The posting
ABOUT MARINHEALTH Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch.
MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others.
Company:
Marin General Hospital dba MarinHealth Medical Center
Compensation Range:
$59.89 - $89.83
Work Shift:
Day Shift (United States of America)
Scheduled Weekly Hours:
40
Job Description Summary:
The Clinical Cardiovascular Data Manager provides strategic leadership for cardiovascular clinical data management, registry oversight, analytics, regulatory reporting, quality improvement, and performance benchmarking across the Cardiovascular Service Line. Serves as the subject matter expert for cardiovascular data integrity, actionable analytics, and performance measurement to support executive decision-making, accreditation, physician engagement, regulatory compliance, and continuous quality improvement.
Job Requirements, Prerequisites and Essential Functions:
Education
- Bachelor's degree in nursing, Healthcare Administration, Health Information Management, Public Health, Clinical Informatics, Data Analytics, or related healthcare field required; Master's preferred.
Experience
- Five (5) years of progressively responsible experience in cardiovascular registry management, quality improvement, clinical analytics, or healthcare data management.
- Experience with ACC/NCDR, STS, Chest Pain Accreditation, or comparable clinical registries preferred.
- Advanced proficiency in Microsoft Excel and experience with business intelligence and data visualization tools (e.g., Tableau, Power BI) preferred.
- Knowledge of Epic, Workday, and healthcare reporting systems preferred.
Licenses & Certifications
- Integrative Agitation Management (IAM) Required within 30 days of hire
Prerequisite Skills
- Knowledge of clinical paths or guidelines for cardiac diagnoses to include congestive heart failure, acute myocardial infarction, open-heart surgery, cardiac catheterization, PCI procedures and CRM (cardiac rhythm management). Uses this knowledge for accurate data collection and for valid and relevant reports.
- Ability to understand medical terminology and work with the patient medical record.
- Ability to interpret normal 12-lead electrocardiograms.
- Ability to communicate well verbally and in writing.
- Ability to work independently, prioritize tasks, and respond appropriately to urgent needs on requests while meeting deadlines and budget limitations in a largely multiple project-oriented work environment.
- Ability to stay organized, work effectively with intricate and detailed subject matter, and use good deductive reasoning.
- Demonstrated ability to exercise good judgment and problem solve independently.
- Excellent quantitative and analytical skills required.
- Ability to educate team members, staff from varying departments, physicians and nurses in all necessary aspects of information processes as related to the objectives of the Cardiovascular Service Line.
- Proficiency (or ability to become proficient) with computer operating systems, including database, spreadsheet, and word processing programs. •Ability to design and run queries and produce standardized and custom reports.
- Demonstrates initiative, creativity, resourcefulness, and flexibility.
Essential Functions
- Lead enterprise cardiovascular registry operations (ACC/NCDR, STS, Chest Pain, and other applicable registries) ensuring complete, accurate, and timely submissions. • Develop and maintain data governance standards, validation processes, and quality controls to ensure data integrity.
- Analyze clinical, operational, financial, and quality performance data; translate findings into actionable recommendations.
- Design and maintain executive dashboards, physician scorecards, and service line performance reports.
- Partner with physicians, nursing leadership, Quality, Finance, IT, Coding, and Medical Records to improve cardiovascular outcomes.
- Lead multidisciplinary quality improvement initiatives using registry benchmarking and evidence-based performance measures.
- Support accreditation readiness and regulatory reporting for cardiovascular programs.
- Identify trends, opportunities, and risks through advanced data analysis and benchmarking.
- Serve as the cardiovascular analytics subject matter expert for committees and executive leadership presentations.
- Participate in selection, implementation, optimization, and oversight of cardiovascular information systems and vendor solutions.
- Ensure compliance with HIPAA, CMS, Joint Commission, ACC, STS, and applicable regulatory standards.
- Lead special projects and process improvement initiatives supporting strategic service line goals.
Primary Customer Served (Age Specific)
- This position is not a patient care position, and as such, this section does not apply.
