Rn-clinical Resume Samples

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T Glover

Trystan

Glover

4339 O'Keefe Mountain

New York

+1 (555) 522 5953

4339 O'Keefe Mountain

New York

Phone

p +1 (555) 522 5953

Experience Experience

New York, NY

Rn-clinical

New York, NY

Conn-Douglas

New York, NY

Rn-clinical

Responsible for completing admission, discharge, and transfer paperwork according to hospital policy
Is ready to begin working at the scheduled time
Responsible for patient and family education
Documents patient status at the time of admission, transfer, or discharge to and from nursing unit
Responsible for effectively communicating with physicians regarding patient status
Maintains confidentiality regarding patient information
Utilization of the departmental grease board concerning patient status

New York, NY

Weekend RN Clinical Supervisor

New York, NY

Schaden-Kiehn

New York, NY

Weekend RN Clinical Supervisor

Work collaboratively with the Performance Improvement Nurse to ensure optimal patient care, inclusive of utilization management and outcomes
In the absence of a Performance Improvement Nurse
In the absence of an Office Manager, review and approve non-visit activity daily to ensure timeliness of payroll processing and management of employee activity
Actively participate in Branch PI initiatives to ensure ongoing performance improvement
Develop, mentor, and educate Clinicians to ensure competency
Adhere to ethical business practices by striving to perform in a manner that conforms to the highest standards of ethical behavior, integrity and honesty
Promote a safe and efficient working environment by adhering to agency policies and procedures

present

Phoenix, AZ

RN Clinical Leader

Phoenix, AZ

Bartell, Jakubowski and Windler

present

Phoenix, AZ

RN Clinical Leader

present

In accordance with unit or departmental practice, actively participates in on-going education and communication regarding revenue management
Refers all cases lacking IS/SI criteria for acute care hospitalization to the Physician according to the established department guidelines
Promotes a care environment that results in care excellence as evidenced by outperforming national
Participates in Behavioral Medicine quality improvement efforts by ensuring efficient data collection is reviewed by Physician and care team
Uses data and evidence to drive decisions at point of care that improve and optimize care delivery, clinical outcomes, and patient and nurse satisfaction
Participates in organizational initiatives that promote patient and workplace safety, optimal patient outcomes and satisfaction
Provides consultation and information to the Behavioral Medicine treatment team regarding third party payer changes, documentation criteria (IS/SI)

Education Education

Bachelor’s Degree in Nursing

Liberty University

Bachelor’s Degree in Nursing

Skills Skills

Demonstrates accountability and professionalism
Knowledge of relevant equipment, policies, procedures, and strategies to promote effective quality outcomes
Instructs the patient and/or family in identified knowledge and/or skills deficits
Knowledge of current trends in nursing
Adapts to change in a positive, professional manner
Makes self available to listen to patient and family concerns
Demonstrates ability to use equipment according to accepted procedure
Knowledge of managed care organization and policies
Seeks experiences to enhance clinical knowledge of the pediatric, adolescent, adult and geriatric patient as evidenced by maintaining education file on unit
Ability to apply sound judgment with clinical skills to ensure optimal patient care

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Rn Clinical Supervisor Humana Resume Examples & Samples

One year of recent clinical management and/or supervisory experience in home health care or community based long term care services that meets individual state requirements
Minimum Associate's Degree in Nursing valid in the state of Florida with no restrictions
ACHA Level II clearance
This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
Possession of valid state driver’s license, current auto insurance and access to an automobile
Current CPR Certification
Solid community and professional reputation
Effective communicator
Enthusiastic, positive thinking
A collaborator with experience in a team-based approach to client care
Knowledge of community based long term care services and methods of delivery
Knowledge of Medicaid and Medicare home care services parameters
Knowledge of regulations and understanding of meeting state and federal requirements for respective services
Knowledge of quality assurance and quality improvement models, data collection methods, analysis and reports
Evidence of leadership skills to ensure high quality, appropriate service delivery
Excellent verbal and written communication skills, comfort with speaking publicly
Sensitivity to cultural diversity and to making accommodation available to provide services to a diverse population
Ability to work well under pressure; critical thinker
Strong customer service skills
Bachelors Degree in Nursing (BSN)
Bilingual a plus

