RN Documentation Improvement Specialist Job at Advocate Health Care (Kings Mountain)

Clinical Documentation Specialist-RN

This role will facilitate the modifications of clinical documentation through ex...

Location

United States , Chicago

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Graduate from an accredited school of nursing
BSN
5 years relevant clinical experience (For associates in process level 25013 5 years relevant pediatric clinical experience)
Clinical documentation improvement experience preferred
Ability to prioritize work
Excellent communication skills
Good problem solving skills
Critical thinking skills
Basic Computer skills
Effective problem~solver with good interpersonal communication skills verbal and written

Job Responsibility

Facilitate the modifications of clinical documentation through extensive initial and concurrent interaction with physicians and other members of the healthcare team to support appropriate documentation of the clinical severity and risk of mortality is captured for the level of services rendered to select inpatients populations
Supports timely accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes and provides education to all members of the health care team on an ongoing basis
Improves the overall quality and completeness of clinical documentation by performing chart reviews using clinical documentation guidelines based on accepted standards evidenced based practice and current regulatory requirements
Educates all internal customers on clinical documentation opportunities

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Quality Management Nurse Specialist RN II

The Quality Management Nurse Specialist RN II is responsible for overseeing the ...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing
At least 5 years of clinical experience as an RN in an acute hospital setting
Must have excellent written and verbal communication and presentation skills
Ability to manage projects independently and assume responsibility for successful completion
Ability to develop and maintain strong working relationships with internal and external clients/ customers /members
Must have excellent analytical skills, working knowledge of statistics and reporting
Must be detail-oriented and effective critical thinking skills
Proficient in Microsoft Office (Word, Excel)
Strong interpersonal skills and high level of professionalism
Ability to work independently and within a team environment

Job Responsibility

Overseeing the clinical aspects for quality improvement projects/activities
Ensuring program activities are completed in a high quality and timely manner and ensuring compliance with all regulatory guidelines
Leads and/or participates in multi-department/cross-functional committees and work groups which support key initiatives, prepares reports, data, agendas/minutes or other materials for committee presentation and management
Develops and implements project-related communication including, but not limited to, member/physician mailings, IVR scripts, emails, business plans, graphics, and maintains minutes and agendas
Develops and/or maintains relationships with other external organizations to expand key partnerships
Creates, maintains and implements training/education and supporting documentation for internal and external clients/customers/members
Develops and submits regulatory reports at the time and in the manner required by state or federal agencies such as Centers for Medicare and Medicaid Services(CMS)
Conducts/ performs clinical review of assigned potential quality issue cases (PQI), and close cases within regulatory timeframe, and presents appropriate cases to the peer review committee for action and resolution
Perform other duties as assigned

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Clinical Nurse Specialist

Location

United States

Salary:

51.05 - 76.60 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Masters of Nursing Degree as APRN-CNS
2 years RN experience preferred
1 year APRN-CNS experience in the relevant setting preferred
Well-developed interpersonal and communication skills
Proficiency with an Electronic Medical Record
National certification as a CNS from an accredited body
Current Illinois APRN License
Current Illinois Registered Nurse license
Current Illinois Controlled Substance License within 6 months of hire
Eligible for DEA registration

Job Responsibility

Completes and documents accurate comprehensive, episodic history and physical assessments
Performs ordering, conducting, supervising, and interpreting diagnostic laboratory and imaging studies
Prescribes treatments, and therapies not limited to medications, diet, supplies, prosthetic devices, and equipment
Implements primary and secondary prevention strategies and management of acute and chronic health problems
Provides clear, concise, accurate, and legible information regarding patient care in the record
Formulates a comprehensive plan of care in collaborating with the patient and interdisciplinary team
Fulfills billing and productivity metrics requirements where appropriate and maintains relevant documentation
Provides other clinical duties as appropriate
Works with interdisciplinary team to develop resource conscious care delivery strategies
Provides education to patients, families, staff and significant others using established education materials and assists patient and families in making healthcare decisions

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions

Fulltime

Clinical Nurse Specialist Cardiac and Heart Failure

Location

United States

Salary:

