Clinical Documentation Improvement Specialist (RN)
$34 - $45 per hourPowerback Rehab
Clinical Documentation Improvement Specialist
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.
Powerback Rehab- Ellenco Estágios e Treinamentos is seeking a Clinical Documentation Improvement Specialist RN to review patient records during hospitalization, ensure comprehensive documentation, and communicate findings with physicians. The role focuses on accurate MS-DRG assignment...Suggested
- Genesis HCC is seeking a Clinical Documentation Improvement Specialist to enhance the accuracy, completeness, and quality of clinical documentation within our Healthcare & Medical Services department. You will review medical records, collaborate with physicians and care...Suggested
$41 - $55.7 per hour
Overview: We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading... ...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- ...Recommend disciplinary action to Clinical Manager and initiate as... ...policies and procedures for documenting time of work hours for staff... ...care needs or operations to improve delivery of care. Meet routinely... ...experience in dialysis RN charge nurses assuming...SuggestedTemporary workShift work
- ..., CPC, CIRCC, or other relevant radiology coding certifications considered Strong critical-thinking and analytical skills Comfortable working with multiple systems and technology platforms Commitment to accuracy, compliance, and continuous improvement #J-18808-Ljbffr...SuggestedContract workRemote workRelocation package
- Oak Street Health, part of CVS Health, is seeking a Clinic Informatics Specialist (Scribe) to support providers with real-time documentation and coding in our Albuquerque clinics. You will observe patient visits, document encounters, and ensure accurate CPT/ICD-10 coding...Full time
- ...updates as new positions become available. Clinical Lab Assistant - Phlebotomist -... ...department, including, but not limited to documenting critical communication such as call-ins... ...range of positions. We are dedicated to improving the quality of care for our communities...Hourly payApprenticeshipShift workWeekend workAfternoon shift
- ...communities. But we’re also dedicated to improving the wellness of our employees. With... ...(PTO) and nine paid holidays per year Clinical Lab Assistant - Phlebotomist - University... ...department, including, but not limited to documenting critical communication such as call-ins...Hourly payApprenticeshipShift workWeekend workAfternoon shift
- ...registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This... ...functions, and quality improvement activities that enhance patient... ...treatment for assigned patients and documents in the patient medical record,...Immediate startNight shiftWeekend work
$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- ...RN INPATIENT – All Progressive Care Units (PCU) – Day & Night... ...to assigned patients. Provide clinical leadership for other staff and... ...healthcare team, implement and document individualized care plans incorporating... ...by seeking opportunities to improve patient safety through...Full timePart timeCurrently hiringImmediate startRelocation packageAll shiftsNight shiftWeekend workDay shiftWeekday work
$30.84 per hour
...to assigned patients. Provide clinical leadership for other staff and... ...healthcare team, implement and document individualized care plans... ...safety by seeking opportunities to improve patient safety through... ...Rescuers within 30 days Essential: RN in NM or as allowed by reciprocal...Full timeRelocation packageShift workNight shiftWeekend workDay shiftWeekday work$40 - $47 per hour
...Why Join Central Desert Behavioral Health Hospital as an RN-Registered Nurse-Behavioral Health (RN)? We have 12-hour shifts! 6:0... ...families in order to facilitate recovery. Participate in quality improvement activities. Qualifications & Requirements Must be a licensed RN...Full timePart timeReliefLocal areaRelocation packageFlexible hoursShift workNight shiftWeekend work- ...Available for Qualified Candidates!The OR RN Circulator provides comprehensive... ...ensuring clear communication, accurate documentation, and adherence to surgical safety standards... ...of new staff, and participate in quality improvement, shared governance, and professional practice...RelocationRelocation packageShift workNight shiftWeekend work
- ...in the patients' conditions; collect and document data and information; may perform computerized... ..., and objectives, continuous quality improvement objectives, and safety, environmental,... ...Healthcare/BLS Prov or Prof Rescuers w/in 30 days RN in NM or as allowed by reciprocal...Full timeImmediate startRelocation packageShift workNight shiftWeekend workDay shiftWeekday work
- ...and credentialing bodies, performance improvement standards, and psychiatric nursing standards... ...for thorough, accurate reporting, and documentation of the patient's symptoms, responses,... ...-based practiceFloat among various clinical services, where qualified and competent...Relief
