Trauma Program

Job Description Summary: This position assists the assigned area(s) with data abstraction from medical records for data entry, error correction, data submission, QA (Quality Assurance), and PI (Performance Improvement. Assists with the medical staff peer review process by conducting medical record reviews utilizing established criteria, and assists with other record reviews for data abstraction, trending, analysis, and follow up as applicable to assigned area(s). Qualifications: + Current Montana RN License or a multi state compact license with authorization to practice nursing within the state of Montana; required. Bachelor’s degree in Nursing (BSN) preferred. + Additional requirements as applicable to assigned area(s): + Trauma: + Minimum of five (5) years’ previous work experience in Emergency or Critical Care Nursing. + BLS, ACLS, PALS, TNCC, and ENPC preferred or must be successfully obtained within six (6) months of hire. + TNCC Instructor and/or CEN. + Possess and maintain computer skills to include working knowledge of Microsoft Office Suite and the ability to learn other software as needed. Database entry and/or data management experience preferred. + Possess understanding of the confidentiality laws that govern the provider-patient relationship, including but not limited to HIPAA guidelines. + Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently. + Commitment to working in a team environment and maintaining confidentiality as needed. + Excellent verbal and written communication skills including the ability to communicate effectively with various audiences. + Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy. Job Specific Duties: + Reviews, collects and/or abstracts patient data from the EMR, medical records, and other source documents for analysis as applicable to assigned area(s). + Responsible for accurate, proficient and timely collection / abstraction of data through concurrent and retrospective review of the medical record system as applicable to assigned area(s). + Enters data into the electronic database(s) to include data required by regulatory agencies and data used for internal program monitoring, improvement, and special initiatives as applicable to assigned area(s). + Assists in data analysis and preparation of reports for committee(s), team reports, and special initiatives, per department protocol and as applicable to assigned area(s). + Acts as a resource for other staff and providers as applicable to assigned area(s). + Follows through on performance and quality issues identified and works with appropriate stakeholders to apply performance improvement modifications as applicable to assigned area(s). + As applicable to assigned area(s); assists stakeholders in maintaining departmental policies and protocols utilizing evidence based practice; ensures patient care is reflective of current policy, protocol, and/or best practice by reviewing; medical records for accuracy and completeness, performance improvement indicators, and audit filters. + As applicable to assigned area(s): participates in research activities with stakeholders in areas that effect clinical practice, systems operations, and injury prevention; designs protocols, collects and analyzes data, and distributes findings. + Specific job duties as applicable to Trauma: + Coordinates Trauma Performance Improvement activities to maintain hospital accreditation as an American College of Surgeons Level III trauma center and State of Montana Area Trauma Hospital. + Assists stakeholders with the Multi-Disciplinary Trauma Committee in order to improve trauma care, by reviewing selected deaths, complications and sentinel events with objective identification of issues, development of action plans for process improvement, and ensures follow through and loop closure. + Analyzes trauma registry, TQIP, and MT state trauma data per department protocol to identity areas for improvement. + Assists in the development, implementation and evaluation of the long-term planning for the Trauma Center. + Functions in a teaching and consultative role for hospital staff, Emergency Medical Services, community, and ancillary health care personnel involved in trauma care. + The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position. Maintains regular and consistent attendance as scheduled by department leadership. Shift: Day Shift - 8 Hours (United States of America) Schedule Details: Please know schedules and shifts are subject to change based on patient care and department/organizational needs. Schedule: Logan Health operates 24 hours per day, seven days per week. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Notice of Pre-Employment Screening Requirements If you receive a job offer, please note all offers are contingent upon passing a pre-employment screening, which includes: + Criminal background check + Reference checks + Drug Screening + Health and Immunizations Screening + Physical Demand Review/Screening Equal Opportunity Employer Logan Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability or any other basis protected by applicable law. If you require accommodation to complete the application, testing or interview process, please notify Human Resources. Our people are everything. The amazing providers, employees, and volunteers at Logan Health gift this organization with their innovation, knowledge, and compassion. Together, we're connecting our community to trusted, quality care and helping to improve lives every day. Do you dream of living and working in a beautiful area surrounded by stunning scenery and endless recreation? Are you ready to evolve your career while working alongside passionate, talented, brilliant people? Join our remarkable team and create positive patient experiences every day