RN Clinical Reviewer Resume Examples & Samples

Candidate will possess excellent communication (verbal/written), organizational and interpersonal skills
Manage multiple tasks, be detail oriented, be responsive, and demonstrate independent thought and critical thinking
Reviews and adheres to all Company policies and procedures and the Employee Handbook
Using clinical expertise, reviews utilization information concerning patient care and matches those needs to available care options, within the CareCentrix guidelines and specific plan payer criteria
Verifies completed case verifications funneled through Triage, verifying information, applying business rules and determining the next steps. Acts as a clinical resource to department care coordinators, providing expertise and clinical knowledge
Receives/responds to incoming calls from referral sources/potential clients, exchanges information to identify the clients' needs and determines CareCentrix' ability to meet them
Receives and responds to requests from unlicensed staff regarding scripted clinical questions and issues
Holds all referrals until all information is verified as complete and the next steps are determined
Records the outcome of all inquiries and referral calls received, and makes follow - up calls when an inquiry or referral cannot be serviced. Tracks/reports on inquiries/referrals and identifies alternative resources when CareCentrix solutions are not available
Performs an initial evaluation of the referrals appropriateness for CareCentrix services, researches/identifies all potential payer sources and determines the primary payer. Documents demographic/clinical/payer information and determines coverage availability for requested services and passes information on in a timely manner
Recommends to Team Leader - Intake the acceptance of referrals that do not meet CareCentrix guidelines as appropriate. Coordinates internal activities to ensure a smooth transition from CareCentrix to the provider
Develops/maintains a working knowledge of all CareCentrix services and accesses CareCentrix contract information, including the terms of the contract as appropriate. Interacts with referral sources to facilitate communications, answer questions and resolve problems
Participates in ongoing utilization management activities and quality assessment/improvement activities, ensures the collection of data for improvement analysis and prepares reports as requested
Assists Team Leader in implementing/ maintaining standardized operational processes to ensure compliance to CareCentrix policies, legal requirements and regulatory mandates. Follows Utilization Management and URAC standards
Attends/participates in staff development programs and obtains continuing education as required by company policy. Provides back up support to the Team Leader to ensure that intake operations are maintained

RN Clinical Quality Consultant Resume Examples & Samples

Home visits may be required to evaluate and coach Clinical staff in the field
Analyze and aggregate clinical and personnel data from audit results
Oversees corrective action process subsequent to substandard audit results, which may include process analysis and modification, remedial education and possible initiation of disciplinary actions
Prepare reports and present to Senior Management Team
Registered Nurse (RN) License active in the state of NY with no restrictions
Ability to travel to Richmond, VA and Chicago, IL branch offices approximately twice per year and/or as business needs dictate. Ability to work in each location for 3-5 days (while traveling)

Rn-clinical Manager Resume Examples & Samples

One year of recent clinical management and/or supervisory experience in home health care or community based long term care services that meets individual state requirements
Minimum Associate's Degree in Nursing valid in the state of Texas with no restrictions
A collaborator with experience in a team-based approach to client care

RN Clinical Reviewer Resume Examples & Samples

Utilizing healthcare knowledge and experience to review medical records for various types of medical services for accuracy, completeness and consistency with professional standards and compliance with billing and coding requirements
Documenting and reporting findings of reviews and audits in accordance with professional standards and project protocols
Participating in on-site field examinations of providers to review clinical documentation
Interpreting and analyzing health care data
Working in a team environment to develop new audit recovery projects
Working with state client personnel on health care reimbursement and compliance issues, including recommending changes and improvements of policies to ensure provider compliance
Working collaboratively with the medical director and other clinical staff in the development and management of fraud, waste and abuse detection and other compliance projects
Developing and maintaining general knowledge of reimbursement regulations, provider billing manuals and other Medicaid policies for claim payment compliance reviews and documentation to support current audit findings
Maintaining security of and confidentiality of all protected health information (PHI)
Participating in and contributing to quality management systems

RN Clinical Services Supervisor Resume Examples & Samples

Oversees the Managed Care function
Assures an orderly placement of patient appointments with specialist within insurance parameters
Assists with the development, implementation, and data collection process
Assist in the development and implementation of new policies and procedures
Identify and conduct technical training sessions for clinical support staff and orientation for new employees to ensure competency

RN / Clinical Documentation Coordinator Resume Examples & Samples

Coordinate with I.S. site support as an operational partner to ensure technical needs of AHCS are met
Facilitate IT system and work flow documentation in policies, procedures, user manuals, excellian.net, AKN
Application expert (super user)
Develop and facilitate training programs across all AHCS business units utilizing EMR/Revenue Cycle software
Clinical workflow observation, analysis and design (all AHCS applications)
Facilitate work flow process redesign for practice optimization
Software update/change review ( all AHCS applications) to include planning, reviewing, testing, tip sheet development, workflow modification, Workflow manuals, training changes
Consistent collaboration and provides appropriate direction for onsite Help Desk/ TA position
Communication for changes and IS updates with leadership and/or staff
Content expert for organization related to electronic medical record
Participate in Practice councils and specialty groups prn to facilitate communication and efficiencies in documentation
Develop and manage effective processes and systems to preserve patient privacy, and security of health information maintained in paper or computerized
Maintain HIPAA compliant documentation standards within electronic and paper system
Serve as Downtime Champion with yearly design and update of E learn or education
Serves in consultative role for instructional design for application courses including but not limited to: Excellian Home Health, Excellian Hospice (future), Beyond Now/Roadnotes ( thru transition in 2017), TIMS, Kronos, SHP, Company Mileage