- ...ambulatory setting. Provide clinical leadership for staff. Provide... ...patient calls and triage using documentation SUPPORT - Ensure patient... ...by seeking opportunities to improve patient safety through questioning... ...or Prof Rescuers w/in 30 days RN in NM or as allowed by...Full timeRelocation packageShift work
- ...Registered Nurse (RN)Thrive Skilled Pediatric Care's purpose... ...simple, to provide high quality clinical home care to medically... ...functioning of equipment.Completes documentation requirements in accordance... ...and projects of the Quality Improvement Department and participates in...Work at office
$39.69 - $58.17 per hour
...care services, RNs use critical thinking, clinical expertise, and compassionate care to... ...planning, implementation, evaluation, and documentation using the nursing process.Prioritize... ...safety standards.Participate in quality improvement initiatives, shared governance, and...Full timeRelocation packageShift workNight shiftWeekend workAfternoon shift- ...States of America)Responsibilities:Acts as clinical resource by overseeing the delivery of... ...evaluates outcomes, consults with other specialists as required and adjusts nursing care... ...hospital policies, procedures, and programs to improve patient care quality.Maintains a...Shift workNight shiftWeekend work
- ...Registered Nurse (RN)The Registered Nurse (RN) is responsible... ...settings, including hospitals, clinics, and long-term care... ...-to-date patient records and documentation in compliance with regulatory... ...case conferences, and quality improvement initiatives to enhance nursing...Full timePart timeReliefFlexible hoursWeekday work
$39.69 - $58.17 per hour
...Registered Nurse RN ICULocation Address: 1100 Central Ave SE... ...do more than manage complex clinical tasks—you will serve as a pillar... ...other critical care devices.Documentation: Maintain detailed and accurate... ...exists to improve the health of patients, members...Full timeShift workNight shiftWeekend work- ...in the patients' conditions; collect and document data and information; may perform computerized... ..., and objectives, continuous quality improvement objectives, and safety, environmental,... ...Healthcare/BLS Prov or Prof Rescuers w/in 30 days RN in NM or as allowed by reciprocal...Full timeImmediate startRelocation packageShift workNight shiftWeekend workDay shiftWeekday work
- ...The Registered Nurse (RN) in Spinal Cord Injury & Disorders (SCI/D) provides competent, evidence-based care and oversight of licensed... ..., and competency development while contributing to quality improvement and outcomes-focused initiatives. The role demonstrates leadership...Permanent employmentTemporary workImmediate start
- ...provision and coordination of clinically competent care... ...functions, and quality improvement activities that... ...assigned patients and documents in the patient medical... ...months experience as a RN.Must have a minimum of... ..., clinical operations specialists, and business professionals...WorldwideWork visa
- ...patient care to an assigned group of patients in an Outpatient Clinic. Common responsibilities include preparing the patient for the... ...resources, wellness challenges and more.Presbyterian exists to improve the health of patients, members, and the communities we serve....Shift workNight shiftWeekend work
- ...in patients’ homes or local clinics. We support infusion therapy... ...for lab testing. Accurately document assessments, interventions, and... ...care. Participate in quality improvement initiatives to enhance patient... ...environments. Qualifications Active RN license. Graduate of an...ReliefLocal areaFlexible hoursAfternoon shift
- ...diseases to companion services for seniors looking for assistance with daily activities. Our mission is to provide compassionate care and improve the quality of life for our clients, their families, and our employees.We are an equal opportunity employer and prohibit...Local areaFlexible hours
- ...Registered Nurse (RN)The Registered Nurse (RN) is responsible and accountable for all... ...active participation in unit-based quality improvement initiatives and customer service programs... ..., and ideas with peers.Questions clinical practices for the purpose of providing evidence...Permanent employmentRelocation package
- ...Staffing is seeking a Med Surg RN for a 13-week travel... ...and the support of a dedicated clinical team.Required Qualifications:... ...assessments of patients' conditions, documenting changes and reporting... ...Medical Staffing, our goal is to improve the lives of everyone we touch...Temporary work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Documentation Improvement Specialist (RN). Be the first to apply!
- clinical reviewer Albuquerque, NM
- health records assistant Albuquerque, NM
- medical records administrator Albuquerque, NM
- medical records reviewer Albuquerque, NM
- medical record assistant Albuquerque, NM
- medical records clerk Albuquerque, NM
- clinical documentation specialist Albuquerque, NM
- medical reviewer Albuquerque, NM
- cath lab registered nurse Albuquerque, NM
- full-time registered nurse rn Albuquerque, NM





