Clinical Information Specialist - On Site

External Community Memorial Hospital•Hamilton, NY

1d•Onsite

About The Position

The Clinical Information Specialist participates in the implementation and support of clinical systems and works to maximize their use and efficiency. The role provides hands-on education and support to staff, promotes patient safety and confidentiality, supports end users across shifts as needed, and serves as a super user and clinical expert in hospital technology. The specialist also supports system testing and validation, audits system use, identifies adoption issues, and liaises among the department, Crouse or Programmer, and IT to resolve system or interface problems. The position also facilitates appropriate clinical documentation to support the severity of illness and complexity of care. It reviews records concurrently to identify unclear, ambiguous, or inconsistent documentation; initiates physician queries and follow-up; advises clinicians on documentation quality; and helps ensure consistency among admission orders, medical-necessity documentation, and patient status. The specialist identifies opportunities to improve system functionality and efficiency and serves as an expert resource on how documentation affects patient care and severity of illness.

Requirements

Current New York State licensure as a Registered Nurse or Licensed Practical Nurse.
At least 3 years of clinical experience.
Strong computer skills.
Proficiency with Windows applications.
Excellent organizational, presentation, and communication skills.
Ability to work effectively independently and as part of a collaborative team.
Ability to manage several complex issues at the same time.
Professionalism and ability to manage stressful situations in a resolution-oriented manner.
Excellent customer service skills.

Responsibilities

Participate in the implementation and support of clinical systems and promote their maximum use and efficiency.
Provide direct, hands-on education and technology support to staff in ways that promote patient safety and confidentiality.
Continue developing knowledge and skills related to clinical systems and processes.
Support end users across all shifts as needed.
Participate in testing and validation of departmental systems and components.
Serve as a super user and clinical expert in hospital technology.
Use audit tools and help develop mechanisms to identify and address user adoption issues.
Train department staff on computer hardware, software, related processes, HIPAA, and privacy policies.
Act as a liaison between the department, Crouse or Programmer, and IT to resolve system and interface problems.
Conduct audits and report findings to the Corporate Compliance Coordinator or Clinical IT Manager.
Facilitate clinical documentation that supports the severity of illness and complexity of care.
Review records concurrently to identify unclear, ambiguous, or inconsistent documentation.
Initiate verbal or written physician queries and conduct necessary follow-up.
Advise clinicians on reliable, precise, complete, consistent, clear, and timely documentation.
Identify opportunities to improve system functionality, create efficiencies, and communicate improvement opportunities.
Ensure record consistency among admission orders, medical-necessity documentation, and patient status.
Serve as an expert source of information about the impact of documentation on patient care and severity of illness.
Perform other duties as assigned by a supervisor, manager, or director.