Clinical Review Specialist (Bakersfield)

Adventist Health; Bakersfield (CA); On-site; USD 81,273 - 121,909; Full time

Job summary

Adventist Health in the Sacramento area seeks a data-driven professional to collect, abstract, validate, and submit clinical data for CMS quality programs, patient safety measures, and national registries. You will support compliance, identify trends, and provide actionable feedback to leaders and clinicians to improve performance.

Role requires experience in quality management and data reporting, with a background in nursing, healthcare administration, or health information management.

Qualifications

• Two years' experience in quality management, data abstraction, or healthcare analytics.
• Three years' experience in peer review, abstraction, quality assurance, or hospital data reporting.

Responsibilities

• Performs concurrent and retrospective chart abstraction for peer review, quality, and regulatory reporting using defined criteria.
• Performs case abstraction for assigned registries and CMS IOR and QOR measures (e.g., STS, CoC, NSQIP, or other specialty registries).
• 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.
• 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.

Skills

Data abstraction

Quality management

Healthcare analytics

Education

Associate's or Technical Degree in Nursing, Healthcare Administration, or Health Information Management

Job description

Job Description

Located in the metropolitan area of Sacramento, 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.

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

• 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 https://adventisthealth.org/careers/everify/ 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 there‑in.

About Us

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.

Job Info

• Job Identification : 63024
• Job Category : Specialist
• Posting Date : 2026-07-10T17:48:27+00:00
• Job Shift : Day Shift
• Locations : Bakersfield, CA, United States
• Assignment Category : Full-time regular
• Pay Range : The estimated base pay for this position is $81,273 to $121,909. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.
• Hiring Department : Quality Resources
• Shift Length : 8 Hours