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University of Rochester Pediatric Children's Surgical Program Manager - 232533 in Rochester, New York

Pediatric Children's Surgical Program Manager Job ID 232533

Location Medical Faculty Group Full/Part Time Full-Time Favorite Job Regular/Temporary Regular Opening

Full Time 40 hours Grade 055 Pediatric Surgery


8 AM-5 PM



Works actively in directing quality implementation and oversight of the Children’s Surgical Verification (CSV) Program and closely with the Medical Director of Children’s Surgery to coordinate and facilitate all aspects of the children’s surgical verification program. In this capacity, manages operational and personnel issues, quality implementation and other data resources including the NSQIP-P Program and data collection for safety reports (Appendix II). CSPM assists in the coordination of management across the continuum of children’s surgical care which includes planning and implementation of clinical protocols and guidelines establishes and oversees processes to monitor clinical outcomes and performance improvement activities. Also has Acts as liaison between the program and other services in the organization involved in delivering care for surgical patients.

The first priority of this position is to obtain and maintain ACS verification for the Pediatric Children’s surgical program.



  • Coordinates tra u m a care management across the c o ntinuum of children’s surgical care, including planning and i m plementation of clinical proto c ol/pra c tice manage m ent guidelines, monitori n g of in- hospital patients, and serving as a resource for clinical practice

  • Establishes and implements plan to gain ACS accreditation as Pediatric Children’s Surgical Verified Center; ensure ongoing compliance with designated criteria.

  • Provides opportunities for inter facility and regional professional staff development. Participates in case review, standardizes practice guidelines, and directs community education and prevention programs

  • Coordinates and facilitates communication and cooperation among the many disciplines that work in concert to provide high quality care. Serve as an internal resource for staff in all departments and acts as an extended liaison for all other URMC entities, the community and national regulatory bodies

  • Acts as expert in pediatric surgical care and program management; maintains current knowledge of clinical and regulatory issues. Constantly reviews progress and seeks improvement in all aspects of program.

  • Participates in the development of children’s surgical care systems at the community, state or national levels. Plays a key role on the pediatric surgical care in URMC affiliates

  • Delegates to other health care and ancillary personnel the work based on competencies and job description.

  • Ensures that assig n m ents/reassig n ments are done according to the staff l evel expertise.

  • Foster working rapport with area hospitals providing pediatric surgical care

  • Maintains a safe and efficient work environment by developing a plan to identifying and following up on issues that affect environmental safety in collaboration with support services.


  • Enhance the level of training and education of physicians, nurses, and residents at the Strong Memorial Hospital and within our region.

  • Coordination of the Pediatric performance Improvement and Patient Safety (PIPS) Multidisciplinary meetings.

  • Systematically identifies and evaluates patient specific and systems specific surgical care across the continuum in collaboration with the Children’s Surgery Physician Director of Surgical Quality, Anesthesia Director of Quality and surgical and anesthesia leadership

  • Develops and supports processes for the collection and integration of data

  • Responsible for developing metrics for quality measurement

  • Designs and implements program scorecard/dashboards for performance measurement and management

  • Assures that evaluation and feedback processes are in place for surgical care, EMS and referring facilities

  • Ensures that the Children’s Surgery Program is in compliance with the standards set forth by the American College of Surgeons.

  • Collaborates with tACS NSQIP-P and URMC teams for data collection, evaluation, and improvement opportunities

  • Supports the development of the children’s surgery program across the region and the State.


Provide education to our community and support organizations that work with our facility to enhance the image of the University of Rochester, Golisano Children’s Hospital.

Team Participation-Leadership

Develops and implements innovative strategies, in collaboration with GCH OR leadership, GCH Quality and Safety Leadership, Section Surgical Leaders, Nursing Leadership, to promote and coordinate surgical care in the region.

  • Shares knowledge and expertise with all members of the health care team

  • Coaches others in using their knowledge and skill potential in clinical venues

  • Identifies situations that require change, develops and implements a plan, and communicates to the GCH community.

  • Monthly surgical leadership (PIPS) meeting to utilize opportunities for incidental teaching.

  • Consults to other units and facilities.


  • Promotes and maintains collaborative relationships and open communication channels among the staff

  • Forwards information from the Department of Health, American College of Surgeons, and other bodies that are current standard of practice as applicable. Advisory meetings and other materials and details as needed.

  • Fosters effective professional relationships with other departments and members of the health care team.

  • Fosters regional pediatric surgical concept with community hospitals .

Quality Management

  • Monitors clinical outcomes and system issues related to quality of care delivery. Develops quality indicators, audits and case reviews, identifying trends and sentinel events and helping to outline remedial actions as needed.

  • Maintains Surgical Center policies and procedures; revising such as neces s ary.

  • Communicates new/revised protocols with appropriate personnel; orients new trauma team staff to policies/procedures, protocols for trauma

  • Track and trend QA audit filters on the Appendix II registry.

  • Review all deaths and complication on the Pediatric Surgical Services

  • Coordinates dissemination of NSQIP-P results at PIPS meeting and maintains programmatic initiatives for improvement of surgical sections and maintaining outcomes

Data Registry Management

  • Manages the operational and personnel of the CSV program. Represents trauma program on various hospital and community committees to enhance and foster optimal pediatric surgical care management.

  • Develops processes for validation of data and designs the registry to facilitate performance improvement activities, trends, reports and research while protecting confidentiality

  • Oversight of data collection for various sources as well as data extraction and quality assurance of data integrity. Receive weekly, monthly, quarterly and annual reports.

  • Is involved in research selection, analysis and distribution findings. Facilitates protocol design for accurate data collection, feedback, and analysis


  • Bachelor's degree and 5 years relevant experience including at least 2 years at a managerial level; or equivalent combination of education and experience required. Master's degree, equivalent course work, or specialized experience in an appropriate field related to the assignment is desirable preferred.

  • Three to five years of progressively responsible nursing experience in a tertiary care medical facility or equivalent required

  • Demonstrated ability to effectively problem-solve preferred

  • Demonstrated ability to communicate effectively both verbally and in writing preferred


  • Meets RN licensure requirements as outlines by the New York State Education Department.

  • Current New York licensure as R.N.

  • Experience at ACS Verified CSV, experience with data management, quality improvement in hospital system, desirable.

    How To Apply

All applicants must apply online.

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