Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Clinical Documentation Improvement Specialist (RN)

$34 - $45 per hour

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.
Vacancy posted 3 hours ago
Similar jobs that could be interesting for youBased on the Clinical Documentation Improvement Specialist (RN) in Santa Fe, NM vacancy
  • $28 - $36 per hour

     ...Full-Time, On-Site 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... 
    Suggested
    Full time
    Temporary work
    Work at office
    Immediate start

    Geneis Healthcare

    Santa Fe, NM
    2 days ago
  •  ...A healthcare provider in New Mexico seeks a Clinical Documentation Improvement Specialist to oversee documentation for regulatory compliance and reimbursement...  ...graduate of an accredited nursing program with current RN licensure and a minimum of three years clinical... 
    Suggested

    Genesis Administrative Services LLC

    Santa Fe, NM
    5 days ago
  •  ...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... 
    Suggested
    Full time

    CHRISTUS Health

    Santa Fe, NM
    18 days ago
  •  ...Travel OR RN Company: Fusion Medical Staffing Location...  ...and the support of a dedicated clinical team. Required...  ...'s condition during surgery, documenting significant changes and notifying...  ...Medical Staffing, our goal is to improve the lives of everyone we touch... 
    Suggested
    Temporary work

    Fusion Medical Staffing

    Santa Fe, NM
    4 hours ago
  •  ...Description Summary: The Clinical Supervisor, in collaboration...  ...resources for effective improvement. Prepares patient assignments...  ...data collection, assessment and documentation appropriate to nature and...  ...Registrations, or Licenses: Current RN license in the State of New... 
    Suggested
    Hourly pay
    Full time
    Relief
    Work at office
    Shift work

    CHRISTUS Health

    Santa Fe, NM
    21 days ago
  • $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... 
    Temporary work
    Immediate start
    Shift work

    Casa Real

    Santa Fe, NM
    3 hours ago
  •  ...Registered Nurse (RN) - Intensive Care Unit (ICU) Join our...  ...during challenging situations. Document patient progress accurately...  ...plans as needed based on clinical outcomes. Work Environment...  ...Employer: Your dedication to improving outcomes for critically ill... 
    Permanent employment

    StaffDNA

    Santa Fe, NM
    3 hours ago
  • $48.3k - $65.9k

     ...Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate...  ...about contributing to an organization focused on continuously improving consumer experiences ~ Experience in a production driven... 
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office
    Monday to Friday

    Humana

    Santa Fe, NM
    5 days ago
  • $32 - $42 per hour

     ...future of how data is connected and used to improve health. By joining Datavant today,...  ..., ensuring precision and adherence to documentation Oversee and audit the work of Level...  ..., and hospital staff, while addressing clinical and reimbursement issues What You... 
    Hourly pay
    Relief
    Remote work
    Relocation package
    Flexible hours

    Datavant

    Santa Fe, NM
    2 days ago
  •  ...Travel ICU RN Company: Fusion Medical Staffing Location...  ...the support of a dedicated clinical team. Required Qualifications...  ...catheters Accurately document all assessments, interventions...  ...reduce risks Engage in quality improvement initiatives to enhance ICU... 
    Temporary work

    Fusion Medical Staffing

    Santa Fe, NM
    2 days ago
  •  ...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 time
    Part time
    Currently hiring
    Immediate start
    Relocation package
    All shifts
    Night shift
    Weekend work
    Day shift
    Weekday work

    University of New Mexico - Hospitals

    Santa Fe, NM
    1 day ago
  • $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 paid
    Price work
    Summer holiday
    Currently hiring
    Immediate start
    Shift work
    Night shift
    Weekend work
    Day shift
    Weekday work

    University of New Mexico - Hospitals

    Santa Fe, NM
    1 day ago
  •  ...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...  ...Staffing, our goal is to improve the lives of everyone we touch... 
    Temporary work

    Fusion Medical Staffing

    Santa Fe, NM
    2 days ago
  • $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 pay
    Relief
    Shift work
    Night shift
    Weekend work

    Presbyterian Healthcare Services

    Santa Fe, NM
    2 days ago
  •  ...Minimum 1 year License: Current RN license (state specific)...  ...Description: The Registered Nurse is a clinical practitioner who coordinates...  ...planning. Implements and documents timely interventions...  ...through various mechanisms to improve organizational performance. Collaborates... 
    Shift work
    Night shift

