Quality and Compliance Coordinator

Shepherd of the Valley Lutheran Retirement Services • Warren, OH

6d

About The Position

The Nurse quality and compliance coordinator serves as a clinical leader responsible for monitoring and improving documentation compliance, ensuring thorough incident follow-up, and supporting CNA and nursing staff development. The role bridges operations, education and quality assurance. This helps to sustain survey readiness while cultivating a positive, well-trained, and motivated care team that delivers exceptional resident outcomes. Essential Duties and Responsibilities include the following. Other duties may be assigned.

Requirements

• High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.
• Graduate from certified Nursing Program.
• Must be an LPN in the State of Ohio.

Responsibilities

• Review and process incident and accident reports, ensuring follow-up investigations, staff statements, corrective actions and documentation are completed promptly and effectively.
• Conduct regular audits of nursing documentation for accuracy and completeness.
• Review and monitor CNA documentation within point click care to ensure ADL'S , restoratives programs and assignment tasks are completed accurately, timely and per care plan expectations.
• Track and monitor psychotherapeutic and opioid medication documentation, including required consents, ongoing justification notes, and compliance with facility policy.
• Maintain tracking logs for incidents, psychotropic reviews, and other assigned QAPI indicators.
• Assist with plan of correction development and implementation following survey findings or internal audits.
• Participate in QAPI meetings, presenting trends, audit results and data driven recommendations for improvement.
• Coordinate and conduct onboarding for new nurses and CNA, ensuring all new hires receive consistent education on documentation, care standards, and facility policies.
• Provide coaching, retraining and competency validation when auditing results or incident trends identify knowledge gaps.
• Deliver targeted in-services and micro-trainings focused on improving CNA skill proficiency, professionalism, and communication.
• Support the development of a positive, supportive learning culture that promotes staff confidence, job satisfaction, and retention.
• Collaborate with the ADON and Staff Development Nurse to design ongoing educational initiatives that align with facility priorities and resident needs.
• Deliver disciplinary action and corrective coaching in collaboration with the Director of Nursing and Human Resources when performance or conduct expectations are not met.
• Work closely with the Director of Nursing, Assistant Director of Nursing, Staff Development Nurse, and QAPI committee to maintain consistent standards of practice and documentation.
• Provide real-time coaching and constructive feedback to staff regarding documentation, accuracy and resident care practices.
• Serve as a bridge between frontline staff and management, promoting communication, consistency and accountability.
• Participate in performance improvement discussions to identify opportunities to elevate care quality and staff engagement.
• Serve as a backup to complete the CNA schedule and payroll as needed to ensure operational continuity and adequate staffing coverage.
• Assist on the floor as needed, performing nursing and/or aide duties within scope of practice to support resident care, maintain workflow and ensure continuity of services during periods of high acuity or staffing shortages.

Benefits

• medical, dental, life, STD, LTD, and accident insurance
• loyalty bonus
• PTO offered within the first year
• Student loan forgiveness program
• annual performance reviews
• flexible spending accounts allow you to pay certain medical expenses as well as child care on a pre-tax basis

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees