Clinical Documentation Improvement Specialist (RN)
Casa Real
Overview: We are currently looking for a Full-Time, On-Site Clinical Documentation Improvement Specialist to join our team. You would support multiple centers in this role! We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve. Responsibilities: The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical documentation required for resident care, regulatory compliance, and reimbursement. We are looking for someone with strong clinical assessment and judgement skills. Review resident charts, assessments, and care plans to complete required quality HNF documentation according to state guidelines based off of individual level of care Ensure all forms are accurate, timely, and compliant with state and facility standards Collaborate with nursing staff, therapy, social services, business office and providers to gather needed information Monitor changes in condition and update documentation accordingly Audit charts for missing or inconsistent information and follow up with staff Educate staff on proper documentation practices related to HNF requirements Effectively communicate and challenge appropriate acuity level(s) with Managed Care Organizations according to state regulations Qualifications: Must be a graduate of an accredited school of nursing, college or university with a current registered nurse licensure by the State Board of Nursing. A minimum of three years full-time or equivalent clinical experience is required and a minimum of two years of clinical experience in long-term care nursing with one year in a management/administrative or supervisory capacity is preferred. BSN preferred. Must maintain current BLS/CPR certification and RN license. Benefits: *Variable compensation plans *Tuition, Travel, and Wireless Service Discounts *Employee Assistance Program to support mental health *Employee Foundation to financially assist through unforeseen hardships *Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off *Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members *On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned We also offer several voluntary insurances such as: *Pet Insurance *Term and Whole Life Insurance *Short-term Disability *Hospital Indemnity *Personal Accident *Critical Illness *Cancer Coverage Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service. Posted Salary Range: USD $34.00 - USD $45.00 /Hr.aa415a4b-8b21-40fc-a65c-70d2b25ca29a
- ...ongoing management of assigned clinical programs across one or more... ...‐based practice, performance improvement, and strategic program growth... ...applicable. Maintain accurate documentation and ensure adherence to... ...Registrations, or Certifications RN single or compact in the...SuggestedFull time
$43 - $49 per hour
...differentials can increase your earnings! We are dedicated to improving the lives we touch through the delivery of high-quality care and... ...patients/residents and their families as a Registered Nurse - RN. You will provide care for a variety of patients/residents with...SuggestedTemporary workImmediate startShift work$44 per hour
...previous work environment. Our RN-Case Managers conduct in-home... ...and correct issues and/or improve services. Plan, implement,... ...Serve as a local on-site clinical resource as needed and provides... ...Review and evaluate clinical documentation for accuracy and completeness...SuggestedHourly payWeekly payTemporary workLocal areaFlexible hoursShift work- ...Travel Med Surg RN Company: Fusion Medical Staffing Location... ...the support of a dedicated clinical team. Required... ...assessments of patients’ conditions, documenting changes and reporting concerns... ...Medical Staffing, our goal is to improve the lives of everyone we...SuggestedTemporary work
$2,218 - $2,359 per week
...seeking a skilled Operating Room RN for a 13-week travel... ...and the support of a dedicated clinical team. Required Qualifications... ...'s condition during surgery, documenting significant changes and notifying... ...Staffing, our goal is to improve the lives of everyone we touch...SuggestedTemporary workShift work$2,206 - $2,536 per week
...Staffing is seeking a skilled Cardiac Cath Lab RN for a 13-week travel assignment in Santa... ...benefits, and the support of a dedicated clinical team. Required Qualifications:... ...Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're...Temporary workImmediate startShift work- ...allowances Employee discounts Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare professionals and built for healthcare professionals....Daily paidLocal area
$1,990 - $2,118 per week
...Medical Surg RN Job #1989966 Santa Fe, NM $1990-2118 /... ...and the support of a dedicated clinical team. Required... ...assessments of patients' conditions, documenting changes and reporting concerns... ...Medical Staffing, our goal is to improve the lives of everyone we...Temporary workShift work$2,363.13 per month
...Nursing Profession RN Specialty... ...delivery of care; maintains clinical competencies through continuing... ...and act upon suggestions for improved performance. • Completes all... ...timeliness and completeness of documentation and work performed per Hospital...Weekly payFor contractorsFor subcontractorShift workNight shift$43.66 per hour
...challenges and more. Learn more about our employee benefits. About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine...Hourly payReliefShift workNight shiftWeekend work- ...allowances Employee discounts Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare professionals and built for healthcare professionals....Daily paidLocal area
$1,850 per week
...CoreMedical Group is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Santa Fe, New Mexico. Job... ...potential to extend. Help us continue our mission to connect people, improve lives, and give back to the community by joining the CoreMedical...Hourly payWeekly payPermanent employmentContract workLocumInterim roleShift workNight shift$37.8 - $51 per hour
