Registered Nurse (RN) - Clinic
Hamilton Health Care System
Dalton, GA

RN - Clinical Documentation Specialist - FT (64326)

JOB SUMMARY Practices with minimum supervision from another licensed professional and is able to perform the components of Clinical Documentation Integrity Specialist: Monitoring, evaluation, and outcomes. In collaboration with all healthcare professionals involved, this position is also able to demonstrate the above components within the following core activities: coordination and service delivery, physical and psychological factors, benefit systems, cost benefit analysis, case management concepts and community resources. Qualifications JOB QUALIFICATIONS Education: Graduate of an accredited School of Nursing, BSN preferred Licensure: Current RN Nursing License in the State of Georgia. AHA BLS CPR required. Experience: Three to Five years of nursing experience as an RN with two years of recent clinical experience. Utilization Review experience is preferred. Computer skills experience preferred Skills: * Must possess a high level of clinical knowledge regarding the patient population served, to participate collaboratively with all members of the care team. * Must have strong critical thinking skills and exceptional ability to integrate knowledge * Excellent observation, communication, and decision making abilities * Ability to assess, evaluate, and teach all members of the care team * Working knowledge of DRG coding and documentation strategies * Thorough knowledge of clinical documentation requirements * Ability to prioritize multiple tasks simultaneously * Ability to work proficiently with computer systems, including work effectively, including work processing and database software as necessary. * Organizational skills with ability to communicate effectively, verbally, and in writing, and interact with levels of professions, including but not limited to physicians and nursing personnel, managers, and various support staff departments, and third party payers in a non-confrontational manner. PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS Works in a typical acute health care setting with adult and geriatric patients (unless assigned to the Nurseries and to Pediatrics), and families experiencing a wide range of medical and/or surgical problems. Requires standing and walking for extensive periods of time. Requires corrected vision and hearing to normal range. Requires working under stressful conditions. Requires exposure to communicable diseases or body fluids. Requires ability to lift and turn patients. Requires prolonged periods of time spent on the telephone.