RN Clinical Quality Analyst Resume Examples & Samples

Reports directly to the Senior Nurse Manager
Ensures team is meeting contractual obligations
Conducts call monitoring and case file reviews utilizing the phone and non-phone business level quality transaction methodology, and sampling along with clinical considerations
Responsible for entering all call monitoring data into the quality tool on a daily basis, in order to determine causes of quality issues and to solve them
Reviews, analyzes, and reports on quality discrepancies as reported through the call monitoring Makes recommendations for corrective and preventative actions as variation and performance gaps
Provides immediate feedback to the Nurse Manager that requires performance or corrective action per the quality review process, and adherence to all policies and procedures of the program and organization
Leads and participates in call calibrations to ensure credibility of the quality monitoring scoring process
Participates in trending activities that support the establishment of quality metrics, and continual process improvements across the organization
Responsible for utilizing all technology and resources effectively and efficiently
Recommends and creates training opportunities to improve clinical best practice
Provides management with daily, weekly, and month end quality results
Implements and ensures that processes are in place to monitor quality and program compliance; is accountable for program quality and compliance with standard operating procedures
Coaches, counsels nurse to help drive clinical best practices
Provides call monitoring training /calibration for associates
Provides feedback up and down the organization (positive and constructive)
Participates in client meetings; prepares agenda and/or takes meeting notes
Translates and oversees organizational strategies for assigned goals; analyzes progress of tactical issues
Identifies client issues; receives and triages client requests
Proactively identifies program issues and proposes ways in which to address their concerns
Maintains positive rapport with clients
Licensed Registered Nurse with a current unrestricted license
Quality and/or process improvement experience preferred
Clinical experience 5 + years
Call Center/tele-health experience preferred
Multiple Sclerosis, neurology experience preferred
Graduation from an accredited program
Excellent analytical and organizational skills; attention to detail
Ability to use a computer for data collection
Ability to manage multiple tasks along a parallel process
Evidence of continuing education a plus
Must have proficiency in Microsoft Word, Excel, and knowledge of Microsoft SharePoint a plus

RN Clinical Quality Analyst Resume Examples & Samples

Reports directly to the Senior Nurse Manager and/or Associate Director of Nursing
Ensures team is meeting contractual obligations through data review and internal quality checks
Must have intermediate to advanced proficiency in Microsoft Word, Excel, and knowledge of Microsoft SharePoint a plus

RN Clinical Alignment Specialist Resume Examples & Samples

Develops and maintains contact with key hospital, skilled nursing, assisted living facility, discharge planning services, case management and clinical staff to provide ongoing updates on Banner Homecare services available in the market. Increase admissions within the assigned accounts and meets or exceeds targets
Develops a Homecare presence within facilities. Provides education and/or continuing education programs for referral sources within guidelines of facility and company policy. Utilizes appropriate company resources to maintain and develop business opportunities. Maintains market awareness and prepares competitive updates as directed
Functions as liaison between referral source and Banner Homecare. Assesses needs of patient/family, assuring that clinical alignment is appropriate and securing appropriate post-acute resources
Ensures effective communication and collaboration with program staff and actively participates in weekly program business development meetings. Brings relevant data, reports, as well as information regarding changes within accounts and referral sources. Assists with new staff orientation and physician orientation program as directed
Demonstrates competent professional practice, and engages in opportunities for professional growth. Identifies opportunities for and participates in performance improvement activities

Rn-clinical Referral Specialist Resume Examples & Samples

Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes. Assesses patient admissions and continued stay, utilizing standard criteria
Coordinates patient placement among multiple outreach and network facilities for admissions and transfers. Coordinates safe patient transfers according to established operational processes and guidelines in place for all service lines at each facility. Alerts staff at appropriate entity/agency of incoming/outgoing patients, scheduling bed/services, performs clinical and financial screening of referred patients and coordinates transportation. Serves as a liaison with other departments, leaders and presiding physicians regarding process improvement opportunities for patient flow, patient transfers and efficacy of communication process
Manages individual patients across the healthcare continuum to achieve the optimal clinical, financial, operational and satisfaction outcomes. Serves as a liaison for the continuum of care including preadmission, hospitalization and community follow-up, depending on work assignment
Maintains process for assessing current referral patterns for selected target areas by identifying physician referral patterns, health related community events, established physician practices and major gatekeepers in outreach and network communities. Establishes and promotes collaborative relationships with physicians, payers and other members of the healthcare team, including non-Banner entities (vendor management). Seeks opportunities to increase the growth of business within the assigned communities, identifying and cultivating potential referral sources relevant to the population served
Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. Provides outcome data with targeted audiences including physicians, medical case managers, rehabilitation professionals, insurance adjustors and industrial representatives
Serves as a resource to other staff members and promotes a collegiality between staff physicians and leaders. Participates in interdisciplinary healthcare teams to facilitate the integration of managed care concepts within the daily practice standards. Acts as a consultant within the organization and in the community
May supervise staff depending on work assignment

