Clinical Quality Assurance Specialist - Bone Marrow Transplant Program

About The Role

Support the Bone Marrow Transplant and Cellular Therapy Program’s commitment to regulatory compliance, patient safety, and continuous quality improvement.

• Responsible for monitoring and maintaining program quality in alignment with FACT standards and institutional requirements.
• Tracking and analyze quality metrics, conduct internal audits and quality reviews, and identify opportunities for process improvement.
• Develop, revise, and maintain program policies, standard operating procedures, and internal documentation to ensure accuracy, consistency, and regulatory compliance.
• Collaborate with multidisciplinary teams to support performance improvement initiatives and ensures ongoing FACT accreditation readiness by maintaining audit preparedness, supporting inspections, and facilitating corrective action plans as needed.

This position will have the opportunity to be mostly remote with the exception of important in-person meetings, especially during FACT re-accreditation.

Preferred Experience

• BMTCN Certified
• FACT experience

Responsibilities

• Must be an active participant in staying current with all pay for performance programs, government regulations, and key health care system initiatives regarding medical record documentation and plan of care.
• Performs medical record abstraction for the purpose of quality improvement or reporting.
• Review and analyze healthcare data and records, validating accuracy and quality documentation to ensure compliance with program requirements.
• Acts as primary resource and consultant for healthcare providers in regards to a complete and accurate medical record.
• Ensures that medical records meet regulations.
• Consults with healthcare provider or quality initiative team regarding missing documentation and ensures that the correct data is entered.
• Presents results from data analysis to healthcare providers, chairs, appropriate boards, and quality initiative teams. Also presents at conferences, meetings, etc. on regulations and standards for documentation in medical records.
• Promotes the improvement of patient care and clinical excellence in clinical information systems via effective collaboration with healthcare providers, business and quality analysts, and leaders of clinical programs and quality initiatives.
• Ensures that the health care system as an organization and clinical providers are following best practice care and are documenting in accordance with these clinical and quality initiatives.
• Provides education to healthcare providers on best practice patient care as well as documentation, interpretation and compliance of the medical record.
• Collaborates with medical providers on the documentation for the elements of care for certain patient populations.
• Works with quality initiative teams to improve care delivery and documentation.
• Provides support to develop and utilize processes that improve clinical documentation to support patient care, efficient clinical processes, and analytics needs.

Requirements

• Bachelor's degree in Nursing (BSN) from a state-accredited school of professional nursing.
• Licensed to practice as a Registered Nurse in the state of North Carolina.
• Three (3) years of clinical experience in a healthcare setting.

Pay

$35.87 - $51.57 per hour (Hiring Range)

Schedule

• Full Time
• Standard Hours Per Week: 40.00
• Work Assignment Type: Hybrid
• Work Schedule: Day

This is a State position employed by UNC Health Care System with UNC Health benefits.