Quality and Trauma Program Coordinator CLINICAL QUALITY MGT-NRS SPEC Stonewall Jackson Memoria

Lead the day-to-day operations of the Trauma Program ensuring compliance with state federal and trauma verification standards.

Coordinate trauma performance improvement activities case reviews data validation and registry oversight to improve patient outcomes.

Analyze clinical and operational data identify trends develop reports and implement evidence-based improvement initiatives.

Collaborate with the Trauma Medical Director Director of Emergency Services Director of Quality physicians nursing leadership and multidisciplinary teams to improve quality safety and regulatory compliance.

Develop implement monitor and evaluate performance improvement plans clinical protocols policies and best practices.

Develop coordinate and oversee the organizations DNV Internal Audit Program including the annual audit schedule auditor education and competency audit execution documentation corrective action follow-up and reporting of findings to leadership to ensure ongoing accreditation readiness.

Support hospital-wide regulatory readiness accreditation surveys and compliance with DNV CMS OSHA WV OEMS and other applicable standards.

Coordinate trauma education staff development competency validation community outreach and injury prevention programs.

Provide education to clinical staff providers leadership and community partners on trauma care quality improvement regulatory requirements accreditation standards and evidence-based practice.

Represent the organization on internal committees and regional or state trauma quality EMS patient safety and accreditation organizations.

Assist with quality reporting data abstraction benchmarking dashboard development and submission of required regulatory data.

Other duties as assigned.

Minimum three (3) years of clinical nursing experience with trauma emergency critical care quality improvement or performance improvement experience preferred

Knowledge of trauma systems quality improvement methodologies DNV accreditation standards CMS Conditions of Participation regulatory compliance healthcare data analysis and internal auditing principles preferred.

Understanding of concepts of TNCC ACLS BLS and PALS.

Light Work: Frequent lifting and/or carrying of objects weighing up to 10 lbs. with a maximum lifting of 25 lbs.