Clinical Documentation Specialist RN
$39.18 - $58.28 per hourCatholic Health Initiatives
Job Summary and Responsibilities
As a Clinical Documentation Specialist, you will provide critical expertise in medical record accuracy and integrity, profoundly impacting patient care quality and financial compliance.
Every day you will expertly review clinical documentation, query physicians for clarity and specificity, educate providers on documentation best practices, and meticulously ensure all records accurately reflect the patient's severity of illness and complexity of care.
To be successful, you will demonstrate outstanding analytical skills, strong knowledge of clinical coding guidelines, and a collaborative, detail-oriented demeanor, contributing to precise data, appropriate reimbursement, and improved patient outcomes.
Reviews medical record for completeness and accuracy for severity of illness (SOI) and quality using the Compliant Documentation Management Program (CDMP) documentation strategies
Accurate and timely record review
Recognize opportunities for documentation improvement
Initiates CDMP severity Worksheet for inpatients
Formulate clinically credible documentation clarifications
Request documentation clarifications as appropriate for SOI, Core Measures, and Patient Safety
Job Requirements
Required
Associates degree in Nursing required
Five (5) years of adult acute care experience in med/surg, critical care, emergency room, or PACU, upon hire
Registered Nurse: TX, upon hire
Where You'll Work
St. Luke’s Health–Brazosport Hospital is located on a beautiful, 25-acre campus in Lake Jackson, Texas. Offering state-of-the-art diagnostic and comprehensive treatment services, our hospital is home to a 154-bed patient tower, level III trauma center, advanced cardiac care center, and full-service, multidisciplinary cancer center. Our team consists of over 100 board-certified physicians and nearly 600 highly skilled employees to meet our patients’ medical needs. South Brazoria County’s premier healthcare system, St. Luke’s Health–Brazosport Hospital is dedicated to providing quality care with compassion for the communities we serve.
Pay Range
$39.18 - $58.28 /hour
We are an equal opportunity/affirmative action employer.
$35.45 - $55.36 per hour
...Telemetry RN Partnering for a stronger, healthier world. At CommonSpirit Health... ...encounters annually through more than 2,300 clinics, care sites and 158 hospital-based... ...Planning: Designs, directs, evaluates, and documents the plan of care, patient/family teaching...SuggestedFull timeImmediate startRemote workShift workCommonSpirit Health
Lake Jackson, TX5 days ago$35.45 - $55.36 per hour
...Responsibilities As a Registered Nurse (RN), you will be a pivotal healthcare... ...Planning: Designs, directs, evaluates, and documents the plan of care, patient/family teaching... ...level of care discharge. Works with other clinical disciplines to meet specialized patient care...SuggestedImmediate startShift workCatholic Health Initiatives
Lake Jackson, TX1 day ago$35.45 - $55.36 per hour
...power of humankindness works here ICU RN Lake Jackson, Texas St Luke's Brazosport... ...annually through more than 2,300 clinics, care sites and 158 hospital-based locations... ...: Designs, directs, evaluates, and documents the plan of care, patient/family teaching...SuggestedFull timeFor contractorsLocal areaImmediate startRemote workShift workCommonSpirit Health
Lake Jackson, TX2 days ago- ...defined by the Board of Nurse Examiners for the State of Texas. Job Requirements Associates in Nursing Diploma and one (1) year of RN experience Registered Nurse: TX Basic Life Support - AHA Where You'll Work St. Luke’s Health-Brazosport Hospital is located on a beautiful...Suggested
- ...patient outcomes. The ideal candidate will possess strong critical thinking skills and a patient-first mindset, with at least one year of RN experience required. Join us in providing compassionate care in a state-of-the-art healthcare environment. #J-18808-Ljbffr St Luke's...Suggested
- St Luke's Brazosport in Lake Jackson, Texas, seeks a Registered Nurse (RN) for its Float/Flex Team. In this role, you'll provide high-quality care, make critical assessments, and collaborate with a dedicated team to ensure optimal patient outcomes. The ideal candidate...Flexible hours
- Vetted Health is seeking an experienced RN for a Med Surg travel assignment in Winston-Salem, North Carolina. The role requires 2+ years of nursing experience and offers a 13-week contract with 12-hour shifts, totaling 36 hours per week. You will focus on patient reassessment...Weekly payContract workImmediate startShift work
- Enhabit Home Health & Hospice in the United States is seeking qualified healthcare professionals to coordinate patient care in the home setting. The role involves assessing patient and family needs and implementing the interdisciplinary plan of care per physician orders...
- St Luke's Brazosport in Lake Jackson, Texas, is seeking a Registered Nurse (RN) to deliver high-quality, compassionate patient care. In this role, you will perform assessments, implement individualized care plans, and collaborate with interdisciplinary teams for optimal...
$35.45 - $55.36 per hour
CHI is seeking a Registered Nurse (RN) in Lake Jackson, Texas. In this pivotal role, you will provide high-quality care to our patients, conducting thorough assessments, planning individualized care, and executing safety protocols. The ideal candidate possesses strong...Hourly pay- ...Med Surg RN Responsible for the delivery of excellence in patient care through assessing, formulating nursing diagnoses and establishing goals, planning and implementing intervention and evaluating patient care outcomes. With the staff nurse's professional practice...Full timeFor contractorsLocal area
- ...immediately upon hire Medical / Dental / Vision Care Early Pay FSA / HSA / 401k Educational Advancement Scholarship for employees and dependents Emergency Relief Requirements: ~ Registered Nurse (RN) license required EOE M/F/D/V Nexion HealthImmediate start
$33 - $52.8 per hour
A premier healthcare provider in Lake Jackson, Texas, is seeking a Registered Nurse (RN) to deliver compassionate, high-quality care. In this critical role, you will assess and implement patient care plans, collaborate with an interdisciplinary team, and ensure safety...Hourly pay$35.45 - $55.36 per hour
CHI in Lake Jackson, Texas, is looking for a Registered Nurse (RN) to provide compassionate care that impacts patients' well-being. Candidates should possess strong assessment skills and a commitment to excellence in a fast-paced environment. Responsibilities include conducting...$2,190 per week
...Vetted is seeking a RN - Med Surg for a travel job in Winston-Salem, North Carolina . Must have 2+ years of experience. This... ...focused reassessments and escalate concerns through appropriate clinical channels. Prepare patients for diagnostic tests or procedures...Hourly payWeekly payContract workImmediate startShift work- Angels of Care Pediatric Home Health in Lake Jackson, TX is hiring RN and LVN nurses for full-time and part-time shifts in home settings. The role focuses on pediatric patients, delivering medical care aligned with physician plans, and coordinating with families for optimal...Full timePart timeFlexible hoursShift work
- Occupational Therapist Jobs in Texas Location Lake Jackson, Texas Shift Days, 5x8 hrs Start Date ASAP Duration 13 weeks$1,956 /weekly Job Details & Requirements Job Description : Stability HealthCare is looking for a Occupational Therapist Therapy contract position...Contract workImmediate startShift work
$35.45 - $55.36 per hour
CHI is seeking a Registered Nurse (RN) in Lake Jackson, Texas. You will play a crucial role in delivering high-quality care, leveraging your expertise in assessments, treatment planning, and implementation of care protocols. The ideal candidate will possess strong assessment...Hourly pay- St Luke's Brazosport in Lake Jackson, Texas is seeking a Registered Nurse (RN) to provide high-quality, compassionate care to patients. You will play an essential role in patient assessments, care planning, and implementing procedures within a collaborative healthcare...
$28 - $36 per hour
...of Care Pediatric Home Health is looking for Registered Nurses (RN) and Licensed Vocational Nurses (LVN) in Lake Jackson, TX and surrounding... .... * Coordination of care * Educate family members on patient clinical care to enhance positive outcomes * Preventative initiatives to...Weekly payFull timeTemporary workPart timeFlexible hoursShift workNight shiftWeekend workNursing Solutions
Lake Jackson, TX4 days ago$35.45 - $55.36 per hour
...Responsibilities As a Registered Nurse (RN), you will be a pivotal healthcare... ...Planning: Designs, directs, evaluates, and documents the plan of care, patient/family teaching... ...level of care discharge. Works with other clinical disciplines to meet specialized patient care...Shift workCatholic Health Initiatives
Lake Jackson, TX4 days ago- Job Opportunity Nexion is a "Great Place to Work" because we provide: Free employee and family telehealth immediately upon hire Medical / Dental / Vision Care Early Pay FSA / HSA / 401k Educational Advancement Scholarship for employees and dependents Emergency Relief Requirements...Immediate start
Nexion Health
Lake Jackson, TX2 days ago $48.08 per hour
...LVN scope — with excellent communication and escalation to the RN/clinical team so patients stay safe and on track. We build... ...way clinicians actually work , so you can spend less time on documentation and coordination, and more time with patients. Smarter charting...Full timeWork at officeMonday to FridayFlexible hoursWeekend workFira Health
Lake Jackson, TX2 days ago$35.45 - $55.36 per hour
...ER RN Partnering for a stronger, healthier world. At CommonSpirit Health, we believe... ...annually through more than 2,300 clinics, care sites and 158 hospital-based locations... ...Planning: Designs, directs, evaluates, and documents the plan of care, patient/family teaching...Full timeFor contractorsLocal areaShift workCommonSpirit Health
Lake Jackson, TX2 days ago- ...Job Summary and Responsibilities As a Registered Nurse (RN) on our Float/Flex Team, you will be a pivotal healthcare professional,... ...interventions, and evaluates the outcome of the interventions. Consistently documents in the patient and unit records according to written health...Flexible hours
St Luke's Brazosport
Lake Jackson, TX2 days ago $35.45 - $55.36 per hour
...Responsibilities As a Registered Nurse (RN), you will be a pivotal healthcare professional... ...Planning: Design, direct, evaluate, and document the plan of care, patient/family teaching... ...of care for discharge; work with other clinical disciplines to meet specialized patient...Shift workChi
Lake Jackson, TX2 days ago- A leading healthcare provider is seeking a Registered Nurse (RN) to join their team in Lake Jackson, Texas. In this pivotal role, you will deliver high-quality, compassionate care to patients and collaborate with an interdisciplinary team. The ideal candidate will have...
- Required Education & Experience RN with bachelor’s in nursing, four years of clinical RN experience, and approved specialty certification. Must possess and... ...Practice Assesses, plans, implements, evaluates, and documents the daily care of assigned patients. Identifies...Temporary workFor contractorsLocal areaImmediate startShift work
- ...service training programs (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). Assist the Director in planning clinical supervision for nurse aide trainees. Attend and participate in continuing education programs designed to keep you abreast of...TraineeshipLocal areaShift work
- RN - SUD Serenity Light Recovery Center at Sierra Health and Wellness uses evidence-based methods to restore families, relationships, and self-worth for individuals who have struggled with substance abuse and mental health issues. Positions Available Full‑time: 12‑shift...Full timeReliefShift workNight shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Documentation Specialist RN. Be the first to apply!
- fema rn Lake Jackson, TX
- icu rn Lake Jackson, TX
- school rn Lake Jackson, TX
- labor and delivery registered nurse rn Lake Jackson, TX
- rn Lake Jackson, TX
- rn quality Lake Jackson, TX
- radiology - rn Lake Jackson, TX
- full-time registered nurse rn Lake Jackson, TX
- nicu rn Lake Jackson, TX
- hospice registered nurse Lake Jackson, TX