51.05 - 76.60 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Masters of Nursing Degree as APRN-CNS or must be currently enrolled
2 years RN experience preferred
1 year APRN-CNS experience in the relevant setting preferred
Well-developed interpersonal and communication skills
Proficiency with an Electronic Medical Record
National certification as a CNS from an accredited body
Current Illinois APRN License
Current Illinois Registered Nurse license
Current Illinois Controlled Substance License within 6 months of hire
Eligible for DEA registration

Job Responsibility

Completes and documents accurate comprehensive, episodic history and physical assessments
Performs ordering, conducting, supervising, and interpreting diagnostic laboratory and imaging studies
Prescribes treatments, and therapies not limited to medications, diet, supplies, prosthetic devices, and equipment
Implements primary and secondary prevention strategies and management of acute and chronic health problems
Provides clear, concise, accurate, and legible information regarding patient care in the record
Formulates a comprehensive plan of care in collaborating with the patient and interdisciplinary team
Fulfills billing and productivity metrics requirements where appropriate and maintains relevant documentation
Provides other clinical duties as appropriate
Works with interdisciplinary team to develop resource conscious care delivery strategies
Provides education to patients, families, staff and significant others using established education materials and assists patient and families in making healthcare decisions

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Clinical Diabetes Specialist

As a Clinical Diabetes Specialist (CDS) you will partner with a Territory Busine...

Location

United States , Paramus

Salary:

141000.00 - 161000.00 USD / Year

Sequel Med Tech

Expiration Date

Until further notice

Requirements

A valid professional license in one or more of the following fields: RN, RD, PA, NP, Pharmacist
2+ years of experience coordinating and conducting diabetes education with strong experience in the technical use of diabetes technology preferred
For the Senior CDS role: Certified Diabetes Care and Education Specialist (CDCES) certification required
4+ years of clinical diabetes education experience
Experience coordinating and conducting diabetes device education in the medical device industry preferred

Job Responsibility

Develop effective territory planning and strategies with TBL to meet/exceed territory goals
Execute clinical selling strategies within assigned accounts
Assess referrals for product use in people with diabetes to confirm criteria are met for product utilization
Facilitate product education and training for users of Sequel products
Drive healthcare provider adoption and confidence in Sequel products by promoting the clinical benefits of automated insulin delivery with Sequel products and conducting impactful product demonstrations
Certify healthcare providers to conduct product training for people with diabetes
Facilitate virtual product training and other educational webinars
Communicate user feedback cross-functionally to solve problems and improve product development
Collaborate with customer care and sales support to optimize the user experience
Consistently exhibit a high level of proficiency and expertise in discussing and demonstrating Sequel products, as well as expertise in diabetes and therapeutic options for diabetes care

What we offer

401k plan with a 6% company match and 100% immediate vesting
Capped out-of-pocket insulin costs and GLP-1 coverage across all plans
Variety of Meritain health insurance plans
Flexible Spending Accounts (FSAs) or Health Savings Account (HSA)
Vision and dental coverage
Voluntary options such as long-term disability, accident, critical illness, hospital indemnity, and pet care discounts
Employer-paid short-term disability and life insurance
Flexible PTO
Generous paid holidays
Flex Time options

Fulltime

Medical Appeals/Grievance Specialist II - Registered Nurse

Responsible for utilizing clinical acumen and managed care expertise related to ...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

1 year experience in clinical and health insurance or other healthcare related field
3 years experience in clinical and health insurance or other healthcare related field AND 1 year Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
5 years experience in clinical and health insurance or other healthcare related field AND 2 years Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
8 years experience in clinical and health insurance or other healthcare related field AND 3 years above satisfactory job performance in the managed care environment with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Associate’s Degree in a healthcare field of study or Nursing Diploma
Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) or a compact state as a Registered Nurse (RN), a Physical Therapist (PT) or a Licensed Master Social Worker LMSW.
Intermediate PC proficiency
Intermediate skill using office equipment, including copiers, fax machines, scanner and telephones
Maintain confidentiality and privacy
Advanced clinical knowledge

Job Responsibility

Perform in-depth analysis, clinical review and resolution of provider appeals/inquiries, corrected claims and subscriber reconsiderations, member appeals, corrected claims and provider grievances for all lines of business
Identify, research, process, resolve and respond to customer inquiries primarily through written / verbal communication.
Respond to a diverse and high volume of health insurance appeal related correspondence on a daily basis.
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of appeal, grievance and reconsideration requests.
Maintain complete and accurate records per department policy.
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines and required by State, Federal and other accrediting organizations.
Demonstrate ability to apply plan policies and procedures effectively.
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
Attend staff and interdepartmental meetings.
Participate in continuing education and current developments in the fields of medicine and managed care.

