The primary purpose of this position is to identify children diagnosed with birth defects and record highly technical and pertinent data from medical records to be used for birth defect surveillance and birth defect prevention activities. This is achieved through onsite and remote access medical record abstraction, which requires ongoing communication with Health Information Management/Information Technology staff at all birthing facilities in Oklahoma. This position is also responsible for participating in quality improvement activities and development of policies and procedures for the Oklahoma Birth Defects Registry. This position is responsible for educating the public about birth defects and birth defects prevention, as well as collaborating with community partners at various events and conferences across the state.
Identify cases and abstract maternal and child medical records at hospitals throughout the state to obtain accurate and comprehensive surveillance data. Accurately record data on abstracts. Maintain ongoing communication with hospitals across the state, coordinating identification of cases and generating lists of records to be reviewed. Independently schedule visits and maintain consistent abstraction schedule at all assigned birthing hospitals. Initiate and participate in quality improvement activities for Screening and Special Services, specifically the Oklahoma Birth Defects Registry. Provide birth defect education and training to other Oklahoma Birth Defects Registry staff members. Contribute to the development of policies and procedures related to the Oklahoma Birth Defects Registry. Work closely with internal and external partners such as nurses, physicians, and other healthcare professionals across the state, as well as the public to increase knowledge of preconception care to reduce the occurrence of birth defects and subsequently reduce the rates of infant mortality and morbidity. Evaluates and determines health resources necessary to meet individual, family and community health needs. Delivers professional nursing care in an assigned unit, clinic, home, or other setting. Educates individuals, families, communities and members of the health care team about the principles of disease prevention and health promotion. Assures quality health care through use of various measures such as record review, peer review, direct observation, and assessment of the individual, family, and community for the desired outcome.
Being present in the office is an essential function of this job. Other duties as assigned.
Demonstrates knowledge of and supports mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior. Works effectively in team environment, participating and assisting their peers.
Possession of a valid Oklahoma license as a registered nurse as approved by the Oklahoma Board of Nursing or, Registered Nurse License recognized by the Enhanced Nurse Licensure Compact (eNLC) and 2 years of experience as a registered nurse. If education, certification or licensure is required to meet qualifications, applicants must provide documentation at the time of application. All applicants are subject to a background check and must be legally authorized to work in the United States without visa sponsorship.
Specialized knowledge of: Human embryology and human development; Medical practices, procedures and diagnostic imaging; Medical terminology; Principles and practices of professional nursing, of health promotion and disease prevention; Hospital coding practices; HIPAA rules and privacy practices. Ability to: Locate and accurately record highly technical data from medical records; Build rapport with hospital contacts; Independently solve problems and multi-task; Work effectively in a team environment, participating in and assisting their peers; Must have excellent organizational and time management skills.
Work is typically performed in an office setting with climate-controlled settings and exposure to moderate noise levels. While performing the duties of the job, employees are required to talk, stand, walk, and reach with hands and arms. This position requires long periods of sitting and daily use of computers and phones. Employees must be willing to complete all job-related travel associated with this position. Being present at the office is an essential function of the job.
The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.