...Difference. Presbyterian is hiring a skilled RN to provide direct patient care to an assigned group of patients in an Outpatient Clinic. Common responsibilities include preparing... ...Services Presbyterian exists to improve the health of patients, members, and the communities...Shift workNight shiftWeekend work- ...Travel Telemetry RN Company: Fusion Medical Staffing Location... ...the support of a dedicated clinical team. Required Qualifications... ...to cardiac emergencies Documents nursing history and physical assessment... ...Staffing, our goal is to improve the lives of everyone we touch...Temporary work
- ...critical patients. Assess patient conditions, document findings, and communicate changes to the... .... Identify opportunities for process improvements and participate in quality initiatives.... .... Experience/Qualifications Active RN license with ICU or critical care experience...Contract workWork at officeLocal area
- ...Staffing is seeking an Endoscopy RN for a 13-week travel... ...and the support of a dedicated clinical team.Required Qualifications:One... ...to safety protocolsObserve and document patients' conditions and reactions... ...Staffing, our goal is to improve the lives of everyone we touch...Temporary work
- ...Registered Nurse Profession: RN Specialty: Cardiac Cath Lab Duration... ...: The Registered Nurse is a clinical practitioner who coordinates... ...planning. Implements and documents timely interventions appropriate... ...through various mechanisms to improve organizational performance. Collaborates...Shift workDay shift
$50 per hour
# RN- PRN## OverviewSalary Range$50.00 - $50.00 HourlyPosition TypePRNJob ShiftAnyEducation LevelHigh School Diploma / GEDCategoryNursing##... ...competence in embracing new ideas and technologies to improve healthcare.* **Community:** Demonstrates competence in fostering...Work experience placementReliefShift work- ...RN - Float PoolAs a float-pool nurse, you will do more than support other nursing units, you will serve as a collaborative consultant... ...to demonstrate motivation and creativity while striving to improve nursing at the unit, division, and organizational levels. You will...
$40.3 per hour
RN PER DIEM - All Progressive Care Units (PCU) - Day & Night Shifts... ...patients consistent with clinical specialty, independent of patient... ...team, implement and document individualized care plans incorporating... ...by seeking opportunities to improve patient safety through questioning...Daily paidPrice workSummer holidayCurrently hiringImmediate startShift workNight shiftWeekend workDay shiftWeekday work- ...Deliver high-quality CVICU patient care as RN, adhering to ICU protocols. Monitor and... ...infusions per protocol. Ensure accurate documentation of patient status, interventions, and... ...physicians. Utilize evidence-based practices to improve patient outcomes and reduce...Work at officeWeekend work
- ...Staffing is seeking a skilled PACU RN for a 13-week travel... ...and the support of a dedicated clinical team.Required Qualifications:One... ...recovering patientsObserve and document patient conditions, treatments... ...Medical Staffing, our goal is to improve the lives of everyone we touch...Temporary work
- ...Registered Nurse (RN) - FloatThis position involves floating to various units including... ...and significant others.Implement and document timely interventions that are appropriate... ...organization.Contribute to continuous service improvement through professional conduct.Additional...
- ...Account Position Summary The Registered Nurse (RN) delivers quality care consistent within... ...completion of initial and annual clinical competencies to demonstrate aptitude as assigned... ...and childbirth as well as develop health improvement programs. Prepare rooms, sterile...Hourly payTemporary workReliefLocal areaFlexible hoursShift work
$39.69 - $58.17 per hour
...physicians, paramedics, techs, and other specialists to develop care plans, refer patients,... ...facilitate transfers or admissions. Documentation and charting Accurately document patient... ...employee benefits. Presbyterian exists to improve the health of patients, members, and...Full timeImmediate startRelocation packageShift workNight shiftWeekend work- ...hospice services. In this vital clinical role, you will lead and... ...program physicians. Clinical Documentation: Maintain accurate, timely, and... ...Quality Assessment and Performance Improvement (QAPI) initiatives. Safety &... ...Registered Nurse (RN) License in the state of practice...Full timeMonday to Friday
$43 - $49 per hour
...differentials can increase your earnings! We are dedicated to improving the lives we touch through the delivery of high-quality care and... ...your patients/residents and their families as a Registered Nurse - RN. You will provide care for a variety of patients/residents with...Temporary workImmediate startShift work$46 per hour
...environment. Our Senior RN-Case Managers Direct assigned... ...identify and correct issues and/or improve services. Plan, implement,... ...Serve as a local on-site clinical resource as needed and... ...Review and evaluate clinical documentation for accuracy and completeness...Hourly payLocal areaFlexible hoursShift work- ...Clinical Supervisor The Clinical Supervisor, in collaboration with... ...resources for effective improvement. Prepares patient assignments... ...data collection, assessment and documentation appropriate to nature and... ..., or Licenses: Current RN license in the State of New Mexico...Hourly payFull timeReliefWork at officeShift work
- ...competent Nurse, in the same or similar clinical setting, practices independently and demonstrates... ...of the treatment prescribed. Documents patient history, symptoms, medication, and... ...Registrations, or Certifications BLS required RN License in state of employment or compact...Full timeShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Documentation Improvement Specialist (RN). Be the first to apply!