    CHRISTUS St. Vincent

    Santa Fe, NM
    4 days ago
  • $2,040 - $2,171 per week

     ...Medical Staffing is seeking a ICU RN for a 13-week travel...  ...and the support of a dedicated clinical team. Required Qualifications...  ...catheters Accurately document all assessments, interventions...  ...reduce risks Engage in quality improvement initiatives to enhance ICU... 
    Temporary work
    Shift work
    Night shift

    Fusion Medical Staffing

    Santa Fe, NM
    5 days ago
  •  ...Travel PACU RN Company: Fusion Medical Staffing Location:...  ...and the support of a dedicated clinical team. Required Qualifications...  ...patients Observe and document patient conditions, treatments...  ...Medical Staffing, our goal is to improve the lives of everyone we touch... 
    Temporary work

    Fusion Medical Staffing

    Santa Fe, NM
    2 days ago
  •  ...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 paid
    Local area

    HAN Staff

    Santa Fe, NM
    5 days ago
  • $39.69 per hour

     ...physicians, paramedics, techs, and other specialists to develop care plans, refer patients,...  ...transfers or admissions. Documentation and charting Accurately document patient...  ...Services Presbyterian exists to improve the health of patients, members, and the... 
    Full time
    Immediate start
    Relocation package
    Shift work
    Night shift
    Weekend work

    Presbyterian Healthcare Services

    Santa Fe, NM
    3 days ago
  •  ...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 paid
    Local area

    Health Advocates Network

    Santa Fe, NM
    2 days ago
  • $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 pay
    Weekly pay
    Permanent employment
    Contract work
    Locum
    Interim role
    Immediate start
    Shift work
    Night shift

    CoreMedical Group

    Santa Fe, NM
    5 days ago
  •  ...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 time
    Shift work

    CHRISTUS Health

    Santa Fe, NM
    21 days ago
  •  ...RN - Float Pool As 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... 

    CHRISTUS Saint Vincent Regional Medical Center

    Santa Fe, NM
    1 day ago
  •  ...role. Contract/travel assignments are typically 13 weeks, with potential to extend. Help us continue our mission to connect people, improve lives, and give back to the community by joining the CoreMedical Group team. When you work with CoreMedical Group, we put you first... 
    Hourly pay
    Weekly pay
    Contract work
    Shift work

    CoreMedical Group

    Santa Fe, NM
    2 days ago
  • $43 - $49 per hour

     ...difference! **Apply today for more details!** 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... 
    Temporary work
    Relief
    Immediate start
    Shift work
    Night shift
    Day shift

    Genesis Healthcare Services

    Santa Fe, NM
    5 days ago
  • $2,021.17 per month

     ...Travel Offering Nursing Profession RN Specialty Float Pool Job ID 37868630...  ...expected to demonstrate motivation and creativity while striving to improve nursing at the unit, division, and organizational levels. You will... 
    Weekly pay
    Shift work
    Day shift

    IU Health Methodist University

    Santa Fe, NM
    4 days ago
  •  ...satisfaction and actively participates in process improvement activities that enhance the likelihood...  ...Assessment, and ongoing evaluation and documentation of patient care needs according to FMC...  ...members. · Routinely meets with the Clinical Manager to discuss personnel and... 
    Temporary work
    Relief
    Immediate start
    Flexible hours
    Shift work

    Fresenius Medical Care

    Santa Fe, NM
    2 days ago
  • $2,067 - $2,199 per week

     ...Staffing is seeking a skilled PACU RN for a 13-week travel...  ...and the support of a dedicated clinical team. Required Qualifications...  ...recovering patients Observe and document patient conditions, treatments...  ...Staffing, our goal is to improve the lives of everyone we touch... 
    Temporary work
    Shift work

    Fusion Medical Staffing

    Santa Fe, NM
    2 days ago
  • $1,841 - $1,959 per week

     ...Staffing is seeking a skilled Rehab RN for a 13-week travel...  ...and the support of a dedicated clinical team. Required Qualifications...  ...assessment of patients on the unit and documents appropriately into patient...  ...Staffing, our goal is to improve the lives of everyone we touch... 
    Temporary work
    Shift work
    Night shift

    Fusion Medical Staffing

    Santa Fe, NM
    2 days ago
  •  ...carefully orchestrate an efficient flow and transition from our Clinical services team to our retail team. In this position, you will...  ...encourage you to be proactive in sharing the great ideas you have to improve the business. Eligible employees enjoy great benefits such... 
    Temporary work
    Local area
    Flexible hours

    Now Optics

    Santa Fe, NM
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Clinical Documentation Improvement Specialist (RN). Be the first to apply!