经理-RN，临床文档改进
Mgr-RN, Clinical Documentation Improvement
这不仅是一份职业，更是一种使命
MO-远程工作类型：
常规职位亮点：
排班：周一至周五 - 每天八小时 - 开始时间在 CST 时间上午5点至8点之间灵活安排。
优先技能：CCDS、EPIC 经验以及五年急性护理 CDI 经验，具备部分儿科 CDI 经验。
职位概要：
负责管理区域临床文档改进（CDI）项目的日常运营和活动。在全网络内促进一致和标准化的运营和文档。建立并维护部门内外及供应商之间的高效工作关系，以优化运营。
职位职责和要求：
主要职责
- 管理指定的临床文档改进（CDI）团队的日常运营和资源，包括制定和监控战略运营目标、目标和数据分析；并报告运营绩效、合理性和/或纠正措施。与医生、护理、编码、质量及管理层进行广泛协作，持续支持 CDI 工作。
- 通过病历审查和教育训练课程（与 CDI 教育者合作）促进临床文档改进，这些课程可以在现场进行，针对医生和其他临床专业人员。在 CDI 与其他组织部门之间发现任何问题区域时，发起纠正措施。
- 与 CDI 教育者合作开展区域教育。为新员工提供持续的临床文档管理项目教育，包括新的临床文档注册护士、医生、护士和相关健康专业人员。参与临床文档流程所有阶段的方向和教育。
- 支持并实施旨在改进和/或确保准确呈现临床服务、患者病情严重程度和死亡风险的技术。
- 对 CDI 审核进行质量、编码和死亡率方面的审计。向员工和 CDI 教育者及主管提供反馈。每月报告 CDI 指标，包括 KPI 和员工生产力。通过审查带有标记并发症的患者记录来加强技术编码实践和临床文档，以确保编码准确反映患者的临床过程和复杂性，从而验证用于政府激励/惩罚计划的行政指标的准确风险调整。
- 与跨学科团队合作
查看英文原文
It's more than a career, it's a calling
MO-REMOTEWorker Type:
RegularJob Highlights:
Schedule: M-F - eight hour days - flexible with start time between 5am CST to 8am CST.
Preferred Skills: CCDS, EPIC experience and 5 years of acute care CDI experience with some pediatric CDI experience.
Job Summary:
Oversees and manages the daily operations and activities of the regional Clinical Documentation Improvement (CDI) program. Promotes consistent and standardized operations and documentation across the network. Builds and maintains productive inter/intra departmental and vendor work relationships to optimize operations.Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
- Manages the daily operations and resources of assigned Clinical Documentation Improvement (CDI) team, including the development and monitoring of strategic operating goals, objectives, and data analysis; and report operational performance, justification, and/or corrective action. Provides on-going support of CDI with extensive collaboration with physicians, nursing, coding, quality, and leadership.
- Facilitates improvements to clinical documentation through chart review and educational training sessions (with CDI Educator), which could be performed onsite, with physicians and/or other clinical professionals. Initiates corrective actions to resolve any problem areas identified between CDI and any other areas of the organization.
- Collaborates with CDI educator for regional education. Provides ongoing clinical documentation management program education for new staff, including new clinical documentation registered nurses, physicians, nurses, and allied health professionals. Participates in the direction and education of all phases of the clinical documentation process.
- Supports and implements technologies designed to improve and/or ensure the accurate depiction of clinical services, patient’s severity of illness, and risk of mortality.
- Conducts audits on CDI reviews against quality, coding, and mortality. Provides feedback to staff and CDI educator and director. Reports monthly CDI metrics regarding KPIs and staff productivity. Strengthens technical coding practices and clinician documentation by reviewing patient records with flagged complications to ensure coding accurately reflects the patient’s clinical course and complexity to validateaccurate risk-adjustment for administrative metrics used in government incentive/penalty programs.
- Collaborates with interdisciplinary teams including physicians, nurse practitioners, physicians assistants, and the department managers for revenue integrity, coding and data quality, case management and health information management. Demonstrate leadership and management skills to promote effective and efficient review of physician documentation and the medical record.
- Communicateswith assigned regional/ministry physician leaders. Participates in monthly medical management meetings to report CDI metrics and act as subject matter expert for inquiries.
- Recruits, engages, develops, leads, and manages assigned staff.
- Performs other duties as assigned.
EDUCATION
· Graduate of accredited school of nursing or education equivalency for licensing
EXPERIENCE
- Two years' acute hospital experience or surgical area as a clinical nurse
- Three years' clinical documentation specialist
- Two years' demonstrated progressive leadership experience
PHYSICAL REQUIREMENTS
- Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
- Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
- Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
- Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
- Frequent keyboard use/data entry.
- Occasional bending, stooping, kneeling, squatting, twisting and gripping.
- Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
- Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
State of Work Location: Illinois
· Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
State of Work Location: Missouri
- Registered Nurse (RN) Issued by Compact State
- Or
- Registered Nurse (RN) - Missouri Division of Professional Registration
State of Work Location: Oklahoma
- Registered Nurse (RN) Issued by Compact State
- Or
- Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)
State of Work Location: Wisconsin
- Registered Nurse (RN) Issued by Compact State
- Or
- Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services
Work Shift:
Day Shift (United States of America)Job Type:
EmployeeDepartment:
8746010033 Sys Clinical Documentation ImprovementScheduled Weekly Hours:40
Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
- Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
- Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
- Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
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SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
Originally posted on Himalayas