Trauma Performance Improvement Nurse/Clinical Reg
Job Summary
The Performance Improvement Specialist is actively engaged in PI evaluation, review, and solution generation/implementation to improve the optimal care of the trauma patient. The Clinical Registrar & PI Specialist is skilled in writing reports and presenting data graphically, both internally and externally, to promote process improvements, improved outcomes and optimal patient care.
Additionally trained in Trauma Registry, the clinical trauma registrar is responsible to maintain and assure the quality and accuracy of the trauma registry database, the foundation of the trauma PIPS process. This role contributes to the development of standard work and during the process of trauma registry data entry, reliably identifies cases that warrant review, fully completes data abstraction into the trauma registry database according to Trauma Service standards, trauma leadership needs, existing regulatory requirements and to meet data entry deadlines for the County, NTDB and TQIP. The Registrar collects, analyzes and reports trauma data for quality improvement tracking as assigned, as well as targeting injury research and prevention. This role implements processes to assure accuracy and confidentiality in the handling of all trauma registry related matters.
The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The salary range for this position is $121,900 - $277,100 (Annual Rate). To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html Department Description The BHC Oakland Trauma Program supports and sustains the hospital's designation as a Level I Pediatric Trauma Center, verified by the American College of Surgeons (ACS). The program ensures compliance with ACS standards, facilitates trauma center verification, and contributes to national trauma registries to benchmark performance, support research, and drive system-wide improvement.
Key responsibilities include trauma registry management, data analysis and reporting, performance improvement coordination, and oversight of injury prevention and community outreach initiatives. The program collaborates closely with hospital leadership, clinical departments, the ACS, and regional EMS authorities to advance trauma care quality and promote public health and safety. Required Qualifications
- Minimum 5 years experience working as a Registered Nurse in a pediatric acute care hospital (Trauma, ED, and/or critical care preferred)
- Bachelor's degree in nursing or other healthcare profession, or a combination of comparable clinical education and / or experience (I.e. Masters degree in a health sciences profesion,, Advance practice, CNS).
- In-depth knowledge of QI standards, clinical chart review and abstraction, and regulatory requirements.
- In-depth knowledge of QI models, tools, and techniques, including collection, abstraction, validation, analysis, reporting of data, and use of performance and benchmark indicators.
- Advanced organizational and project management skills, with the ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
- Advanced critical thinking and problem solving skills to manage multiple levels of highly-complex information and responsibilities, to quickly assess problems, and to develop and implement timely and effective solutions.
- Advanced interpersonal skills for collaborating effectively with all levels of clinical and technical staff and representatives of external regulatory agencies and for mentoring lower-level QI staff.
- Advanced ability to effectively convey complex clinical, technical, and educational information both verbally and in writing, and to produce high quality reports, documentation, and presentations.Ability to genereate reports from trauma registry as well as other sources of data ( i.e. EMR, manually captured data).
- Demonstrates breadth and/or depth of knowledge and skills required for position including
- proficient understanding of pathophysiology and medical terminology. Ability use this knowledge to abstract and review data for clinical compliance with unit and organizational standards
- Maintains current knowledge with national and regional trauma registry requirements and
- practices; shares technical knowledge. This includes required clinical and database knowledge
- and skills, as applicable (may be learned within 6 months of hire)
- Actively seeks out current evidence and resources for assistance and direction to facilitate improvement in identified clinical care; this includes networking with internal and external resources (i.e. TQIP).
- Demonstrated knowledge with Alameda County trauma center designation requirements, as well as the American College of Surgeons Trauma Verification standards. (May be learned within 3 months of hire).
- Knowledge of Structure Standards, Procedures, Protocols, Guidelines as needed to perform job functions. Ability to identify gaps where standards are needed and support codifying and/or revising standards to remain up to date with current evidence-based practice.
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Preferred Qualifications
- Post-graduate degree in health sciences preferred.
- Certified Specialist in Trauma Registry (CSTR); may be completed within one year of hire.
- Certified Abbreviated Injury Scale Specialist (CAISS)
- LEAN training/certification (or similar formal Quality Methodology)
- TNCC preferred (current certification)
- Experience with Abbreviated Injury Scoring (AIS), Injury Severity Scoring (ISS) Trauma Registry preferred, completion of Trauma Registry course (May be completed within one year of hire); preferably experience with Lancet Trauma One Registry. ICD -10 coding training preferred.
- Advanced knowledge of various administrative and business software packages, and of the specialized applications for quality data management.
- Advanced skills to influence and persuade staff, management, and clinicians at all levels and across departments.
License/Certification
- Currently licensed in California as a Registered Nurse
- AAAM AIS Coding Course completion and American Trauma Society Registrar Basic and/or
- advanced course completion (may complete within 1 hear of hire).
- ICD-10 Course Certificate (current within the past 5 years); may be completed within 1 year of hire.
- Current American Heart Association BLS
About UCSF At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team.
Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu
Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Job Code and Payroll Title 004916 QLTY IMPV HC SPEC 4 HX Job Category Nursing - Adult Critical Care, Nursing - Adult Services, Nursing - Management/Administration, Nursing - Pediatric Critical Care, Nursing - Pediatric-Other Bargaining Unit University Professional and Technical Employees - Health Care Professionals Unit (UPTE-HX) Campus Benioff Children's Hospital Additional Shift Details Monday-Friday |
University of California - San Francisco Campus and Health
Nov 07, 2025