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The Director of Tumor Registry manages the operations of the OLOLRMC cancer registry in accordance with the mission and strategic goals of the organization state laws and regulations and professional accreditation standards American College of Surgeons (ACoS) Commission on Cancer (CoC) National Accreditation Program for Rectal Cancer (NAPRC) and National Accreditation Program for Breast Centers (NAPBC). Develops and implements systems policies and procedures for the identification collection and analysis of cancer data.
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1. Leadership
a. Interviews selects on-boards staff in a manner that ensures efficient cancer registry operations. Enables employees to do their jobs; effectively and appropriately delegates authority; ensures that employees have the support and resources (e.g. information; equipment; materials) needed to perform their job.
b. Effectively disperses workload across cancer registry staff in order to meet accreditation requirements and targets. Maintains staffing at the appropriate level in an effort to promote optimal efficiency.
c. Evaluates the performance of personnel in order to ensure personal development efficient operations and the attainment of goals and objectives. Administers performance reviews in a timely manner and gives appropriate job-related feedback.
d. Adheres to payroll policies and procedures to monitor approve and submit payroll documents as specified.
e. Effectively leads and motivates employees; promotes teamwork and actively supports continuous quality improvement role models positive behaviors and inspires employees trust.
2. Program Management and Daily Operations
a. Organizes and coordinates cancer program activities as related to CoC NAPRC and NAPBC program standards (e.g. goals studies improvements annual gap analysis staff credentialing barriers to care).
b. Collaborates with VP Oncology Cancer Committee Chair and Cancer Liaison Physician to plan the quarterly cancer committee agenda to ensure that reporting frequency and content complies with CoC requirements.
c. Monitors facility performance rate with CoC quality metrics and operative standards. Communicates issues of non-compliance with physicians and follows through to resolution. Reports outcomes including action plans for non-compliance as needed at cancer committee and MDC meetings.
d. Reviews all CoC and NAPRC policies and procedures annually and updates as needed.
e. Participates in Multidisciplinary Care Teams (MDCs) meetings and collaborates with MDC Program Manager to provide and present relevant cancer registry data for benchmarking and to identify areas of improvement. Maintains collaboration with the LTR staff to provides customized reports regarding incidence and mortality of state/local/regional cancer data cancer to requesting physicians.
3. Quality Performance Improvement and Compliance
a. Ensures compliance with all applicable State laws regulations and professional accreditation standards e.g. ACoS CoC NAPRC and NAPBC.
b. Researches reviews and communicates pertinent changes in CoC NAPRC and NABPC standards with hospital staff to ensure ongoing understanding and compliance. Continuously assessing that departments are on target to meeting all standards.
c. Responsible for activities involving CoC and NAPRC survey to include primary contact with surveyor coordinating survey date survey agenda and pertinent supporting documentation to ensure a positive survey outcome. Compiles and uploads required documentation for 36 CoC standards and 22 NAPRC standards completes the CoC and NAPRC Pre-Review Questionnaire (PRQ) and prepares and presents a summary of the PRQ to all cancer committee members through a mock survey.
d. Understands and effectively utilizes multiple data resources e.g. LTR SEER NAACCR NCDB and hospital information systems to monitor and report cancer registry data to stakeholders regularly e.g. physicians cancer center leadership to promote comparative benchmarking initiatives to analyze and improve practice patterns and outcomes.
4. Collaboration & Partnership
a. Collaborates with other departments/clinics within the organization to ensure understanding and compliance with CoC standards to maintain accreditation.
b. Collaborates with the Baton Rouge Regional Tumor Registry and the Louisiana Tumor Registry to maintain compliance with state guidelines for cancer data collection.
c. Interacts knowledgeably with internal and external departments Path Group of Louisiana (PGL) and physicians to address operational issues and provide assistance.
5. Other Duties As Assigned
a. Performs other duties as assigned or requested.
Experience 5 years experience in Cancer Registry with management experience.
Education Bachelors degree required in healthcare related field.
Training Extensive knowledge of Louisiana Tumor Registry (LTR) CoC and NAPRC guidelines and standards.
Special SkillsExcellent computer skills interpersonal & human relations skills and oral & written communication skills; good problem solving & critical thinking skills and time management/prioritization skills.
Licensure Certified Tumor Registrar (CTR) required.
Required Experience:
Director
Full-Time