Quality and Trauma Program Coordinator

Charleston Area Medical Center

Weston (WV)

On-site

USD 85,000 - 110,000

Full time

5 days ago

Be an early applicant

Get a reply from this employer

Your resume and cover letter, tailored to exactly what they’re hiring for.

Get past ATS filters

Job summary

Stonewall Jackson Memorial Hospital seeks a Quality and Trauma Program Coordinator to lead the trauma program and support hospital-wide quality improvement, patient safety, and regulatory readiness. The role collaborates with physicians, nursing leaders, and multidisciplinary teams to improve outcomes and ensure adherence to verification standards.

Responsibilities include developing performance improvement plans, auditing programs, and educating staff on trauma care and evidence-based

Qualifications

Minimum three years of clinical nursing experience with trauma or quality improvement.
Knowledge of trauma systems and accreditation standards.
Understanding of TNCC, ACLS, BLS, and PALS.
Light Work: frequent lifting and/or carrying up to 25 lbs.

Responsibilities

Lead the day-to-day operations of the Trauma Program, ensuring compliance with standards.
Coordinate trauma performance improvement activities and registry oversight.
Analyze clinical and operational data to identify trends and improve outcomes.
Collaborate with Trauma Medical Director and leadership to enhance quality and safety.
Develop and evaluate performance improvement plans and clinical protocols.
Oversee the DNV Internal Audit Program and corrective actions.

Skills

Trauma care

Quality improvement

Regulatory compliance

Data analysis

Education

Associate's Degree

Bachelor's Degree

West Virginia RN license

Tools

DNV Internal Audit Program

Job description

Quality and Trauma Program Coordinator – CLINICAL QUALITY MGT‑NRS SPEC – Stonewall Jackson Memorial Hospital

Job Summary

The Quality Program Coordinator provides leadership for the hospital's trauma program while supporting organization-wide quality improvement, patient safety, regulatory compliance, and performance improvement initiatives. This position collaborates with physicians, nursing leaders, ancillary departments, and hospital leadership to improve clinical outcomes, ensure regulatory readiness, maintain trauma verification standards, and promote a culture of continuous improvement through data-driven decision making and education.

Responsibilities

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 organization's 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.

Knowledge, Skills & Abilities

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.

Education