Rn-clinical Programs, Special Projects Resume Examples & Samples

Collaborate with multidisciplinary team including corporate leaders, providers, nurses, case managers, social workers and others to identify quality of care or customer service improvement projects. Participate in the development and implementation of special projects and pilots and quality improvement processes
Maintain knowledge of quality of care standards and state and federal regulatory standards
Complete timely and accurate documentation in designated applications to ensure communication of project status and progress
Attend multidisciplinary team meetings as scheduled to maintain collaborative relationships and open communication
Serve as a liaison and problem solver with corporate leaders, managers, providers, clinic staff members and patients to provide resolution of issues concerning patients, program definition and clarification. Utilize effective conflict resolution, negotiation, collaboration and interpersonal skills to resolve issues and increases customer satisfaction
Monitor and analyze assigned projects or clinical program activities. Present findings to managers and relevant parties
Perform clinical assessments and clinical audits
Conduct research related to development of clinical policies and procedures
Write policies and procedures in collaboration with clinical and administrative subject matter experts
Perform all duties for internal and external customers in a timely and responsible manner representing the company in a professional manner. Consistently demonstrate excellent interpersonal skills
Bachelor’s degree in Nursing or Associate’s degree in Nursing with four or more years’ experience
Diverse clinical experience with four or more years’ experience in a clinical or administrative setting
Possess highly developed planning, organizing, conflict resolution and negotiation, collaborative and interpersonal skills
Proficient computer skills including Microsoft Word, Excel, Power Point and ability to master other departmental specific programs/applications
Must be able to prioritize, plan and handle multiple tasks and demands simultaneously
Coach and provide feedback and guide others
Ability to travel out-of-town as required for work assignments
Experience in quality improvement

RN Clinical Quality Consultant Resume Examples & Samples

Be the primary go to person for all STARS related activities within their assigned market(s) working within a matrix relationship which includes Quality corporate operations and Regional / Market operations
3 years of HEDIS/Stars experience
Knowledge base of clinical standards of care, preventative health, and Star measures
Strong relationship building skills with clinical and non-clinical personnel
Medical/clinical background highly desirable

RN Clinical Documentation Improvement Director Resume Examples & Samples

Ensures clinical documentation, including modifications, accurately reflect the level of service rendered and severity of illness (in compliance with government and other regulations) for all patients
Bachelor’s Degree in Nursing or related field
Current, unrestricted RN License
Minimum of five (5) years of progressive experience in an acute care setting
Previous experience in chart review
Clinical Documentation Improvement (CDI) experience
Minimum of one (1) year in a leadership role
Computer proficiency: recent working experience with Microsoft Outlook, Word, Excel and ability to navigate in a Windows based environment
Ability to communicate effectively with physicians and other clinical professional staff
Regulatory background and DRG reimbursement knowledge or Inpatient Coding experience
Three (3) plus years in a leadership position

RN Clinical Program Coordinator, Neurosurgery Resume Examples & Samples

Minimum 5 years practice experience as a registered nurse
Minimum 2 years nursing experience in neurology and/or neurosurgery
Case management and/or multidisciplinary care coordination
Basic to intermediate computer skills, including proficiency with Microsoft Office applications (Word, Excel, PowerPoint)
Community outreach, program development, public-speaking strongly preferred

RN Clinical Administrator Resume Examples & Samples

Assists the Medical Director in the development and marketing of new services and referral sources
Facilitates the employment, development and management of employees
Promotes the provision of cost-effective, high-quality health care services to patients
Reviews operational problems / policies and recommends solutions and change to Medical Director
Collaborates with Medical Director in the preparation and implementation of quarterly budgets. Recommends funding based on knowledge of policies, costs, and operating practices
Represents clinic at public and professional meetings and conferences
Bachelor degree in Healthcare Administration, Business Administration, Nursing or related field required. (4 additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor’s degree)
Knowledge of computer programs and applications
Ability to research and prepare comprehensive reports
Professional healthcare license or certification

Rn-clinical Services & Apheresis Resume Examples & Samples

Act as a clinical consultant to the ordering physician in the treatment planning process
Perform Apheresis procedures autonomously in multiple settings including critical care, emergency room and freestanding outpatient centers
Supervise cell salvage technicians or other staff who assist in performing apheresis procedures in a multiple procedure setting
Provide training and in-services to Red Cross and hospital personnel, and function as an expert on the subject of clinical apheresis in interactions with external health care personnel and the public
Demonstrate excellence in customer service and public relations to promote a positive professional image of the American Red Cross Biomedical Services
Works independently with attention to detail and possesses the necessary knowledge of all aspects of daily operations
Current, unrestricted MD RN license required; ability to gain RN license in DC, DE & VA (with Red Cross financial support) required. Current CPR certification
Minimum experience of 2 years in medical/surgical or critical care nursing is required. Good vein selection and venipuncture skills are essential. Previous apheresis or dialysis experience is preferred. Previous trainer/preceptor and management experience preferred
Good verbal communication skills and the ability to effectively discuss procedures and medical issues with patients, families, and physicians. Customer service experience, effective verbal communication and public relation skills are preferred

