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San Bernardino

    Clinical Documentation Improvement Nurse Supervisor - San Bernardino, United States - San Bernardino County

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    Description

    Arrowhead Regional Medical Center (ARMC) is looking for a Clinical Documentation Improvement Supervisor to supervise professional staff engaged in CDI programs and activities to ensure coded diagnosis accurately reflect the patient's clinical status and care. This position will be engaged with supervising staff in the analysis of health record documentation to ensure the complexity of care is adequately and accurately documented in the patient's medical record in support of quality patient care and a healthy revenue cycle. Positions report to Clinical Director Care Management.

    Overview: Clinical documentation improvement (CDI) is the process of reviewing medical record documentation for completeness, specifics, and accuracy, reviewing disease process, diagnostic findings, and what the documentation might be missing. A Clinical Documentation Improvement Nurse manages, assesses, and reviews a patient's medical records to ensure that all the information documented reflects the patient's severity of illness, clinical treatment, and the accuracy of documentation. Part of the role is to perform concurrent reviews of medical records, validate diagnosis codes, identify missing diagnosis, and query physicians and other healthcare providers for more specifics so documentation accurately reflects the patient's severity of illness. In addition, CDI nurses educate physicians on the importance of supplying the proper information needed for correct documentation.

    For more information about this position, review the Clinical Documentation Improvement Nurse Supervisor job description.

    Two Excellent Benefits Packages to Choose From

    As an alternative to the traditional benefits package, you may also be eligible to elect the Modified Benefit Option (MBO) that provides an increased base rate of pay ($2/hour above the base rate of pay) with modified benefits. For more detailed information on the MBO for the California Nurses Association Group, refer to the MBO - CNA BbOU - Benefits Summary Guide.

    Click below for more information on the benefits offered at San Bernardino County

    TRADITIONAL BENEFITS OPTION

    MODIFIED BENEFITS OPTION

    ARROWHEAD REGIONAL MEDICAL CENTER

    Located on a beautiful 70-acre campus in Colton, California (50 miles east of Los Angeles), Arrowhead Regional Medical Center (ARMC) is a state-of-the-art, public/nonprofit, 456-bed, university affiliated teaching hospital licensed by the State of California Department of Public Health and accredited by The Joint Commission. The hospital houses a regional burn center serving four counties (San Bernardino, Riverside, Mono and Inyo), a comprehensive stroke center, level I trauma center and a freestanding in-patient behavioral health center. Additionally, ARMC operates five community-based, primary care clinics and over 40 specialty care outpatient services. ARMC is the primary teaching hospital for the adjacently located California University of Science and Medicine (CUSM), the Inland Empire's newest medical school.

    CONDITIONS OF EMPLOYMENT

    Pre-Employment Process:Incumbentsmust pass a background investigation, which includes fingerprinting, work history & education check, as well as a job-related physical exam and drug screening.

    Availability: Must be available to work day shifts, weekends, and holidays

    Travel: Travel throughout the County may be required. A valid California Class C driver license is required at time of appointment.

    Sponsorship:Please note San Bernardino County is not able to consider candidates who will require visa sponsorship at the time of application or in the future.

    Minimum Requirements

    Availability:Must be available to work Day Shifts, Weekends, and Holidays.

    Applicants must indicate availability on the supplemental questionnaire.

    • AND-

    Candidates must possess ALLof the following


    License

    Must possess and maintain Registered Nurse licensure with the State of California Board of Registered Nursing.

    Experience

    Three (3) years of experience as a Registered Nurse in an acute care hospital, which included one (1) year of case management experience and one (1) year of experience as a lead or charge nurse. Experience may be concurrent.

    Certification: Must possess and maintain current Healthcare Provider level Basic Life Support (BLS) certification.

    Desired Qualifications

    The ideal candidate will have at least five (5) years of supervisory experience over professional nursing staff in an acute care facility.


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