Clinical Documentation Specialist - Utilization Management (Full-Time, Days)
$51.76 - $69.88 per hourEnloe Health
ENL Utilization Management Compensation range: $51.76 - $69.88 Your rate of pay will be based on applicable experience Shift: Days Shift length: 8 Hours Days off: Saturday & Sunday Hours per pay period: 80 Hours Enloe Health is a Level II Trauma Center located in beautiful Northern California. We offer a full array of medical services, and our mission is to elevate the health of the communities we serve. As a Planetree organization, we place high value on hiring the right team to care for our patients and their families—care that is steeped in compassion, human connection, and mutual support. If you feel called to make a meaningful impact through empathetic, person-centered care, and thrive in a culture that values collaboration and purpose, we welcome you to join our team.
POSITION SUMMARY:
The Clinical Documentation Specialist (CDS) is responsible for reviewing medical records to facilitate the accurate representation of the severity of illness. This involves the extensive record review, interaction with physicians, clinical staff, and HIM professionals. Utilizing advanced clinical knowledge, the CDS role requires the ability to review the medical record accurately and timely, recognize opportunities for documentation improvements, formulate clinically credible documentation clarifications, follow-up timely on all cases, especially those requiring clinical documentation clarifications, and communicate effectively and appropriately with the physicians. The CDS participates in the Task Force Meetings and collaborates on developing education for medical staff.EDUCATION / TRAINING / EXPERIENCE:
Minimum: Five years inpatient acute care nursing experience Desired: CDI Experience Critical Care Experience Bachelor’s or Master’s degree, in nursing Experience in hospital operations, management and physician relationsLICENSES / CERTIFICATIONS:
Minimum: Current licensure with the California Board of Registered Nursing Current CPR certification CCDS Certification (or must obtain when eligible to test) (dept tracks)SKILLS / KNOWLEDGE / ABILITIES:
Must have excellent verbal and written communication skills and advanced critical thinking skills and be able to maintain strong, positive working relationships with medical staff. Understands and supports the CDI documentation strategies and concepts. Demonstrates advanced clinical expertise including understanding of nursing anatomy/pathophysiology, disease processes, pharmacology, advanced critical thinking, deductive reasoning and problem solving skills. Demonstrates organizational, analytical and interpersonal skills. Requires strict HIPPA compliance. Demonstrates ability to interact with a wide variety of individuals and handle multiple priorities. Proficiency in computer use, including database programs, presentation programs, word processing and internet search. Ability to work independently, be self-motivated, and adaptable to changes in work environment. Must be able to interact professionally with various colleagues and foster a team environment. Must be able to perform the essential functions of the position. Benefits Information Enloe offers a comprehensive and competitive benefits package to all eligible employees, including, but not limited to: $0 premium medical plan to include vision insurance Prescription and dental group insurance Retirement with employer match Generous paid time off (PTO) plan that starts accruing immediately and can be used as it’s earned Extended Sick Leave Flexible Spending Accounts for unreimbursed medical expenses and dependent care Employee Assistance Program Educational Assistance Please visit the employee benefits page at to get more in-depth benefits and coverage information or email View email address on click.appcast.io to receive a full summary of benefits. #J-18808-Ljbffr Enloe Health$79.72k - $108.71k
Job Description The Clinical Documentation Quality Improvement Specialist II is responsible... ...queries per work days. 5. Attains Clinical... ...leadership in utilizing expertise in CDI and... ...inpatient medical record Timely reconciliation of... ...with CDI managers, coding managers,...Full timeTraineeshipLocal area- ...Remote Clinical Documentation Specialist United States Trending Job Description... ...practices. Utilizes approved physician... ...reports in a timely manner, maintaining... ...Health Information Management, or a related field... ...5 PM Job Schedule Full time Job Shift Day Locations 4000 Meridian...Full timeRemote workShift work
$60.2k - $107.4k