Rn-clinical Director Resume Examples & Samples

Minimum 7 years of experience in oncology and 5 years of leadership experience required
Clinical experience with diverse oncology patient mix, including hematology/oncology, bone marrow/stem cell transplantation a plus
Demonstrated leadership skills, excellent decision making, promoting safe patient care and customer satisfaction required
Must have knowledge of regulatory and reimbursement requirements and proven track record of successful program management
Experience in academic medical center cancer program a plus
A track record of working successfully with physicians and other clinicians, as well as community involvement related to cancer services is required

RN Clinical Informaticist Days K Sign on Bonus Resume Examples & Samples

Evaluates clinical workflow for compliance to clinical standards
Ensures accuracy of data, work, and information
Attends relevant committee meetings as assigned
Member of Hospital Committees that pertain to the EHR
RN with active California RN License
Bachelor’s Degree in Nursing or other Healthcare related filed
Minimum of 3-5 years clinical and/or informatics background in an acute care setting
Excellent communication skill. Must be proficient in the English language (reading, writing, and speaking)
Good understanding of clinical workflows and integration of technology
Competent user of Microsoft Office products – including Excel and Visio
Collaborative – works well with others
Vision – sees the big picture and enjoys bringing that vision to others
Self – motivated, able to: work independently with minimal supervision, problem solve and multitask
Work schedule flexibility – training and support may be required on weekends, evenings and night

RN Clinical Informatics Manager Sign on Bonus Resume Examples & Samples

3 – 5 years clinical informatics experience in an acute care setting
Current unencumbered licensure to practice in the State of California
Bachelor’s in Nursing or other Health Science related field
Exceptional relationship management skills and professional demeanor. Must be regarded as a
Experience in clinical system implementations throughout the system design life-cycle, performing
Excellent verbal, written, communication, interpersonal, organizational, and presentation skills
Proven ability in critical thinking, problem solving, decision making, analytical/quantitative analysis,
Strong computer literacy including Microsoft Office products (i.e. Word, Visio, PowerPoint, and

Rn Clinical Prn Resume Examples & Samples

Responsible for providing & managing professional nursing care in accordance with physician’s treatment plan and utilizing appropriate judgment to make intelligent decisions to anticipate patient needs and solve problems
Responsible for completing admission, discharge, and transfer paperwork according to hospital policy
Responsible and accountable for efficient time and resource management in accomplishing acceptable work volumes (ie. supply cost, time mgt.)
Responsible for the timely and accurate implementation of physician orders
Responsible for accurate shift reports reflecting that the patient’s status and needs are communicated in order of priority at the beginning and ending of each shift or patient transfer
Unit-based meeting attendance

Rn Clinical Program Manager Resume Examples & Samples

Builds and maintains strategic relationships
Manages conflict and competing imperatives
Builds customer loyalty among physicians, employees and community
Possesses requisite level of technical and professional knowledge in Nursing including exceptional leadership skills

RN Clinical Mgr Acute Obstetrics Days Resume Examples & Samples

Current CA Registered Nurse License
Minimum of 3 years clinical experience
Current American Heart Association ACLS certification (OB ACLS preferred) within six months of start date with the exception of Versant or other intern nurses who must obtain certification within six months from the end of training period
Current NRP certification within six months of start date with the exception of Versant or other intern nurses who must obtain certification within six months from the end of training period
Current EKG certification (excluding those nurses who exclusively care for post partum patients and newborns)
Initial Intermediate AWHONN Fetal Monitoring (excluding those nurses who exclusively care for post partum patients and newborns)
Current Advanced AWHONN Fetal Monitoring (excluding those nurses who exclusively care for post partum patients and newborns) within six months of start date with the exception of Versant or other intern nurses who must obtain certification within six months from the end of training period
Effective verbal and written skills to communicate with people on all levels and able to maintain positive working relationships with parents, families, and co-workers
Compassionate and nonjudgmental care giver and advocate
Able to independently manage multiple priorities
Must comply with Annual Health Review and all other required courses/competencies/etc

