Perioperative Specialist

Catholic Health•Town of Smithtown, NY

1d•Onsite

About The Position

St. Catherine of Siena Hospital, a member of Catholic Health, has been serving the Smithtown area for over 50 years. Located on the north shore of Long Island, the campus includes a 296-bed hospital, a 240-bed nursing and rehabilitation center, and a medical office building. The hospital is dedicated to providing advanced healthcare with compassion, fostering a supportive environment for professional development, and upholding a mission of healing, compassion, and mutual respect. They prioritize treating and serving their communities with compassionate care and evidence-based practices to improve patient outcomes.

Requirements

Registered Nurse (RN) required
Active New York State RN license.
3–5 years of clinical experience in a Perioperative Services setting required.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred
Perioperative certification (e.g., CNOR) or quality-focused certification (e.g., CPHQ) preferred
Prior experience with quality improvement, data analytics, performance improvement, or regulatory/accreditation processes strongly preferred.
Working knowledge of quality and performance improvement (PI) methodologies preferred.
Familiarity with relevant regulatory and accrediting standards, including The Joint Commission, New York State Department of Health (NYSDOH), Centers for Medicare & Medicaid Services (CMS), and Association of periOperative Registered Nurses (AORN) standards preferred.
Experience developing dashboards, reports, or other data-driven tools preferred.
Ability to analyze and interpret data to support quality improvement and operational decision-making.

Responsibilities

Perform ongoing data collection, chart and case abstraction, and medical record review across Perioperative Services according to established schedules and prioritized departmental needs.
Develop, maintain, and update quality and performance dashboards and scorecards to monitor key perioperative metrics, including but not limited to: Surgical site infection rates, On-time first-case starts, Operating room turnover times, Case cancellations and delays, Instrument and equipment-related events, Patient safety events, and Other identified quality and performance indicators.
Collaborate with the Director of Perioperative Services and service line leadership to develop, evaluate, and revise meaningful quality and performance indicators.
Assist with the compilation, validation, and submission of data for internal reporting and external regulatory, accreditation, benchmarking, and clinical registry requirements, including applicable submissions to The Joint Commission, New York State Department of Health (NYSDOH), Centers for Medicare & Medicaid Services (CMS), National Healthcare Safety Network (NHSN), and national clinical registries.
Support Perioperative Services in maintaining compliance with applicable federal and state regulations, accreditation standards, and organizational policies.
Provide technical assistance, education, and training to perioperative staff related to documentation requirements, data entry, quality processes, and performance improvement workflows.
Assist with incident investigations, root cause analyses, and reviews of serious or reportable events in accordance with federal, state, regulatory, and hospital requirements.
Establish and maintain effective working relationships with external agencies, regulatory organizations, vendors, and other relevant partners.
Participate in hospital committees, quality improvement initiatives, and professional organizations or forums relevant to perioperative services and quality management.
Maintain organized, accurate, and audit-ready documentation related to quality improvement initiatives, investigations, data collection, regulatory reporting, and performance monitoring.
Monitor quality and performance data to identify significant trends, risks, and opportunities for improvement; communicate findings and recommendations to the Director and Perioperative Services leadership.
Provide regular data summaries, reports, and performance updates to leadership to support operational decision-making and continuous quality improvement.
Assist the Director of Perioperative Services with preparation for internal and external audits, regulatory reviews, and accreditation surveys.
Remain current on regulatory, accreditation, reporting, and documentation requirements affecting Perioperative Services and communicate relevant changes to appropriate stakeholders.
Perform other duties and responsibilities as assigned by the Director of Perioperative Services, consistent with demonstrated competencies, qualifications, and scope of practice.