Clinical Quality Assurance Specialist - Trauma Program

About the role

Lead trauma process improvement and patient safety initiatives for a Level I Adult & Pediatric Trauma Center, utilizing data-driven quality improvement strategies to enhance patient outcomes and reduce preventable trauma-related morbidity and mortality. Collaborate with multidisciplinary teams, providers, EMS agencies, and referring facilities to conduct case reviews, implement evidence-based guidelines, and promote a culture of safety, teamwork, and continuous improvement across the trauma continuum of care. Participate in trauma education, regional/state trauma committees, and trauma-related research initiatives, with opportunities to support programs such as ATLS, TNCC, ENPC, and other trauma education courses.

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.
• 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

• Preferred Experience: Critical care or ED experience, Process/Quality Improvement Projects, Proficiency in data analysis in Excel, Project Management
• Schedule: Normal business hours with flexible hybrid scheduling option

Qualifications

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