Clinical Compliance Nurse (Wake/Pitt County)

Job Description

Job Description

ABOUT THE JOB

Crandell's Enterprises Inc (CEI) is North Carolina's number one group home health care company.

At CEI, we deliver the highest quality of care for every resident through our most valuable asset: you. We seek compassionate and thoughtful individuals who share our passion for exceptional care in senior living. CEI partners with a vast network of organizations and providers across North Carolina to support our small team environment of caring professionals with the resources and benefits of a large enterprise. Your legacy of excellence begins when you join us at CEI.

The Clinical Compliance Nurse ensures behavioral health and residential programs operate in full compliance with state, federal, and accreditation standards, supporting quality care, regulatory readiness, and continuous improvement across all programs in Wake and Pitt County.

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 Monitor organizational compliance with:
• 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 AND 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 AND 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 Investigate:
• Medication errors
• Medication omissions
• Clinical incidents
• Documentation deficiencies
• Compliance violations
• Reportable events

Provide findings, recommendations, and corrective actions to leadership.

POLICY AND 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 Nurse 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.

QUALIFICATIONS
• RN or LPN with an active, unrestricted license.
• 35 years of nursing experience; behavioral health experience preferred.
• Strong knowledge of regulatory and compliance standards.
• Proficiency in EHR systems and Microsoft Office.
ENGAGEMENT DETAILS
• This is a fulltime independent contractor engagement (1099).
ALL ARE WELCOME

CEI values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply.

EEO STATEMENT

Our facility provides equal employment opportunities. We are committed to complying with all state, federal, and local laws that prohibit discrimination in employment, including recruitment, hiring, placement, promotion, transfers, compensation, benefits, training, programs, reductions in workforce, termination, and recall. Our facility strives to provide equal opportunity for employment to all individuals who are properly qualified and able to perform the duties of their employment, without regard to employees' legally-protected characteristics ("protected class") including: age, sex, race, color, creed, religion, national origin, ancestry, citizenship, marital status, pregnancy, medical condition, physical or mental disability, sexual orientation, gender identity, sex stereotyping, or genetic information.