University of Rochester Project Nurse in Rochester, New York


Full Time 40 hours Grade 044 Surgery Quality Assurance


Position Summary:

The Surgical Clinical Nurse Reviewer is responsible for the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) including case selection, collection and submitting reliable data to ACS-NSQIP, analyze and interpret the quality outcome reports and participate in QA/Pl initiatives to improve surgical outcomes.


  • Accurately identifies surgical patients for inclusion in the NSQIP program through the application of strict inclusion/exclusion criteria and protocols.
  • Complete and accurate collection of preoperative, operative and postoperative data through the effective utilization of the EMR and other Hospital databases.
  • Demonstrates appropriate utilization of resources necessary for accurate and timely data entry into the program's database and meeting the caseload accrual requirement protocol.
  • Demonstrates applicability of data definitions utilized by reviewers within the program and participates in inter-rater reliability, (IIR) testing.
  • Establishes effective working relationships with members of the Department of Surgery, Nursing, and all other Hospital Departments.
  • Contacts patients and/or families via telephone and/or written communications postoperatively for the purpose of identifying possible post-operative complications.
  • Serves as an educational resource on the ACS NSQIP program.
  • Identifies areas for streamlining and process improvement in the data collection process.
  • Prepares reports utilizing the NSQIP database as requested.

Other Responsibilities:

  • Attends Department and Division level Quality Meetings/Conferences.
  • Participates in UNVSQI Collaborative monthly teleconferences and quarterly meetings.
  • Participates in scheduled webinars and attends the national ACS-NSQIP conference annually.
  • Participates in QA/Pl initiatives for the Department of Surgery and Hospital.


  • Current NVS Registered Nurse license, Bachelor's degree preferred
  • Minimum three (3) years' RN experience in direct patient care setting; surgical nursing required.
  • Ability to complete ASC-NSQIP initial and annual training modules and certification exam.
  • Detail oriented with strong organizational and prioritization skills and ability to work independently under general guidance.
  • Proficiency in Microsoft Office (Word, Excel, PowerPoint), software/web applications, and electronic medical record.
  • Clinical chart review and abstraction experience preferred.
  • Quality improvement experience preferred

EOE Minorities/Females/Protected Veterans/Disabled

Job Title: Project Nurse

Location: Strong Memorial Hospital

Job ID: 209272

Regular/Temporary: Regular

Full/Part Time: Full-Time