Patient Privacy (HIPAA Compliance):
- Maintain HIPAA standards in all reporting and data sharing
Duties And Responsibilities: Essential Duties (Not Modifiable)
Manages cardiovascular registries for the organization. Maintains primary responsibility for the following data registries and state agencies:
- American College of Cardiology, National Registry
- Society of Thoracic Surgeons, National Registry
- California CABG Outcomes Reporting Program, Marin County EMS STEMI program
Registry Site Manager for National Registries
- Oversees cardiovascular data contracted from abstraction services to ensure accuracy.
- Collaborates with physicians and hospital leadership to drive quality improvement across the organization.
- Proficiency in Excel and other analytic tools
- Performs concurrent and retrospective data abstraction from patient records, interfaced data, and daily rounds.
- Develops and implements appropriate systems within daily workflow to ensure data completeness and accuracy.
STEMI Program:
- Collects data on all STEMI patients for the purpose of ensuring appropriate and timely patient care in accordance with American Heart Association.
- Disseminates STEMI outcome data to appropriate parties (Hospital, EMS agencies, EMS County, and other acute care facilities) for every patient to review for improvement opportunities.
- Provides education to EMS agencies on STEMI code cancellations to help lower hospital costs by not activating personnel when not necessary.
- Create STEMI outcome report to present at bi-annual EMS County meetings.
- Produces custom queries and reports to meet specific needs of cardiovascular services and to optimize day-to-day functions.
- Designs templates and methodologies for preparation and presentation of outcomes data at Procedural Cardiology and Cardiothoracic meetings.
- Represents Marin General Hospital and coordinates with the Procedural Cardiology and Cardiothoracic Committees for all combined cardiology data projects.
- Provides CVSL Director and Medical Directors with statistical data as requested to assess increases in cases, procedures, case complexity and utilization data (i.e., room time, procedure time, complications, etc.)
- Trains and directs clerical data entry staff in an effort to maintain quality of data.
- Trains and guides data acquisition staff, particularly nurses, in an effort to maintain quality of data and to ensure standards are met for benchmarking. Maintains relationship with third party vendors to address gaps in quality of data to provide resolution
- Assesses and reports any unusual occurrences regarding potential risk management or quality assurance issues verbally or in writing as soon as possible to the Medical Director of the CVSL department and, as indicated, to the CVSL Director.
- Leads quality improvement initiatives, engaging service line and axillary departments, to improve the quality of care performed across the organization, providing data analysis of current performance against benchmark and offering solutions with collaborative input.
- Responsible for creating a data infrastructure to support the CVSL service line, incorporating Marin resources and analytic tool data. Management of any analytic data tool used at Marin Health. Uses the data to drive quality decision making across the organization.
- Participates in capital budget review and operational budget expenses annually to ensure funding of existing registries/databases and any new or replacement technology requirements.
- Actively supports the CVSL CNS in maintaining chest pain center certification.
- Assists and supports symposia and classes with the Marin Heart Institute.
- Supports CVSL staff with Office Suite applications (i.e., Word, Excel, Power Point). Schedule the monthly Procedural Cardiology and Cardiothoracic meetings, create the agendas, and ensure meeting minutes and sign-in sheets are complete and accurate and in compliance for CME credits.
- Abides by all rules of confidentiality of medical information as guided by state and federal regulations and hospital and departmental policy.
- Acts as primary contact for Information Technology (IT) support staff. Works with MGH staff to ensure that the database software program and interfaces function properly and are upgraded as required.
- Works with Quality Management and Medical Records to maintain accurate patient databases for coding and reporting.
- Collaborates with clinic and hospital-based teams to improve care.
- Presents data to executive team on a coordinated basis.
- Responsible for their party vendor oversight, including requests for proposals and selection.
Secondary Duties (Modifiable)
- Participates in special meetings and work groups as requested by Cardiovascular leadership and participates in professional organizations and user groups.
- Other duties as assigned.
Accommodation:
Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or [email protected].
C.A.R.E.S. Standards:
MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues.
Health & Immunizations:
To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law.
Compensation:
The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements.
Equal Employment:
All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.
