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Orthopedic Trauma Performance Improvement Coordinator (FT- 1.0 FTE, Variable Shift)
Position Summary:
The Trauma Performance Improvement (PI) Coordinator develops, implements, and evaluates trauma service line performance initiatives to advance safe, high‑quality care. The role oversees quality standards, clinical documentation practices, and policy/procedure development in alignment with American College of Surgeons (ACS) trauma standards and State of Montana requirements. The coordinator partners with the multidisciplinary trauma team to optimize systems of care across the trauma continuum and improve the physical, psychosocial, rehabilitative, educational and spiritual needs of the trauma patient and/or their family. The position supports Bozeman Health’s mission, vision, and values through data-driven performance improvement and education.
Qualifications:
Required:
- Bachelor’s degree in Nursing (BSN).
- Current Montana Registered Nurse (RN) license.
- Current American Heart Association (AHA) Basic Life Support (BLS).
- Current Trauma Nursing Core Course (TNCC) certification, or ability to obtain within six (6) months of hire.
- Two (2) years of RN experience in the assigned trauma service line (e.g., Emergency, ICU, OR, Surgical, and/or Orthopedics).
Preferred:
- Orthopedic or trauma‑related certification(s) such as Trauma Certified Registered Nurse (TCRN), Orthopaedic Nursing Certification (ONC), Certified Perioperative Nurse (CNOR), or equivalent.
- Two (2) years of experience in healthcare program or quality improvement management.
- TNCC or Trauma Care After Resuscitation (TCAR) instructor.
- Experience with trauma registry and quality programs (e.g., ACS Trauma Quality Improvement Program [TQIP]).
Essential Job Functions: In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.
- Drives trauma program performance improvement tactics and training for team members; facilitates internal and external education for physicians, staff, EMS, and the community.
- Collaborates with Trauma Registrars, the Trauma Program Manager, and Trauma Medical Directors to design and generate reports and project documentation; analyzes patient data per ACS and State of Montana requirements to identify opportunities for improvement.
- Leads or supports PI projects from problem identification through sustainability, ensuring closed‑loop follow‑up and documentation of outcomes.
- Partners with internal stakeholders to develop and implement quality improvement plans, clinical guidelines, and standard work.
- Engages external partners (including EMS agencies and referring/receiving facilities) to conduct routine case follow‑up and coordinate joint quality initiatives and outreach education.
- Provides bedside clinical support for trauma patients as needed within scope and competency.
- Coordinates preparation for ACS verification or reverification, including mock surveys, document readiness, and action plan tracking.
- Participates in case reviews and committee work, including Morbidity and Mortality (M&M), Trauma Committee, Trauma Case Conference, Emergency Response Trauma Advisory Committee (ERTAC), and State Trauma Care Committee (STCC); serves as a resource and role model for professional nursing practice.
- Maintains accurate, timely, and compliant documentation in accordance with Bozeman Health policy and regulatory/verification standards.
- Monitors key performance indicators (KPIs), dashboards, and trauma quality metrics; escalates trends and risks and recommends countermeasures.
- Upholds Bozeman Health safety, compliance, and patient experience standards.
Knowledge, Skills and Abilities
- Demonstrates sound judgment, patience, and maintains a professional demeanor at all times
- Exercises tact, discretion, sensitivity, and maintains confidentiality
- Performs essential job functions successfully in a busy and stressful environment
- Learns current and new computer applications and office equipment utilized at Bozeman Health
- Strong interpersonal, verbal, and written communication skills
- Analyzes, organizes, and prioritizes work while meeting multiple deadlines
Schedule Requirements
- This role requires regular and sustained attendance.
- The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts.
- On-call work may be required to respond promptly to organizational, patient, or employee needs.
Physical Requirements
- Lifting (Repeatedly – 50 pounds): Exerting force and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people.
- Sit (Occasionally): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain.
- Stand (Repeatedly): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain.
- Walk (Repeatedly): Walking and moving around within the work area requires good balance and coordination.
- Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms.
- Twist/Bend/Stoop/Kneel (Repeatedly): Twisting, bending, and stooping require flexibility and a wide range of motion in the spine and joints.
- Reach Above Shoulder Level (Repeatedly): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability.
- Push/Pull (Repeatedly): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward.
- Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling.
- Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials.
- Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow.
- Exposures (Continuously): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases are caused by contact with patients in areas that may have contagious illnesses. Emotionally challenging situations, such as dealing with distressed patients or difficult family interactions.
- Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%).
The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified.
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