Clinical Nurse Consultant-Clinical Documentation Improvement Program

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

Benefits offered by this job

Wellness program

Career training and development

Salary packaging

Job summary

Sunshine Coast Hospital and Health Service in Birtinya, QLD is seeking a Clinical Nurse/Midwife Consultant for the Clinical Documentation Improvement Program to lead improvements in documentation practices across the service.

You will provide advanced clinical leadership, deliver education to clinicians, analyse data and collaborate with clinical teams to ensure records reflect patient care accurately, supporting patient safety and service performance.

Qualifications

• Advanced clinical leadership in nursing with a focus on documentation.
• Experience implementing documentation improvement initiatives across multidisciplinary teams.
• Ability to develop and deliver education to clinicians to improve practice.

Responsibilities

• Understand broad responsibilities for safety and quality in healthcare, actively participate in continuous quality and safety improvement activities and notify concerns to the relevant officer.
• Practice in accordance with code of ethics and standards, maintaining current knowledge within scope of position.

Skills

Clinical documentation improvement

Clinical leadership

Education delivery

Education

Bachelor of Nursing

Job description

Clinical Nurse Consultant-Clinical Documentation Improvement Program

Sunshine Coast Hospital and Health Service – Birtinya QLD

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).

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/careers

As a Sunshine Coast Health employee, you will receive competitive remuneration and have access to:

• A wellness program;
• Career training and development; and
• Salary packaging.