Clinical Compliance Nurse (Wake/Pitt County)

About the role

Crandell's Enterprises Inc (CEI) is North Carolina's number one group home health care company. At CEI, we deliver the highest quality of care for every resident through our most valuable asset: you. We seek compassionate and thoughtful individuals who share our passion for exceptional care in senior living. CEI partners with a vast network of organizations and providers across North Carolina to support our small team environment of caring professionals with the resources and benefits of a large enterprise. Your legacy of excellence begins when you join us at CEI. The Clinical Compliance Nurse ensures behavioral health and residential programs operate in full compliance with state, federal, and accreditation standards, supporting quality care, regulatory readiness, and continuous improvement across all programs in Wake and Pitt County.

Responsibilities

• Conduct comprehensive audits of medication administration records (MAR/eMAR/QMAR) to ensure medication accuracy and compliance.
• Review QMAR documentation daily to identify medication discrepancies, omissions, documentation errors, and compliance concerns.
• Perform medication chart audits and medication storage inspections.
• Audit nursing documentation for completeness, accuracy, timeliness, and regulatory compliance.
• Conduct routine clinical record reviews, including admissions, physician orders, treatment plans, medication records, and discharge documentation.
• Ensure all clinical documentation meets federal, state, payer, and accreditation requirements.
• Monitor organizational compliance with HIPAA, DHHS Regulations, CMS Standards, CARF Standards, Joint Commission Standards, North Carolina Behavioral Health Regulations, and other applicable state and federal regulations.
• Remain current on regulatory changes and communicate updates to leadership.
• Participate in organizational Quality Improvement (QI) initiatives.
• Identify compliance trends and recurring deficiencies.
• Develop corrective action plans.
• Monitor implementation and effectiveness of corrective actions.
• Assist leadership with preparation for audits, licensing reviews, accreditation surveys, and inspections.
• Participate in internal mock surveys and compliance readiness activities.
• Provide intentional, observation-based clinical education to improve staff performance.
• Conduct medication compliance training once each month at both the Wake County and Pitt County locations.
• Train Paraprofessionals (PPs), Qualified Professionals (QPs), and clinical staff on medication administration standards, documentation requirements, infection control, and regulatory expectations.