Clinical Nurse Consultant-Clinical Documentation Improvement Program

Sunshine Coast Hospital and Health Svc; Sunshine Coast Regional; On-site; AUD 141,000 - 153,000; Full time

Job summary

Sunshine Coast Health is seeking a Clinical Nurse/Midwife Consultant to lead the Clinical Documentation Improvement Program across the service. You will provide advanced clinical leadership, advise clinicians and managers, and strengthen documentation practices to accurately reflect patient care and outcomes.

You will coordinate education and practical feedback to build documentation capability in multiple clinical areas, working with care teams to improve safety and health information quality.

Qualifications

• Lead clinical documentation improvement across the service in a complex multidisciplinary environment.
• Provide advanced clinical leadership and specialist advice to clinicians and managers.
• Develop and deliver education to build documentation capability across clinical areas.

Responsibilities

• Lead and coordinate the Clinical Documentation Improvement program.
• Analyze coded data and documentation trends to guide improvement priorities.
• Support clinicians to reflect patient assessment, diagnoses, interventions and outcomes in documentation.

Job description

This frontline support role provides essential support enabling the development and delivery of frontline services, programs and outcomes.We're excited to welcome a Clinical Nurse/Midwife Consultant- Clinical Documentation Improvement Program to SCHHS Nursing Services Executive.Sunshine Coast Health is a values-based organisation. We are committed to the maintenance of a culture in which we treat our colleagues with respect as we do our patients, consumers and the community. We respect, protect and promote human rights in our decision-making and actions.This is an opportunity to lead clinical documentation improvement across the service and help ensure the patient record clearly and accurately reflects the care provided. As the Clinical Nurse/Midwife Consultant, you will provide advanced clinical leadership and specialist advice to clinicians and managers, strengthening documentation practice in a complex multidisciplinary environment.You will coordinate the Clinical Documentation Improvement program, using structured review of patient records, clinical feedback and targeted improvement activities to address gaps in the clarity, accuracy and completeness of documentation. Working with clinical teams, you will support documentation that reflects the patient's assessment, clinical reasoning, diagnoses, interventions and outcomes.You will analyse coded data, documentation trends and identified quality issues to guide improvement priorities and evaluate their impact. In partnership with clinical, coding and other relevant teams, you will provide advice on documentation requirements, clinical pathways, diagnosis-related group assignment and associated funding implications. This work will support patient safety, reliable health information and organisational performance.You will build documentation capability across clinical areas by developing and delivering education, providing practical feedback and supporting clinicians to apply relevant standards in their daily practice. Through strong relationships with clinicians, managers and stakeholders, you will promote consistent practice and contribute to service-wide improvement.Key Responsibilities include:Understand your broad responsibilities for safety and quality in healthcare, actively participate in continuous quality and safety improvement activities within the workplace and notify a relevant clinical or non-clinical responsible officer when concerns exist about workplace or patient safety.Practice in accordance with code of ethics, professional standards and legislation affecting nursing practice by maintaining current knowledge and competence within scope of position.Remuneration value up to $174 208 p.a., comprising salary between $140 632- $152 685 p.a., employer contribution to superannuation (12.75%) and annual leave loading (17.5%) (Permanent Full-Time, 76hrs p.f., Nurse Grade 7). Applications will remain current for 12 months. Please note: only applications from candidates will be accepted (applications that may result in an agency fee will not be considered).Why work for us?We offer rewarding career opportunities across a wide range of clinical and non-clinical areas across our health service and pride ourselves on providing a work environment that is safe, satisfying, flexible, and promotes a healthy work-life balance. As a Queensland Health employee, you will benefit from a higher than standard employer contribution to Superannuation of up to 12.75%, access to salary packaging, flexible working arrangements and competitive salary rates with annual incremental increases. We are committed to providing a diverse and inclusive workplace for our people and our community. We encourage people of all genders, races, ages and abilities to apply for roles within our Health Service.You can find out more about why it's so great to work at Sunshine Coast here: https://www.health.qld.gov.au/sunshinecoast/careersAs a Sunshine Coast Health employee, you will receive competitive remuneration and have access to:A wellness program;Generous superannuation;Flexible work arrangements;Career training and development; andSalary packaging.Check out the latest updates here:https://www.sunshinecoast.health.qld.gov.au/This work is licensed under a Creative Commons Attribution 3.0 Australia License.