...Growing together. The Clinical Document Improvement Specialist (CDS) is... ...program oversight and day to day CDI... ...present at the time of service. This... ...patient. The CDS utilizes clinical expertise... ...methodology and change management support, is... ...based on full‑time employment....Full timeMinimum wageWork experience placementLocal areaRemote work- ...nationwide open 24/7, 365 days a year, and created... ...The mission of a Clinical Staff Manager (CSM) is to ensure... ...informal coaching by utilizing Technician Trainers... ...(customized plans, documentation, resources) - all credentialed... ...after one year of full-time, active employment...Full timeLocal areaImmediate startRelocation packageAll shiftsFlexible hoursShift work1 day per week
- ...compensation for a **full-time equivalent (1.0 FTE)... ...a variety of utilization and resource management activities to promote quality, clinical and cost effective outcomes... ...form.Usual Work Day: 8 HoursReporting RelationshipsDoes... ....Promotes medical documentation that accurately...Full timeTemporary workPart timeWork at officeLocal areaImmediate startFlexible hoursNight shift
$65.89k - $98.83k
...Clinical Documentation Specialist MSHP seeks a Clinical Documentation... ...Information Management and the Mount Sinai... ...future health care utilization. Leverages data provided... .... Strong time management skills.... ...PM, Job Schedule Full time, Job Shift Day, Locations 150 E 4...Full timeRemote jobTraineeshipWork at officeLocal areaShift work$62k - $65k
...opportunities with expert program management, cutting-edge... ...: Remote Type: Full-Time Rate: $62-$65K About... ...hire people who bring clinical rigor, sound judgment,... ...Provide clear, well-documented rationales supporting... ...disabilities. Broadway Ventures utilizes the OFCCP-approved...Full timeRemote jobContract workTemporary workFor contractorsWork experience placementLive inWork at office- ...banker to its Power, Utilities & Energy team in... ...throughout the full transaction lifecycle... ...strategic advice, manage execution and... ...including: Leading day-to-day execution of... ...Partnering with specialists across M&A, capital... ...guidance and real-time feedback. Candidates...Full time
- L.A. Care Health Plan in Idaho seeks a Utilization Management Clinical Quality Nurse Reviewer RN II to join the UM Department. You will conduct internal audits of UM documentation and serve as a SME during external audits. Requirements include an active California RN license...
$275k - $315k
...Title: Medical Director of Utilization Management Summary: Step into a strategic... ...leadership position as the Clinical Lead for a prominent Health... ...programs in New York. Day to Day: Provide clinical... ...-to-peer discussions. Document case reviews and rationales...Full timeWork at officeRemote workMonday to FridayShift work2 days per week$275k
...Vice President, Power, Utilities & Infrastructure Investment Banking... ...clients and highly experienced Managing Directors. A HIGH GROWTH... ...include: Managing the day-to-day execution of complex transactions... ...Coordinating diligence, documentation and workstreams across...Full timeH1bRelocation package- ...Adventist HealthCare seeks a Clinical Documentation Specialist to ensure accurate, complete documentation reflecting patient status. You... ...degree, and 5+ years inpatient clinical experience with CDI exposure. Remote day shift with full-time schedule. #J-18808-LjbffrFull timeRemote workDay shift
- ...The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time TH Utilization Review & Quality Assurance Senior Coordinator / Clinical Documentation Improvement (CDI) Specialist. Job Summary Reporting to the CDI...Full timeWork at office
- ...Clinical Documentation Integrity (CDI) Specialist – Remote Medasource | Contract-to-Hire | W2 Only... ...potential for conversion Hours: Full-time 40 hours each week... ...-up reviews every 2–3 days to support the working DRG... ...coding, quality, case management, and patient financial services...Full timeLong term contractPermanent employmentContract workLocal areaRemote work
- ...The Department of Health Information Management at SUNY Downstate Health Sciences University is seeking a full-time TH Utilization Review & Quality Assurance Senior Coordinator / Clinical Documentation Improvement (CDI) Specialist. Job Summary Reporting to the CDI Manager...Full timeWork at office
$50k - $60k
...make an impact from day one. Key... ...Monitor patient utilization percentages and ensure... ..., responsiveness, documentation, patient-status follow... ...patient satisfaction. Manage an assigned... ...communications accurately and timely. Escalate urgent... ...10023 Schedule: Full-time Work setup:...Full timeShift work$50k - $60k