RN Clinical Documentation Specialist Days K Sign on Resume Examples & Samples

Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG assignment and APR DRG, as well as the clinical conditions or procedures requirement and guidelines from the AHA Coding Clinics
Educates members of the patient care team regarding documentation guidelines, including
Completes initial reviews of inpatient patient records with 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures to assign an accurate MS DRG assignment with MCC and CC, and APR-DRG assignment with severity of illnesses and expected risk of mortality, as well as the complexity of care of the patients&#8217
Works collaboratively with the multi-disciplinary healthcare team of physicians, physician extenders, Clinical Resource Management, Nursing, Case Management, and H.I.S. department and other healthcare professionals to facilitate overall quality and completeness of physician clinical documentation
Takes initiative in facilitating ongoing written and verbal communication with the physicians, and inform the physicians about the regulations and requirements changes related to the clinical documentation
Conducts follow-up reviews of patients every 2-3 days to support and assign a working or final MS DRG or APR-DRG assignment upon the patient discharge, as required for billing purposes
Performs review of health records upon second day of admission, using pre-established criteria in the Midas Clinical Documentation Program to identify the need to clarify documentation in all areas of the health records
Assists Director of Case Management in accomplishing departmental goals by identifying potential diagnoses that meet acute care criteria for payers’ reimbursement
Educates physicians and Medical Staff Executive Healthcare Providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health records
Queries physicians(written queries) regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation of the health information, procedures, imaging results and laboratory results for coding and billing purposes
Queries Emergency Department physicians (written queries) regarding missing and unclear documentation on the ED physicians assessment, such as, procedures and diagnostic imaging reports and CT Scan which is needed for diagnoses codes and procedures for billing purposes
Collaborates with case managers, nursing staff, and other ancillary staff regarding about the physicians on documentation, and work with the physicians to resolve the request for addition documentation on any queries prior to the discharge patients&#8217
Consults with medical staff on duty when the diagnoses, procedures, imaging reports, and laboratory results may not be document in the physicians’ documentation which may be required for diagnoses purposes
Assist with preparation and presentation of clinical documentation monitoring and trending reports for review with physicians and hospital leadership such as H&P audits, and may not be limited to verbal orders and telephone order monitoring
Educates members of the patient are tem regarding specific documentation needs and reporting and reimbursement issues identified through daily and retrospective documentation review and aggregate data analysis (Refer to CDI Toolkit 2010 AHIMA page 9, attached)
Abides by the Standard of Ethical Coding Guidelines as set forth by American Health Information Management Association and Standard of Ethical Clinical Documentation Improvement Specialist set forth by the American Clinical Documentation Improvement Specialist organization
Partners with the coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine a working and final MS DRGs or APR-DRGs that capture the Major Complication and comorbidities indicators (MCC) and complications and comorbidities indicators(CC). APR-DRGs Levels of Severity of Illness (SOI) and Risk of Mortality (ROM)
Reviews and clarifies clinical issues related to clinical documentation in the health record with the coding professionals of what may support an accurate MS DRG and APR-DRG assignment
Facilitates changes in the processes as required to capture the need for medical necessity documentation, such as forms design and redesign, adding additional criteria to the forms that require disease specific documentation for diagnoses purposes
Assists in the appeal process of non-CMS, ZPIC, CERT, and thirty payers, such as, reviewing medical necessity and reviewing denials. Responding to third-party denial by writing appeals to those denials
Works closely with Admissions Department and Physician to determine appropriateness of patients’ status such as inpatient vs. observation
Refers questionable admissions in a timely manner to the Case Manager or Case Management Director or Physician Advisor
Consult with HIS department director regarding assignment and duties if it is unclear to prioritize of performing such duties
Independently recognizes and perform duties to be done with minimal instruction, and establish priorities, organize work assignment and meet all aspects of the job assignment
Accepts constructive criticism in a positive manner
Adheres to the attendance policy and punctuality requirements per hospital policy. Provides proper notification for absences and tardiness. Takes corrective action to prevent recurring absences or tardiness
Recognizes and responds to changes in the current work assignment in a positive and professional manner
Observes and maintain all hospital and departmental policies that governing professional conduct while being on duty at work
The HIM professionals, nurses, physicians, and other healthcare professionals with a clinical and/or coding background will need to have two years’ experiences. The registered nurse with at least 2 years of acute care nursing experience (e.g., medical-surgical, ICU, case management, etc.)
Must have the ability to communicate well with interdepartmental ancillary staff and physicians
Must have strong organizational skills
Experience with 3M coding software, and perform data entry
Proficient with Microsoft Office such as Word, Excel, Outlook, and Power Point

