Located in the metropolitan area of Sacramento, the Adventist Health corporate
headquarters have been based in Roseville, California, for more than 40 years.
In 2019, we unveiled our WELL-certified campus - a rejuvenating place for
associates systemwide to collaborate, innovate and connect.
Adventist Health Roseville and shared service teams have access to enjoy a
welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Responsible for the collection, abstraction, validation, and submission of
clinical data to support CMS quality programs, patient safety measures, national
clinical registries and/or peer review data. Ensures the accuracy and integrity
of reported data, supports compliance with regulatory requirements, and
contributes to performance improvement initiatives. Applies clinical knowledge
to identify trends, monitor quality outcomes, and provide actionable feedback to
leaders and clinicians. Supports confidentiality of peer review activities,
prepares trended reports for leadership and medical staff committees, and
assists in maintaining compliance with accreditation and regulatory standard. Is
essential to achieving internal and external quality and patient safety targets.
Job Requirements:
Education and Work Experience:
* Associate's or Technical Degree in Nursing, Healthcare Administration, or
Health Information Management or equivalent combination of education and
experience: Required
* Two years' of experience in quality management, data abstraction, or
healthcare analytics: Required
* Three years' of experience in peer review, abstraction, quality assurance, or
hospital data reporting: Preferred
Licenses/Certifications:
- Registered Nurse (RN) license or equivalent health background: Preferred
- Certified Professional in Healthcare Quality (CPHQ) or CPPS: Required
Essential Functions:
* Performs concurrent and retrospective chart abstraction for peer review,
quality, and regulatory reporting using defined criteria. Ensures data
accuracy and timeliness of submissions to internal and external databases.
* Performs case abstraction for assigned registries and/ or CMS IOR and QOR
measures (e.g., STS, CoC, NSQIP, or other specialty registries). Collaborates
with outsourced registry vendors and maintain effective communication with
system quality teams. Ensures timely data submission to meet internal and
external reporting requirements.
* Serves as a liaison between the Quality Department, clinical stakeholders,
and registry partners. Provides feedback to physicians, nurses, and leaders
on documentation gaps or trends impacting data accuracy. Supports initiatives
to improve compliance with quality metrics.
* Adheres to all confidentiality requirements under state and federal peer
review protections. Ensures that data collection and storage comply with
Evidence Code §1157, PSWP, and organizational policies.
* Monitors data trends to identify opportunities for clinical process
improvement. Provides reports and data insights to Quality and Patient Safety
leaders. Supports performance improvement teams with accurate, validated data
to guide interventions.
* Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and
patients. Therefore, we require that all associates receive all required
vaccinations as a condition of employment and annually thereafter, where
applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit
for more information about
E-Verify. By choosing to apply, you acknowledge that you have accessed and read
the E-Verify Participation and Right to Work notices and understand the contents
therein.
Adventist Health is a faith-based, nonprofit, integrated health system serving
more than 100 communities on the West Coast and Hawaii with over 440 sites of
care, including 27 acute care facilities. Founded on Adventist heritage and
values, Adventist Health provides care in hospitals, clinics, home care, and
hospice agencies in both rural and urban communities. Our compassionate and
talented team of more than 38,000 includes employees, physicians, Medical Staff,
and volunteers driven in pursuit of one mission: living God's love by inspiring
health, wholeness and hope.