...NY 10023 | Schedule: Full-time, on-site | Compensation... ...Patient Care Coordinator to manage an assigned caseload... ...authorized-hour utilization, and keeping communication... ...patients and oversee day-to-day coordination of... ...deadlines Document patient, caregiver, MLTC...Full timeShift work- ...Manager Pharmacy The Manager Pharmacy oversees the day to day operations of the various pharmacy areas... ...ensures the utilization of medication safety principles... ...4. Maintains adequate documentation to satisfy JCAHO... ...hospital pharmacy and/or clinical experience, management...Full timeLocal areaWeekend workAfternoon shift
- ...~ Schedule: Weekdays, full-time hours ~ Shift: Regular day shift hours ~ System Experience... ...: IP/OP Coding Specialist demonstrates proficiency... ...outpatient accounts. Utilizes International Classification... ...assignments as directed by management in a conscientious and...Full timeImmediate startRemote workShift workDay shiftWeekday work
$50k - $60k
...Department: Healthcare, Type: Full Time HRforGrowth® is... .../ Care Coordinator to manage an assigned caseload... ...maximizing authorized-hour utilization, coordinating... ...maintaining accurate documentation and a high level of service... ...patients and oversee the day-to-day coordination of...Full timeTemporary workLocal areaShift work- ...remote Working AZ time, but can be... ...Information Management staff and other... ...and reviewing clinical documentation to ensure that... ...Documentation Specialist meetings and/or... ...and utilizes analytical and... ...each and every day. Seniority Level... ...Employment Type Full-time Job Function...Full timeContract workTraineeshipRemote workFlexible hours
$26.8 - $36.68 per hour
...Clinical Assistant The Clinical Assistant provides... ...as needed, managing charts to ensure information... ...verifying times with patients; preparing... ...insurance information utilizing internal or web sources... ...PM Job Schedule Full time Job Shift Day Locations 745 7th...Full timeHourly payTraineeshipLocal areaShift work- ...and proactively manage the daily... ...communications in a timely and professional... ..., and same-day fill opportunities... ...charts and required documentation in advance of... ...with clinical and optical teams... ...confidentiality. Full Time Employee Benefits... ...Ability to utilize office...Full timePart timeWork at office
- ...complete, accurate, timely and consistent... ...through documentation validation. Ensures... ...on review of clinical documentation.... ...and resources utilized during the... ...Health Information Management (AHIMA)... ...Documentation Specialists have been addressed... .... Work Shift Day (United States...Remote workShift work
- ...leading global investment bank looking to expand its Power & Utilities Investment Banking team in New York. The team advises corporate... ..., valuation, and transaction execution skills. Experience managing multiple workstreams on live transactions. Ability to...Full time
$160k - $183k
Staff Manager - Float Pool- Full Time -Days Location: New York, New York Shift: Day (United States of America... ...interest in the intersection of clinical operations and nursing finance. At... ...lead a staffing team, oversee labor utilization, and collaborate with nursing leaders...Full timeShift work$30 - $35 per hour
...orthopedic spine surgery, pain management, and physical therapy... ...thorough review of provider documentation. Evaluate medical records for... ...insurance Health insurance Paid time off Vision insurance Additional... ...Details Work Remotely, No Job Type:Full-time Job Type:Full-time Pay:$...Full timeHourly payWork at officeRemote workRelocation- ...Pennsylvania) Shift: Days (United States... ...phrases utilized by healthcare... ...and accurate documentation, code assignment... ..., Coding Clinic directives, federal... ...and data management. Communicates... ...Certified Coding Specialist (CCS) Certified... ...benefits for full time and part time...Full timePart timeWork experience placementWork at officeLocal areaWork from homeShift work
$35 - $37 per hour
...reviews, supporting the clinical aspects of the review... ...whether practicing or not. Utilization Review experience is... ...not need any extended time off during the first three... ...every 6 weeks). Comp days will be provided during... ...Applicable Employment type Full-time Job function...Full timeRemote jobPermanent employmentTemporary workMonday to Friday- ...Algonquin Power & Utilities Corp. (AQN), parent company... ...functional requirements and document business process... ...Documentation & Knowledge Management Maintain business process... ...what drives us every day to fulfill our purpose.... ...and talents. Full participation of all employees...Full timeFlexible hours
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