Clinical Education and Compliance Nurse (62804)

The Clinical Education and Compliance Nurse leads clinical education, staff competency development, regulatory compliance monitoring, and quality assurance activities across CADES’ adult residential and community-based programs. This position is the organization’s primary clinical educator and compliance resource, ensuring staff are trained, competent, and compliant with applicable regulations, organizational policies, and best practices.

The Clinical Education and Compliance Nurse collaborates closely with the Director of Nursing, program leadership, and interdisciplinary teams to promote high-quality healthcare services, reduce clinical risk, improve outcomes, and support continuous quality improvement initiatives. This role trains new staff with clinical skills, coordinates annual training requirements, provides remedial education and competency support, and ensures adherence to 6400 regulations and healthcare standards.

DUTIES AND RESPONSIBILITIES:

Clinical Education and Staff Development

• Lead all nursing and clinical-related orientation programs for newly hired employees.
• Develop, coordinate, and facilitate clinical training programs for direct support professionals, supervisors, program managers, and nursing staff.
• Create and maintain standardized training materials, competency checklists, educational resources, and learning tools.
• Ensure all newly hired staff successfully complete required clinical competencies prior to independent practice.
• Coordinate and conduct annual clinical retraining and mandatory regulatory training.
• Provide targeted retraining, coaching, and competency validation for employees requiring corrective action, performance improvement, or remediation.
• Partner with Human Resources, Operations, and Nursing leadership to identify educational needs and implement corrective training plans.
• Monitor training completion rates and maintain accurate records of staff education and competency assessments.
• Evaluate training effectiveness through audits, observations, competency testing, and performance metrics.

Regulatory Compliance & Quality Assurance

• Monitor compliance with Pennsylvania Chapter 6400 regulations, organizational policies, and applicable healthcare standards.
• Conduct routine quality assurance reviews and compliance audits to identify trends, risks, and opportunities for improvement.
• Assist in preparation for licensing inspections, regulatory surveys, and internal audits.
• Develop corrective action plans and educational interventions to address identified deficiencies.
• Track compliance metrics and provide regular reports to the Director of Nursing and organizational leadership.
• Participate in quality improvement initiatives focused on health outcomes, medication management, and regulatory compliance.

Health Risk Screening Tool (HRST) Oversight

• As the organization’s clinical resource for the HRST:
  • Oversee completion, accuracy, and timeliness of HRST ratings and reassessments.
  • Monitor individuals identified as having elevated health risks and communicate concerns to appropriate clinical and operational staff.
  • Analyze HRST data and trends to identify opportunities for proactive healthcare interventions and staff education.
  • Assist with HRST training, competency validation, and ongoing support for raters and reviewers.
  • Participate in HRST quality reviews and ensure compliance with established HRST standards.

Medical Record and Medication Audits

• Lead medical record audits to ensure documentation meets regulatory, organizational, and clinical standards.
• Conduct medication administration and medication storage audits to ensure compliance with medication management requirements.
• Review medication documentation for accuracy, completeness, and consistency.
• Identify deficiencies and collaborate with leadership to implement corrective actions and staff education.
• Monitor audit findings, track trends, and develop quality improvement initiatives based on audit outcomes.
• Provide follow-up monitoring to ensure sustained compliance.

Clinical Consultation and Support

• As a clinical resource to residential and program staff, provide guidance regarding healthcare procedures, documentation standards, and clinical best practices.
• Support implementation of new clinical policies, procedures, and healthcare initiatives.
• Assist with incident reviews related to health and medication-related events and identify educational opportunities.
• Collaborate with interdisciplinary teams to promote safe, person-centered healthcare practices.
• Support nursing leadership in achieving organizational quality, compliance, and clinical performance goals.

Administrative Responsibilities

• Generate, review, and analyze electronic medication administration record (eMAR) reports.
• Maintain training records, audit documentation, competency evaluations, and compliance reports.
• Prepare reports, dashboards, and educational metrics for review by nursing and executive leadership.
• Participate in committees, quality improvement initiatives, and organizational projects as assigned.

• Perform other duties as assigned

Education/Experience/Skills Requirements

• Current and valid Licensed Practical Nurse (LPN) in the Commonwealth of Pennsylvania.
• Three (3) years nursing experience.
• Non-profit human services experience preferred
• Five (5) years’ experience working with individuals living with multiple disabilities and intellectual and developmental disabilities (IDD) in residential services, community-based services, or related health care setting with a strong understanding of the safety and communication support required for individuals with physical disabilities. 
• Prior demonstrated experience in staff education, quality assurance, compliance, auditing, and/or clinical leadership preferred.
• Prior supervisory or management experience preferred.
• Thorough knowledge of Pennsylvania Chapter 6400 regulations.
• Knowledge of HRST processes and requirements.
• Strong understanding of medication administration, documentation standards, and healthcare regulations.
• Demonstrated ability to develop and deliver effective training programs for and to adult learners.
• Demonstrated strong auditing, investigative, analytical, and problem-solving skills.
• Demonstrated ability to work in a fast-paced environment and effectively prioritize tasks.
• Demonstrated strong attention to detail.
• Demonstrated ability to work effectively as part of a team.
• Demonstrated strong time management and organizational skills.
• Demonstrated excellent judgment with the ability to independently solve problems and make decisions with little or no need for direct supervision.
• Demonstrated ability to anticipate changes and/or identify issues and take appropriate and effective actions.
• Excellent customer interaction, collaboration, and written and verbal communication skills.
• Demonstrated intermediate experience with Microsoft Office applications, including Word, Excel, Outlook, SharePoint and PowerPoint.
• Experience using electronic health records, eMAR systems, and compliance tracking systems.
• Must be able to perform CPR, First Aid, and crisis intervention using agency-trained protocols.

• Must possess a current, valid driver's license in the state of residence, have a minimum of three (3) years of driving experience within the United States, and have an acceptable driving record, which will be assessed through a review of the Division of Motor Vehicles (DMV) record. 
• Available for evening and weekend work as needed and scheduled.
• Ability to attend meetings off site as necessary.