Clinical Compliance Nurse: Audit & Performance Improvement

Tyvan LLC; United States; On-site; USD 90,000 - 110,000; Full time

Job summary

Nutex Health is seeking a Clinical Compliance Nurse to join its multidisciplinary Compliance Department. You will conduct focused chart reviews across ED, Observation, and Inpatient settings to identify system-wide trends and opportunities for education and performance improvement.

Your work supports CMS COPs, accreditation standards, and organizational risk reduction. Responsibilities include audits, data analysis, education and coaching for staff and leadership, and collaboration with Quality,

Qualifications

• Current RN license.
• BSN required; Master's degree preferred.
• Minimum five (5) years of clinical nursing in ED/Observation/Acute Care or hospital operations.
• Experience in healthcare compliance, quality, accreditation, risk management or nursing leadership preferred.
• Strong understanding of hospital regulatory requirements and accreditation standards.
• Excellent communication, presentation, and educational skills.
• Ability to analyze data, identify trends, and implement corrective actions.

Responsibilities

• Conduct routine and targeted chart audits across Emergency Department, Observation, and Inpatient services.
• Review documentation, workflows, and clinical practices for compliance with policies, regulatory requirements, and accreditation standards.
• Identify trends, patterns, and recurring compliance concerns through chart reviews and data analysis.
• Investigate underlying causes of documentation and process deficiencies and collaborate with leaders to develop sustainable solutions.
• Partner with Compliance, Quality, Risk Management, and Operations teams on system-wide improvement initiatives.
• Provide education and coaching to nursing staff, providers, admissions/registration personnel, and departmental leaders.
• Assist with regulatory survey readiness activities and corrective action plans.
• Participate in root cause analyses, focused reviews, and performance improvement projects.
• Develop audit tools, educational materials, and compliance monitoring reports.
• Monitor implementation and effectiveness of corrective actions across facilities.
• Support Quality Assessment and Performance Improvement (QAPI) initiatives.
• Maintain knowledge of CMS Conditions of Participation, state regulations, accreditation standards, and organizational policies.

Skills

Communication skills

Data analysis

Educational coaching

Audits and investigations

Education

Registered Nurse license (RN)

Bachelor of Science in Nursing (BSN)

Master's degree preferred

Job description

Nutex Health is seeking a Clinical Compliance Nurse to join its multidisciplinary Compliance Department. You will conduct focused chart reviews across ED, Observation, and Inpatient settings to identify system-wide trends and opportunities for education and performance improvement.

Your work supports CMS COPs, accreditation standards, and organizational risk reduction. Responsibilities include audits, data analysis, education and coaching for staff and leadership, and collaboration with Quality,