RETINA CLINICAL OPERATIONS & QUALITY MANAGER, RN (BSN)

Retina Clinical Operations & Quality Manager, RN -BSN

Job Description

Department: Retina Services

Position: Retina Clinical Operations & Quality Manager, RN

Schedule: Monday–Friday, 7:00 a.m.–4:00 p.m., subject to business and scheduling needs

Position Summary

Eyecare for the Adirondacks is the largest and most comprehensive eye care practice in the North Country of New York. Our mission is to provide the highest quality eye care to every patient while fostering a culture of excellence, professionalism, compassion, integrity, and teamwork.

We are seeking a highly organized, analytical, clinically experienced Registered Nurse to oversee the quality, safety, efficiency, scheduling, and daily operations of our retina provider clinics.

The Retina Clinical Operations & Quality Manager, RN (BSN), is responsible for ensuring that clinical operations run safely, efficiently, and consistently while maintaining high standards for patient care, infection prevention, documentation, and provider productivity.

This position combines clinical nursing leadership, quality assurance, infection control, chart management, provider scheduling, patient readiness, and patient-flow optimization.

The individual will use operational data, provider time studies, capacity models, quality audits, and performance reporting to identify problems, implement solutions, and maintain accountability.

A primary goal of this position is to establish reliable clinical systems that allow retina providers to focus on patient care without needing to continuously manage daily operational issues.

Essential Duties and Responsibilities

1. Clinical Quality Assurance & Patient Safety

• Oversee quality assurance programs for retina clinical operations.
• Establish, monitor, and enforce clinical quality standards and protocols. Train staff.
• Conduct routine clinical audits and identify opportunities for improvement.
• Monitor patient safety events, complications, near misses, and adverse outcomes.
• Maintain accurate complication tracking by provider, location, procedure, and reporting period.
• Coordinate investigations and corrective-action plans with physicians and leadership.
• Prepare monthly and quarterly clinical quality reports.
• Monitor compliance with established clinical policies and procedures.
• Ensure identified quality concerns are documented, addressed, and followed through to resolution.

2. Infection Prevention & Control

• Oversee infection prevention practices throughout retina clinical operations.
• Monitor compliance with aseptic technique and injection safety protocols.
• Audit injection preparation, medication handling, patient preparation, and procedure-room practices.
• Monitor cleaning, disinfection, equipment handling, and environmental safety procedures.
• Ensure adherence to applicable infection prevention requirements and organizational policies.
• Coordinate staff training and competency assessments.
• Investigate infection-control concerns and escalate potential safety risks promptly.
• Maintain infection prevention audit records and corrective-action documentation.
• Partner with retina physicians and designated infection prevention leadership to review trends and implement improvements.

3. Patient Care & Clinical Nursing Oversight

• Promote safe, compassionate, timely, and consistent patient care.
• Oversee clinical patient readiness before provider examinations and procedures.
• Monitor patient triage, assessment, education, and follow-up workflows.
• Ensure clinical staff follow established nursing and patient-care protocols.
• Identify patient-care delays and barriers to timely treatment.
• Coordinate appropriate escalation of urgent clinical concerns.
• Support staff training, clinical competencies, and adherence to care standards.
• Maintain patient confidentiality, dignity, and professional standards.

4. Retina Provider Scheduling & Capacity Management

• Own and optimize the operational scheduling process for retina provider clinics.
• Analyze physician minutes worked during morning and afternoon sessions.
• Conduct provider time studies to establish realistic clinical capacity.
• Evaluate appointment types, examination times, diagnostic testing, and injection procedures.
• Develop schedules that balance patient volume with provider availability and clinical resources.
• Identify overbooking, under utilization, and scheduling inconsistencies.
• Use data to recommend improvements in appointment templates and provider schedules.
• Assist with forecasting, staffing alignment, and capacity planning.
• Coordinate scheduling adjustments to maintain safe and efficient clinic operations.

5. Patient Flow & Time Management

• Oversee daily patient flow throughout the retina clinical pod.
• Monitor patient check-in, testing, examination, injection readiness, treatment, and checkout.
• Identify bottlenecks, excessive waiting times, and workflow inefficiencies.
• Coordinate staff assignments and room utilization to support provider efficiency.
• Monitor clinic start times, patient readiness, room turnover, and session completion.
• Develop corrective actions for recurring delays.
• Balance patient throughput with patient safety and quality of care.
• Maintain organized clinical operations during provider absences and schedule changes.

6. Chart Control & Clinical Documentation

• Oversee clinical chart readiness, completeness, and timely documentation.
• Monitor charting turnaround times and outstanding documentation.
• Identify incomplete, inconsistent, or missing clinical documentation.
• Work with providers and staff to improve documentation accuracy and efficiency.
• Ensure appropriate clinical documentation supports care continuity and established compliance requirements.
• Monitor EMR workflows and identify opportunities for process improvement.
• Develop reporting tools to measure documentation performance.
• Escalate persistent documentation concerns through the appropriate leadership channels.

7. Clinical Staff Oversight & Accountability

• Provide day-to-day operational oversight and clinical direction within assigned responsibilities.
• Reinforce clinical protocols, infection prevention standards, and patient-care expectations.
• Coach staff on patient readiness, documentation, clinical workflow, and time management.
• Identify training needs and coordinate education and competency development.
• Promote teamwork and communication among physicians, technicians, nurses, and administrative staff.
• Monitor adherence to assigned workflows and established standards.
• Address operational concerns promptly and escalate performance issues as appropriate.
• Support consistent processes across clinic locations.

