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Job ID: 44244
Location: Chapel Hill, NC
Facility/Division: UNC Medical Center
Status: Full Time
Shift: Day Job
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Clinical Quality Assurance Specialist Opportunity with UNC Trauma Team!
UNC is a Level 1 Adult and Pediatric Trauma Center which serves as the primary referral center for the Mid Carolina Regional Advisory Committee. The Tar Heel Trauma Program is responsible for maintaining Trauma Center designation and ensure optimal trauma care is delivered.
This position is responsible for for the execution of the Process Improvement and Patient Safety (PIPS) Program. The goal of the PIPS plan is to establish an integrated, concurrent, system-oriented, multi-disciplinary internal performance improvement plan aimed at eliminating preventable trauma-related morbidity and mortality by ensuring optimal outcomes and continuous improvement in care at UNC Hospitals. The overarching strategy of the PIPS program is to monitor and continually improve structures, process and outcomes. This will be achieved through the following objectives and underpinned by active stakeholder engagement, concurrent problem identification, data-driven and solutions-focused approaches and cultivating a culture of safety.
Specific tasks include the following: • Concurrently identify complications, adverse outcomes and process issues • Facilitate event identification, validation, analysis, and determination through multi-disciplinary peer review • Use institutionally accepted quality improvement strategies to develop and implement evidence-based guidelines and policies • Provide relevant and timely feedback and outcomes to providers, referring facilities, transport teams • To function as an integral component of quality initiatives across the continuum of care to include UNC Hospitals, referring hospitals and EMS agencies Promote a culture of safety and effective teamwork, communication and leadership • Participate in Regional and State Trauma Advisory Committees • Engage in trauma-related research The Adult Trauma PI Coordinator may also assist with trauma education to include the following courses: • Advanced Trauma Life Support (ATLS) • Advanced Surgical Skills for Exposure in Trauma (ASSET) • Trauma Nursing Core Course (TNCC) / Emergency Nursing Pediatric Course (ENPC) • May Day Trauma Conference
This position is responsible for providing leadership to ensure validity of measurement, accuracy of data, patient safety and regulatory compliance with quality improvement, reporting, and regulatory initiatives. A clinical quality assurance specialist uses a combination of nursing, quality, and informatics knowledge to manage data, process, and information systems. In this role, the objectives would include improving clinical care as well as clinical documentation and reporting for treatment, prevention, and drug administration regimens, record keeping practices, workflow procedures, medical decision-making practices, and pay-for-performance programs.
1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
6. 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.
● 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.
Professional Experience Requirements:
● Three (3) years of clinical experience in a healthcare setting or equivalent combination of education and experience.
Knowledge/Skills/and Abilities Requirements:
Legal Employer: STATE
Entity: UNC Medical Center
Organization Unit: Trauma Program
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: Yes
This is a State position employed by UNC Health Care System.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.
The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.
UNC Health is an equal opportunity and affirmative action employer.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
All interested applicants are invited to apply for career opportunities. Please refer to our Employment Application Accessibility page if you need a reasonable accommodation to search and/or to apply for a career opportunity.
To verify employment eligibility, UNC Health is committed to Form I-9 and the E-Verify process.