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Job description
Find your calling at Mercy!
Position Summary
Serves as a Trauma Performance Improvement (PI) Nurse responsible for coordinating the Trauma Performance Improvement and Patient Safety (PIPS) program for trauma and burn patient populations. This role ensures systematic event identification, multidisciplinary review, and documentation of performance improvement activities, including evidence of loop closure, corrective actions, and sustained improvement in alignment with ACS Trauma Center and ABA Burn Center verification standards. Position Details:
Key Responsibilities:
Trauma Performance Improvement (PIPS) Coordination
Coordinate the Trauma Performance Improvement and Patient Safety (PIPS) program for trauma and burn patient populations
Organize and facilitate the multidisciplinary review process, including case identification, preparation, tracking, and follow-up
Collaborate with Trauma Program leadership, Trauma Medical Director, Burn Medical Director, and multidisciplinary teams to support program goals and regulatory compliance
Event Identification & Audit Filter Management
Identify trauma and burn performance improvement events from a variety of sources, including registry data, audit filters, incident reports, peer review, and staff/provider referrals
Ensure effective use, review, and ongoing evaluation of trauma and burn audit filters in alignment with verification standards
Support development and refinement of audit filters based on trends and program needs
Documentation & Regulatory Compliance
Maintain accurate, complete, and survey-ready documentation demonstrating:Event identification and screening processes
Effective use of audit filters
Multidisciplinary review and case progression
Loop closure with documented resolution
Corrective actions and follow-up
Strategies for sustained improvement over time
Ensure all PI activities meet trauma and burn program regulatory requirements
Support preparation for site visits, PRQ submission, and internal/external audits
Performance Improvement & Loop Closure
Facilitate development and implementation of corrective action plans in collaboration with physicians, nursing, and ancillary departments
Demonstrate loop closure by validating that identified issues have been addressed and resolved
Monitor outcomes over time to ensure sustained performance improvement and prevent recurrence
Escalate high-risk or system-level issues as appropriate
Data Management, Analysis & Reporting
Collaborate with trauma registry staff to ensure data integrity, completeness, and alignment with PI activities
Track, trend, and analyze PI events and audit filter data to identify opportunities for improvement
Develop reports, dashboards, and summaries reflecting trauma PI activity, trends, and outcomes
Apply evidence-based practice standards and benchmark comparisons to support recommendations
Education, Collaboration & Program Support
Educate and mentor staff and team members on trauma PI processes, including audit filters, case review, and loop closure
Promote a non-punitive, systems-focused approach to performance improvement
Support ongoing education and process improvement initiatives related to trauma and burn care
Collaborate with stakeholders to drive process improvement and sustain outcomes
Additional Job Description:
Minimum Qualifications
Current Registered Nurse (RN) licensure
5 years of related experience (Trauma, Emergency, Critical care, or Burn care)
Strong analytical, organizational, and communication skills
Preferred Qualifications
Knowledge of Trauma PIPS processes and regulatory standards (ACS, ABA, MO state) strongly preferred
EPIC and ESO experience preferred
TNCC Instructor preferred
Why Mercy?
From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.
Worksite address
saint louis, MO, 63141, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.