8. Data Analysis, Reporting & Continuous Improvement

• Analyze operational dashboards, spreadsheets, quality reports, and AI-generated reports.
• Develop formulas, tracking tools, and scorecards to measure clinical performance.
• Evaluate provider capacity, clinic efficiency, staffing needs, and patient throughput.
• Monitor infection-control compliance and patient safety trends.
• Produce monthly and quarterly reports for leadership.
• Identify recurring issues and develop measurable improvement plans.
• Verify data accuracy before presenting findings or making operational recommendations.
• Monitor the effectiveness of corrective actions and recommend further improvements.

9. Retina Medication & Injection Process Oversight

• Monitor compliance with established medication storage, handling, preparation, and administration procedures.
• Coordinate with designated inventory and billing personnel to identify discrepancies affecting patient safety or documentation.
• Support accurate documentation of injections and associated medications.
• Review medication-related incidents and discrepancies with appropriate clinical and administrative leadership.
• Participate in audits of injection workflow and medication safety.
• Assist with quality review of monthly and quarterly injection volumes and complication rates.

10. Additional Responsibilities

• Support special projects and operational improvement initiatives.
• Travel to other office locations as needed.
• Assist with implementation of new clinical systems and procedures.
• Perform other appropriately delegated duties consistent with RN licensure, demonstrated competency, company policy, and applicable law.

Qualifications

Required Qualifications

• Current, active New York State Registered Nurse (RN) license.
• Approved New York State Department of Health and the state education department course work training in infection control and barrier precautions.
• ACLS
• Strong clinical judgment and commitment to patient safety.
• Strong mathematical, analytical, and problem-solving skills.
• Proficiency with Excel, spreadsheets, formulas, and operational reports.
• Ability to interpret performance trends and identify process improvements.
• Strong organizational, communication, and interpersonal skills.
• Computer proficiency and ability to use electronic medical record systems.
• Ability to prioritize competing responsibilities in a fast-paced clinical environment.
• Dependable attendance, punctuality, professionalism, and accountability.Preferred Qualifications
• Bachelor's degree in Nursing (BSN).
• Experience in ophthalmology, retina, ambulatory care, or clinical nursing leadership.
• Experience in quality assurance, infection prevention, or patient safety.
• Experience with provider scheduling, clinical workflow analysis, and capacity planning.
• Experience supervising, training, or coaching clinical staff.
• Ability to critically review AI-generated operational reports.
• Experience developing dashboards, quality metrics, or clinical performance scorecards.Key Performance Indicators

Performance will be evaluated using measures that include:

• Patient safety: Reported complications, incident follow-up, and corrective-action completion.
• Injection safety
• Infection prevention: Compliance with infection-control protocols and audit findings.
• Clinical documentation: Chart completion rates, accuracy, and turnaround time.
• Clinic efficiency: Patient cycle times, waiting times, and clinic session completion.
• Provider productivity: Patient visits and procedures completed relative to established capacity.
• Patient readiness: Percentage of patients prepared for examination or treatment on time.
• Staff performance: Training completion, competency compliance, and workflow adherence.
• Quality improvement: Timely resolution of identified deficiencies and effectiveness of corrective actions.

Performance measures should be reviewed in context, with emphasis on patient safety and quality rather than volume alone.

Professional Expectations & Competencies

• Maintain a professional appearance and appropriate personal hygiene.
• Comply with company dress code and workplace policies.
• Treat patients and coworkers with courtesy, compassion, dignity, and respect.
• Maintain confidentiality and comply with HIPAA requirements.
• Follow applicable OSHA, infection prevention, and safety requirements.
• Demonstrate sound clinical judgment and appropriate escalation of concerns.
• Maintain professionalism, integrity, accountability, and attention to detail.
• Communicate effectively with physicians, leadership, staff, and patients.
• Participate in continuing education and professional development.
• Demonstrate adaptability, initiative, and commitment to continuous improvement.

What Success Looks Like

The Retina Clinical Operations & Quality Manager, RN (BSN) establishes a safe, organized, efficient, and accountable clinical environment.

Retina providers have realistic schedules, patients are prepared on time, clinical documentation is completed appropriately, and patient flow is managed effectively.

Infection prevention practices are consistently monitored, complications and quality concerns are tracked, and identified deficiencies are addressed through documented corrective actions.

Clinical staff understand their responsibilities, quality expectations, and daily operational priorities.

The ultimate goal is a high-performing retina clinic that delivers safe, consistent patient care while operating efficiently without requiring constant physician or senior leadership intervention.

Work Environment

Professional healthcare setting involving regular interaction with patients, physicians, clinical staff, and administrative leadership.

Employees are expected to follow all applicable infection prevention, patient safety, and workplace requirements.

Equal Employment Opportunity

Eyecare for the Adirondacks is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, marital status, military status, citizenship status where protected, or any other status protected by applicable federal, state, or local law.

Pay: $80,000.00 - $100,000.00 per year

Benefits:

• 401(k)
• AD&D insurance
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person