The Quality Assurance Nurse performs a wide range of duties, including but not limited to:
Conduct chart audits for patient encounters using affiliate-specific guidelines and clinical knowledge to ensure accurate and compliant medical record documentation
Develop or revise audit tools in collaboration with relevant staff, as needed
Identify opportunities to improve documentation quality and clinical compliance
Contribute to communication and training plans to address identified deficiencies
Serve as a quality assurance and compliance resource during training initiatives, as requested
Maintain regular communication with appropriate staff regarding audit findings and trends
Support Contact Center Patient Access Representatives by addressing patient questions, performing initial assessments, and providing education and support as appropriate
Respond to patient inquiries related to healthcare services, including reproductive health care, STI services, birth control, primary care, gender-affirming hormone therapy (GAHT), and medication and surgical abortion, while maintaining strict confidentiality
Triage laboratory results for all providers, prioritizing urgent notifications
Initiate care pathways based on PPSAT Medical Standards & Guidelines (MS&Gs) and CFU RN Standing Orders
Communicate results and next steps to Clinicians, Health Care Assistants, Clinical Director of Family Planning, and Health Center Managers as appropriate
Support systems for task management, follow-up, and interdepartmental coordination
Contribute to a positive work environment through collaboration, initiative, and problem-solving
Adhere to affiliate policies, procedures, meeting requirements, and training expectations
Perform other duties as assigned
Requirements
Bachelor’s degree in Nursing from an accredited institution
Current Registered Nurse license in one of the service area states (SC, NC, VA, WV, OH, or PA) or a compact member state
Minimum of 4 years of experience as a Registered Nurse
At least 2 years of high-volume Electronic Health Record auditing experience in a healthcare setting
Familiarity with industry-standard auditing practices
Strong ability to interpret written guidelines related to compliance