RN Quality and Compliance Coordinator

Shepherd of the Valley Lutheran Retirement Services•Youngstown, OH

About The Position

Summary: 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. Review and process incident/ fall 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. 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 skill proficiency, professionalism, and communication. Develop and implement rehabilitative services for residents. Ensure the rehabilitative nursing assistants are performing their duties and directed. 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, 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. Participate in Management weekend rotation schedule. 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. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience 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. Certificates, Licenses, Registrations Must be an RN in the State of Ohio. Shepherd of the Valley Lutheran Retirement Inc.is an Equal Opportunity Employer and does not discriminate on the basis of race, creed, color, religion, sex, national origin, age, veteran status, disability, marital status, sexual orientation, citizenship status, genetic information, gender identity, or any other protected status under applicable law.

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 RN in the State of Ohio.

Responsibilities

Review and process incident/ fall 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.
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 skill proficiency, professionalism, and communication.
Develop and implement rehabilitative services for residents.
Ensure the rehabilitative nursing assistants are performing their duties and directed.
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, 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.
Participate in Management weekend rotation schedule.
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.