sep 1 Sepsis Registry, required.
• Knowledge and understanding of inclusion and exclusion of sepsis population, required.
• Knowledge and understanding of Sepsis fallouts and associated OFI reporting, required.
• Proficient in Microsoft Office Products and/or Google office products, industry-related registry data abstraction specifications manuals, data abstraction software systems, and electronic medical record applications, required.
• One year of current abstraction experience with Core Measures, preferred.
• Experience with or desire to learn AAOS AJRR registry, preferred.
• Excellent communication, documentation, organization, and planning skills, required.
• Strong attention to detail, required.
• At least 1 year of Quality Department management or other health-related management experience, preferred.
• Previous experience performing validation reviews or other work experience relating to Quality Control/Validation, preferred.
• Associate or Bachelor Degree in Health Information Management, Nursing, or related field, preferred.
• RHIT, RHIA, CPHQ, RN, preferred.
• Exposure to quality improvement concepts and processes, preferred.
• Ability to analyze, interpret, and display data, preferred.

Responsibilities

• Manages all abstracting and registry operations/project-related activities in accordance with applicable regulatory agencies for assigned specialty area(s).
• Ensures all Project Manager/Quality Manager instruction documents and policies and procedures are followed.
• Ensures successful setup and implementation of new projects, including working with each client to define project parameters/project roadmap, project expectations, and requirements for the services RP will provide.
• Conducts staff training on data abstraction software and facility Electronic Medical Record System(s).
• Provides clear expectations, goals, and deadlines to project team(s).
• Conducts a re-abstraction of the first/second/third cases (if applicable). Provides timely feedback and consultation as needed to the abstractor.
• Conducts a weekly re-abstraction of all opportunities for improvement (OFI’s) as well as a random sample of 5% of the cases completed to enforce and ensure data abstraction guidelines are being followed and interpreted accurately.
• Compiles Opportunities for Improvement (OFI) logs or the equivalent per project specifications (weekly or monthly).
• Monitors validation compliance and completion for each assigned project and staff member by utilizing the various validation reports within Kimble.
• Completes weekly case log verification for assigned projects on weekly case logs to verify cases are 100% complete.
• Provides ongoing validation guidance and support to abstractors and other managers who are abstracting, as needed.
• Schedules project team work assignments/hours to meet the needs of each project with accurate project forecasting.
• Assists the Registry Services Director (RSD) or Vice President / Senior VP with providing corporate education regarding industry and/or regulatory agency changes/updates as needed.
• Attends and actively participates in monthly meetings.
• Prepares and submits accurate weekly reporting of project activities and tasks.
• Consults industry-related Q & A resources as needed for abstracting questions/clarifications.
• Identifies staffing needs based on workload and services being provided to the client, and recognizes additional work opportunities that may be available.
• Monitors project priorities, deadlines, and productivity to ensure staff work schedules and project expectations are being met.
• Maintains all project-related documentation.
• Provides timely responses to employee and client questions and/or concerns as needed and consults with other management team members when necessary.
• Proactively identifies and analyzes problems (employee and client) and discusses with RSD to ensure a successful solution.
• Fulfills committed work hours to meet the requirements of clients, employees, and the company during normal business hours (Monday through Friday, 8:00 am to 5:00 pm in your time zone) and during non-standard hours (evenings, nights, weekends, and holidays) as needed.
• Use of the company phone when out of office to maintain availability and assist with the expected response time, within four business hours of call, email, or request for assistance.
• All other duties as assigned.