CVOR, Cardiovascular Operating Room Nurse, Nurse Educator

Cardiac Surgery Quality Coordinator

The Cardiac Surgery Quality Coordinator is a critical role dedicated to advancing patient outcomes and operational excellence within the adult cardiac surgery program. This position is responsible for the comprehensive review and management of all Adult Cardiac Society of Thoracic Surgeons (STS) quality metrics. The Coordinator serves as the primary liaison between external data abstractors and internal clinical teams seeking to educate partners on areas of operational excellence areas for process improvement and any areas where quality improvement are needed.

Leveraging strong clinical expertise the Coordinator will collaborate with surgical anesthesia and nursing partners to identify develop and lead targeted quality improvement initiatives.

Essential

Job Duties:

Quality Improvement Education & Clinical Collaboration

1. Clinical Liaison:
Act as the primary bridge between the external data abstraction team and internal clinical staff ensuring seamless communication and mutual understanding of quality goals.

2. Clinical Education & Feedback:
Proactively educate multidisciplinary partners (surgeons anesthesia nursing) on STS metrics highlighting current areas of operational excellence identifying specific opportunities for process and quality improvement and leading quality improvement data conferences.

3. Process Improvement:
Design implement and manage key quality improvement (QI) projects based on STS data findings to enhance patient safety streamline clinical workflows and improve post-operative outcomes.

4. Protocol Development:
Collaborate with clinical leadership to update or establish evidence-based care protocols standardizing pathways for cardiac surgery patients based on identified areas of need.

5. External Liaison:
Represents Luminis Health in Maryland Cardiac Surgery Quality Initiative (MCSQI) conferences data workshops and/or research efforts and participates in state-level Cardiac Surgery Quality forums as appropriate.

6. Participate in all Maryland Health Care Commission (MHCC) program review requests.

Data Management & STS Registry Oversight

7. Metric/Data Analysis:
Continuously monitor and analyze adult cardiac STS quality metrics identifying trends outliers and systemic gaps to drive educational efforts and complete rigorous clinical reviews of abstracted data against electronic medical records to ensure 100 accuracy.

8. External Abstraction Management:
Oversee the efforts of the external clinical data abstraction group ensuring timely complete and highly accurate data capture.

9. Performance Reporting:
Prepare and present comprehensive actionable quality performance reports to surgical leadership and frontline teams.

10. Regulatory Compliance. Ensures all data submissions are submitted timely to the MCSQI group & the MHCC.

Educational/Experience Requirements:

Bachelor of Science in Nursing (BSN) required Master of Science in Nursing (MSN) or related healthcare administration degree preferred.

Current Registered Nurse (RN) license.

Minimum of 35 years of recent clinical nursing experience in cardiovascular or cardiothoracic surgery (e.g. CVICU Cardiac OR or Cardiovascular Step-Down).

Demonstrated working knowledge of the STS Adult Cardiac Surgery Database definitions metrics and reporting structures.

Prior experience in clinical quality improvement process improvement methodologies registry management and complex data analysis is highly preferred.

Pay Range 100000—125000 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