Austin, TX
1 day ago
Clinical Informatics Nurse (81047)
Skilled Nursing Facility Organization

Reports To: Chief Nursing Officer (CNO)

FLSA Status: Exempt

Position Summary

The Corporate Clinical Informatics Nurse (CIN) provides enterprise-level leadership and oversight for the organization’s Electronic Health Record (EHR) systems—primarily PointClickCare (PCC)—and related health information technologies across the organization. This role bridges clinical practice, regulatory compliance, quality improvement, reimbursement integrity, and technology to standardize workflows, optimize documentation, ensure survey readiness, and drive data-informed performance improvement.

The Corporate CIN is accountable for system governance, optimization, training strategy, analytics, and change management to ensure technology enables high-quality care and regulatory compliance.

Essential Duties and Responsibilities 1. Enterprise EHR Governance & Strategy Serve as the subject matter expert for PointClickCare and related clinical systems. Enforce enterprise documentation standards, workflows, and templates to ensure consistant quality of care and regulatory compliance. Partner with IT, clinical leadership to define system roadmap and long-term clinical informatics strategy. Balance standardization with operational flexibility for diverse facility needs. 2. PointClickCare (PCC) System Optimization Optimize PCC modules including (but not limited to): Clinical, eMAR/TAR, Orders, Care Plans, Assessments, Quality Measures, and Physician Portals Infection Control, Wound Management, and Risk Management modules Maintain custom assessments, flowsheets, care plan libraries, and task schedules. Standardize physician order workflows, order tracking, and signature compliance processes. Optimize alerts, reminders, and clinical decision support to reduce risk and improve outcomes. Lead testing and validation of PCC upgrades, patches, and new features. 3. Documentation Integrity, Compliance & Survey Readiness Ensure documentation supports CMS regulations, state requirements, F-tags, and survey readiness across all facilities. Conduct routine and targeted documentation audits using PCC data. Identify risk trends and collaborate with regional and facility leaders on corrective action plans. Support plan of correction efforts as it relates to PCC.  4. MDS, PDPM & Reimbursement Integrity Partner with MDS leaders to ensure validate documentation supports PDPM case-mix classification and reimbursement accuracy. Support internal and external audits as necessary. 5. Quality Improvement, Analytics & Reporting Analyze enterprise dashboards and reports using PCC reporting tools. Analyze trends in falls, wounds, infections, rehospitalizations, antipsychotic use, and other quality indicators. Provide actionable insights to executive leadership, regional teams, and facilities. Support QAPI initiatives with data-driven recommendations. 6. Training, Education & Change Management (center and enterprise level) Participate in corporate training strategy using a blended model (live, virtual, on-demand and onsite). Develop standardized onboarding programs for DONs, ADONs and Medical Records. Establish and manage a facility super-user network to ensure local support and sustainability. Lead large-scale change management initiatives related to PCC upgrades and workflow redesign. 7. Implementation & Expansion Support (Growth & Acquisitions) Support new facility implementations, acquisitions, and system conversions within the portfolio. Support enterprise rollout plans, data migration, workflow design, training, go-live support, and stabilization. Ensure alignment with corporate standards and PCC best practices from day one. 8. Interdisciplinary & Physician Engagement Collaborate with nursing, therapy, social services, dietary, infection prevention, and medical directors to ensure integrated workflows. Support Practitioner Engagement with PCC Physician Portal, order entry, and electronic signature compliance. Act as liaison between clinical operations and IT. 9. Risk Management & Legal Support Identify documentation and workflow risks that increase litigation exposure or regulatory risk. Support legal, compliance, and risk teams with chart reviews, audits, and data analysis. Assist with response to complaints, investigations, and record requests.

Assist legal with approvals for Medical Records requests.

Qualifications Location Live in the state of Texas for frequent travel to centers requiring support Education Licensed Nurse Texas license in good standing required. Experience 5+ years clinical experience in skilled nursing/long-term care. 3+ years experience with EHR systems; PointClickCare expertise required. Demonstrated experience in corporate, regional, or multi-facility informatics, quality, or clinical operations roles. Strong background in MDS, PDPM, regulatory compliance, and survey process. Skills & Competencies Expert knowledge of PointClickCare configuration, workflows, and reporting. Deep understanding of long-term care regulations and quality measures. Strong analytical, data interpretation, and problem-solving skills. Proven ability to lead change, influence without authority, and work cross-functionally. Excellent communication, presentation, and training skills. Highly organized with exceptional attention to detail. Key Performance Indicators (KPIs) Reduction in survey deficiencies related to documentation and clinical processes across the portfolio. Improved clinical documentation to support accuracy and reimbursement outcomes enterprise wide. Increased physician order compliance and electronic signature timeliness. Improved quality measure performance (falls, wounds, infections, rehospitalizations) across all regions. Staff competency and satisfaction with PCC across facilities. Successful implementation of enterprise upgrades, conversions, and go-lives.
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