About this opportunity
Crandell's Enterprises lists this Clinical Compliance RN opportunity in raleigh, North Carolina. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Essential Duties and Responsibilities
Clinical Compliance
Conduct comprehensive audits of medication administration records (MAR/eMAR/QMAR) to ensure medication accuracy and compliance.
Review QMAR documentation daily to identify medication discrepancies, omissions, documentation errors, and compliance concerns.
Perform medication chart audits and medication storage inspections.
Audit nursing documentation for completeness, accuracy, timeliness, and regulatory compliance.
Conduct routine clinical record reviews, including admissions, physician orders, treatment plans, medication records, and discharge documentation.
Ensure all clinical documentation meets federal, state, payer, and accreditation requirements.
Regulatory Compliance
HIPAA
DHHS Regulations
CMS Standards
CARF Standards
Joint Commission Standards
North Carolina Behavioral Health Regulations
Other applicable state and federal regulations
Remain current on regulatory changes and communicate updates to leadership.
Quality Assurance & Performance Improvement
Participate in organizational Quality Improvement (QI) initiatives.
Identify compliance trends and recurring deficiencies.
Develop corrective action plans.
Monitor implementation and effectiveness of corrective actions.
Assist leadership with preparation for audits, licensing reviews, accreditation surveys, and inspections.
Participate in internal mock surveys and compliance readiness activities.
Staff Training & Development
Provide intentional, observation-based clinical education to improve staff performance.
Responsibilities include:
Conduct medication compliance training once each month at both the Wake County and Pitt County locations.
Train Paraprofessionals (PPs), Qualified Professionals (QPs), and clinical staff on medication administration standards, documentation requirements, infection control, and regulatory expectations.
Provide immediate coaching following observed deficiencies.
Develop individualized education based upon staff performance and identified trends.
Serve as a clinical resource by proactively addressing staff questions and concerns before they become compliance issues.
Incident Investigation
Medication errors
Medication omissions
Clinical incidents
Documentation deficiencies
Compliance violations
Reportable events
Provide findings, recommendations, and corrective actions to leadership.
Policy & Procedure Development
Develop new compliance policies.
Review existing clinical policies.
Update procedures based on regulatory changes and organizational needs.
Recommend process improvements that strengthen compliance and improve patient outcomes.
Leadership Collaboration
Collaborate with executive leadership to:
Correct identified deficiencies
Improve clinical processes
Strengthen regulatory readiness
Reduce organizational risk
Enhance quality of care
Serve as the liaison between:
Clinical staff
Executive leadership
Regulatory agencies
Surveyors
External healthcare partners
Travel Requirements
Travel is required.
The Clinical Compliance RN must:
Travel between Wake County and Pitt County.
Travel to the Pitt County location a minimum of twice per month.
Conduct onsite medication cart audits and compliance reviews.
Attend meetings as requested by executive leadership.
Reliable transportation is required.
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Worksite address
raleigh, NC, 27601, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.