Rn-clinical Rehab Liaison Resume Examples & Samples

Follows approved company policy and procedures. The Clinical Rehabilitation Specialist utilizes appropriate patient information sources as well as direct communications with other members of the patient’s care team to identify those patients who may need acute inpatient rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong clinical evidence to request a physician order for a formal pre-admission assessment for acute inpatient rehab through their assigned case manager
Once Case Management has completed the Patient Choice process and the patient has agreed to participate in a HCA acute rehabilitation program, the Clinical Rehabilitation Specialist will assist and coordinate the in-take and pre-admission screening process. The Clinical Rehabilitation Specialist accurately documents evidence of the patient’s compliance with the established rehabilitation admission criteria on the Pre-Admissions Screening form in a timely and legible manner. Updates to the Pre-Admission Screening form are completed within 48 hours prior to admission to the acute inpatient rehab program. The Clinical Rehabilitation Specialist then provides this information to the Rehab Medical Director and responds to any question or request for additional information the Rehab Medical Director might require to make an appropriate admission decision. Admission decisions are communicated to referral source within 2 hours
Performs on-site and off-site review of patients in designated facilities to assist Case Management in identifying patients that could clinically benefit from rehab services
Performs on-site and off-site clinical evaluation to assist Rehab Medical Director in determining appropriateness of patient for admission
Provides information related to inpatient rehab and program features to Case Management to share with patients and family members. May provide directly to patient and family after a patient has selected HCA as rehabilitation provider
Communicates to patients, expectations and requirements for participation, upon admission to the rehab program. Offers each patient and family a tour of the rehab unit (or coordinates tour if unable to provide personally)
Secures information relating to patient’s resources and benefits
Demonstrates clinical knowledge of rehab admission criteria, leading to appropriate indentification of qualified rehab patients
Advises referral sources on inpatient rehab criteria
Establishes and maintains effective working relationships with all referral sources
Completes face-to-face, in-service educational contacts with physicians, case managers, other interdisciplinary members and other professionals. Serves as educational resource to patients, family members and caregivers
Participates in market analysis, data analysis and development and implementation of business plans for the Rehab Unit. Contributes to the development and maintenance of referral source information such as brochures, flyers, referrals and information kit and other outreach tools
Manages time proficiently. Prioritizes meeting commitments to referral sources. Develops a call-plan to prioritize utilization of time
Assists in developing the annual strategic plan for the Rehab Unit/Hospital, to include visible community outreach program and raise community awareness of services available
Ensures referral sources receive appropriate and timely follow-up communications regarding their patients and hospital programs
Develops back up system to handle calls when he/she is unavailable
Develops system that ensures calls are appropriately handled 24 hours a day, 7 days a week
Adheres to dress code; appearance is neat, clean and professional
Demonstrates the ability to be flexible, organized and function under stressful conditions
Participates in weekend rotation schedule to ensure continuous access by referral sources to rehab services, such as referral, evaluation and admission to program; 7 days a week
Consistently completes all assignments in a timely manner, is thorough and appropriately detailed
Complies with all regulatory requirements, including all state, federal and Joint Commission regulations
Maintains and ensures patient confidentiality at all times
Reports to work on time and as scheduled. Able to provide personal transportation to multiple referral sites throughout marketing catchment area(s)
Wears identification while on duty
Attends departmental in-services and completes annual competencies/education requirements
Works at maintaining a good rapport and a cooperative working relationship with physicians, departments and staff
Complies with policies and procedures regarding department operations, fire, safety, infection control and emergency management
Complies with all organizational policies regarding ethical business practices
Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the Unit
Effective verbal, written and persuasive communication skills
Computer and keyboarding skills (25 wpm minimum)
Ability to work with others to ensure quality patient care
Continuous focus on excellence in work environment
If RN, CRRN preferred and / or achieve within 2 years of accepting position
Clinical experience in the care and management of the Inpatient Rehabilitation patient
Experience as a clinical liaison coordinating admissions for inpatient rehabilitation preferred
Persistent and persuasive when faced with challenging circumstances
Ability to analyze data related to referral opportunities
Skilled strategy planning and goal setting
Ability to build strong relationships with referral sources while being engaging, accountable and responsive
Self-directed with problem solving capability
Ability to navigate a medical record for determination of medical necessity for an IRF admission
Ability to analyze clinical data looking at diagnosis and comorbidities that will demonstrate the patients’ complete medical picture
Experienced in speaking in medical terminology with physicians, case managers, therapists about disease states, comorbidities, and patient care

RN Clinical Supervisor Summerlin Clinic Resume Examples & Samples

RN with active unrestricted license in the State of Nevada
1+ years of clinical acute or ambulatory care experience
1+ years of progressive management in healthcare and/or equivalent and relevant experience
Bachelor’s degree in healthcare or related field; and/or equivalent and relevant experience

Ubc-supervisor, RN Clinical Resume Examples & Samples

Monitor operational performance relating to
Bachelor’s degree in relevant discipline or
Solid understanding of the health insurance

RN Clinical Coord ED Nights K Sign On Bonus Resume Examples & Samples

Oversees the throughput of patients through the Emergency Department in a timely, efficient, and organized manner
Works collaboratively with the Emergency Department Physician to keep them appraised of: ◦Changes in patient’s condition
Minimum of five (5) years previous emergency room experience
Current American Heart Association ACLS Certification (maintained current at all times)

RN Clinical Informatics Liaison Days Resume Examples & Samples

Participates in hospital and Tenet Medical Staff meetings/committees that pertain to the
Registered Nurse: Bachelor’s Degree in Nursing or higher and active, unencumbered California
Work schedule flexibility – training and support may be required on weekends, evenings and

RN Clinical Data Abstractor, Cardiovascular Resume Examples & Samples

Current RN License
Associates Degree required, Bachelor's degree preferred
Minimum of 2-5 years experience in a Hospital or acute care setting as a Registered Nurse and/or abstractor
Quality, Critical Care, Medical/Surgical or Emergency nursing experience preferred

RN Clinical Quality Audit Analyst Senior Resume Examples & Samples

Current unrestricted RN license in the state of NJ required
CPHQ preferred
BA/BS degree in Nursing preferred
Local travel may be required (mileage and tolls reimbursed)
Computer skills: MS Word, Excel, Outlook
Experience working with HEDIS for a health insurance company preferred
Medical record review experience preferred
Knowledge of NJ quality management and regulatory standards preferred