Fulltime

Care assistant medical telemetry specialist

This job is responsible for assisting with patient care under the direction of a...

Location

United States , Silverdale

Salary:

23.28 - 31.71 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

Completion of an accredited Nursing Assistant program (or military medical specialty training)
Must be registered by the Washington State Nursing Commission as a Certified Nursing Assistant
Current American Heart Association Healthcare Provider BLS certification
Please be advised that this location requires quarterly American Heart Association (AHA) Resuscitation Quality Improvement (RQI) competency certification post-hire

Job Responsibility

Provides patient personal care/hygiene and physical comfort, including feeding, bathing, shaving, changing clothes, bed making, ambulation, lifting, turning, moving, transferring, skin care and bowel/bladder elimination
Provides such additional care as required to meet the personal primary needs and comfort of assigned patient based on skill, ability, limitations of scope of practice and patient acuity
Prepares patient, equipment and supplies for specific procedures/examinations
Performs, monitors, reports and documents all clinical activities within scope of practice
Observes and reports changes in patient condition to the RN
Obtains labels and transports a variety of samples (e.g. urine, stool, sputum specimens and blood products)
Provides patient information to nursing staff for inclusion in the interdisciplinary plan of care
documents relevant patient data in accordance with work unit standards
Assists nursing staff in the admission, discharge and transfer of patient by performing activities such as inventory/storing patient belongings, providing patient with relevant personal care/comfort items, orienting patient/family and transporting patient to room or other location using wheelchairs, stretchers or patient bed
If assigned, checks, cleans and disinfects mobile non-critical medical equipment (e.g. IV pumps/poles, feeding pumps, cardiac monitoring equipment, cabinets, etc.) in accordance with established standards/procedures and manufacturer’s instructions

What we offer

medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

Aprn / Pa Inpatient - Internal Medicine

Function in a specialized area of advance practice in the role of practitioner, ...

Location

United States , Albuquerque

Salary:

53.29 - 82.51 USD / Hour

UNM Hospitals

Expiration Date

Until further notice

Requirements

Program Graduate
Advanced Nurse or Physician Assistant
1 year directly related experience
CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days
Advanced Practice RN or Physician Asst Lic & NCCPA Cert
Pediatric Nursing Certification as applicable
ACLS or PALS (as applicable) within 30 days of hire
Prescriptive Authority from the State of New Mexico
State of New Mexico and Federal DEA Certification

Job Responsibility

PATIENT CARE - Assess, diagnose and develop treatment plans
implement treatment, follow-up and evaluate patient within the scope of practice protocols as outlined by state statute
PATIENT CARE - Perform patient history and physical exams as needed for procedures or admissions
document findings noting pertinent normal and abnormal findings
PATIENT CARE - Complete admitting orders, daily rounds and orders, consultations with nurses, specialist and ancillary staff, discharge summary, transfers, medication management and other orders as required for the management of patient care
PATIENT CARE - Perform invasive and non-invasive diagnostic and therapeutic procedures
PATIENT CARE - Order and interpret appropriate diagnostic procedures and tests. Explain the necessity of preparation, nature, and anticipated effects of procedures to patient and patient’s family
PATIENT CARE - Evaluate and revise intervention care/treatment plan with patient and family as necessary to achieve improved health
PATIENT CARE - Provide education for patients and/or families about preventative care, medical issues and use of the prescribed medical treatment
DOCUMENTATION - Provide accurate documentation of patient care, document orders, directives, procedures and patient responses in the medical record and communicate them to other members of the health care team

What we offer

Sign-On Bonus Available
Relocation Assistance Available

Fulltime

RN Documentation Improvement Specialist

Advocate Health Care

Location:
United States , Kings Mountain

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 13, 2026

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