Coordinates and supports the trauma program Performance Improvement and Patient Safety (PIPS) program.
Identifies cases for review using audit filters, registry data, complications, and mortality reviews.
Facilitates timely case reviews with trauma leadership and multidisciplinary teams.
Tracks and documents quality issues, opportunities for improvement (OFIs), and corrective actions.
Ensures loop closure for identified performance improvement events.
Maintains documentation required for ACS trauma center verification and site visits.
Reviews trauma registry data and quality reports to identify trends and performance gaps.
Monitors compliance with trauma clinical guidelines, protocols, and pathways.
Collaborates with trauma registrars to ensure accurate case abstraction and data validation.
Assists with preparation and submission of TQIP and state trauma registry data.
Develops reports and dashboards highlighting key trauma quality metrics.
Prepares cases for Trauma Performance Improvement Committee meetings.
Coordinates multidisciplinary case reviews, including participation from trauma surgery, emergency medicine, nursing, radiology, and other specialties.
Documents committee discussions, recommendations, and action plans.
Supports implementation of system improvements and education initiatives based on case review findings.
Ensures trauma PI processes comply with
American College of Surgeons (ACS) Trauma Center Standards
State trauma system requirements
Hospital quality and patient safety policies
Assists with preparation for State & ACS trauma center verification and re-verification visits.
Maintains documentation of PI activities, meeting minutes, and loop closure evidence.
Provides education to trauma staff regarding quality improvement findings and best practices.
Provides education and guidance to trauma registrars.
Supports development of trauma clinical practice guidelines and protocols.
Promotes a culture of safety, transparency, and continuous improvement across the trauma program.
Education
Bachelor's of Science in Nursing required
Certification/Licensure
RN Licensure - VA/Compact required
Experience
Minimum 3 years of clinical ED or ICU, preferably trauma-related, experience.
Experience with quality improvement, patient safety, or trauma registry preferred
Knowledge of ACS trauma verification standards and PIPS processes
Knowledge of Excel and EPIC

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay range for full-time employment is $92,060.80 - $136,052.80 annually. Additional compensation may be available for this role, such as shift differentials, standby/on-call pay, shift premiums, extra-shift incentives, or bonus opportunities. Compensation within the range may vary based on qualifications, experience, location, market conditions, and business needs. Note: If an annual salary is posted, it is based on a full-time colleague working 2,080 hours annually.

Sentara offers a comprehensive benefits package, including medical, dental, vision, life and disability insurance; 401(k)/403(b) with employer match; paid time off (vacation, sick time, and holidays); paid parental and military leave; educational assistance or student loan repayment; and voluntary benefits.

Benefits: Caring For Your Family and Your Career
Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Pet Insurance
Legal Resources Plan
- Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
- Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day!
Sentara Norfolk General Hospital, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.
In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women’s health, including a state-of-the-art neonatal intensive care unit.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
