Clinical Documentation Improvement Specialist (RN)

Genesis Administrative Services LLCAlbuquerque, NM
$34 - $45

About The Position

Genesis Healthcare is currently looking for a Clinical Documentation Improvement Specialist to join our team. You would support multiple centers in this role! At Genesis Healthcare, 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.

Requirements

  • 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.
  • Must maintain current BLS/CPR certification and RN license.

Nice To Haves

  • BSN preferred.
  • We are looking for someone with strong clinical assessment and judgement skills.

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.
  • 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

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
  • Pet Insurance
  • Term and Whole Life Insurance
  • Short-term Disability
  • Hospital Indemnity
  • Personal Accident
  • Critical Illness
  • Cancer Coverage

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Associate degree

Number of Employees

5,001-10,000 employees

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