RN Clinical Transition Coordinator Resume Examples & Samples

Identify members with special health care needs transitioning to and from the health plan
Make referrals to specific identified outside providers for continuity of care treatment
Make referrals to internal teams (case management, inpatient care management, transplant team, pharmacy, etc.)
Coordinate services as needed (home health, DME, etc.)
Collaborate/communicate with other health plans on member’s special needs
Current, unrestricted RN license in the State of AZ or Compact license to support AZ
Intermediate computer/typing proficiency to enter/retrieve data in electronic clinical records; experience with email, faxing, spreadsheets, and other software applications
Proven problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
Telephonic case management/discharge planning experience
Experience working with special needs populations who have chronic or complex health care needs
Strong organizational skills and multi-tasking abilities

Ubc-manager, RN Clinical Resume Examples & Samples

Actively engage with client and client
Serve as clinical, reimbursement and nursing
5+ years of program management experience
MS Office Applications – Word, EXCEL,

Senior Quality Rn-clinical Practice Consultant Resume Examples & Samples

Ongoing management of provider practice and community education on state specific quality measures
Work closely with the quality director to coordinate an interdisciplinary approach to increased provider performance
Focus on tasks that occur in accordance with State, CMS or other requirements as applicable
Provide direction and guidance on provider - focused, clinical quality improvement and management programs
Assists contracted providers with analyzing member care, trending quality compliance at the provider level, and developing action plans and programs to support provider practices in continuous quality improvement using approved clinical practice guidelines, HEDIS, CMS, NCQA and other tools
Serves as subject matter expert (SME) for assigned HEIS/State Measures, preventive health topics, leads efforts with clinical team to research and design educational materials for use in practitioner offices; serves as liaison with key vendors supporting HEDIS / State Measures; consults with vendors to design and implement initiatives to innovate and then improve HEDIS / State Measure rates
Coordinate and perform onsite clinical evaluations through medical record audits to determine appropriate coding and billing practices, compliance with quality metrics, compliance with service delivery and quality standards
Investigate gaps in clinical documentation where system variation has impact on rate calculation, provides feedback to appropriate team members where issues are verified, and monitors resolution to conclusion based on medical record audit findings, provides follow - up education, practitioner intervention, and measurement as needed to drive quality improvement
Educate providers and office staff on proper clinical documentation, coding, and billing practices, state - mandated quality metrics specifications, provider profiling and pay for performance measurement, and medical record review criteria
Current unrestricted RN licensure required in the state of Nevada
Knowledge of one or more of: clinical standards of care, preventive health standards, HEDIS, NCQA,

RN Clinical Specialist, Sales Resume Examples & Samples

Coordinates and provides patient, caregiver, and staff training and continuous clinical support for institutions and related clinical disciplines, including PAH disease process, treatment modalities, related drug administration education and pump operation. Act as regional PAH resource for branches
Supports product implementation and launch of new PAH product lines
Proficiency with MS Word, Excel and PowerPoint; proficiency in Access preferred. Strong technical aptitude. Collegial work style; team-oriented. Ability to align efforts effectively with other work groups. Energetic, self-motivated, engaging individual; ability to impact and influence employees at all organizational levels. Effective conflict management skills. Professional, positive demeanor. Problem solving and project management skills
Strong leadership ability; Understanding of legal and regulatory issues; Ability to train others; ability to maintain confidentiality; Analyze information, target trends; Compile data and statistics; Conduct meetings; Customer service focus; Counsel patients; Develop/maintain a cross section of networks; internal and external customer intermediary; Negotiation skills; Organize people and systems to achieve goals; Strong oral, written communication and organizational skills; Well developed interpersonal skills

RN Clinical Document Senior Manager Resume Examples & Samples

BSN minimum; MSN preferred
Experience as a Clinical Documentation Specialist
5 plus years of recent and relevant acute care experience
Working knowledge of coding and DRG assignments
Experience with presenting provider and staff education
Assists in the planning, direction and monitoring of the system clinical documentation program in conjunction with organizational goals and objectives
Participates in multidisciplinary process improvement activities, which may include steering committee oversight to attain optimal clinical, operational and financial outcomes. Participates in the development of system policy, procedures, and performance tools for program. Provides consultative expertise on coding process, DRGs and reimbursement methodologies to a multitude of organizational teams
Provides assistance to multifunctional teams in the design and distribution of educational programs associated with clinical documentation for staff and physicians. Participates in the development and implementation of action plans based on meeting system initiatives and implements strategies to work with internal and external customers to ensure quality of the clinical documentation system
Provides education, coaching, and mentoring to staff to promote system integrity throughout the organization. Compiles resource information that will extend the knowledge and enhance the interpretive skills of clinicians. Recognizes successes and identify ongoing opportunities by collaborating with clinicians and coding to improve program efficiencies
Manages personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training and annual evaluations. This position also participates in the development of departmental goals and objectives in accordance with company standards
Participates in the development and management of the department budget. Assists in managing the financial and capital resources for the clinical documentation program and developing and implementing new or revised programs and/or services
Prepares, analyzes, presents and disseminates performance reports for activities associated with the clinical documentation program on an ongoing basis for system, facility and department comparison
Maintains current knowledge on laws, regulatory changes and actual practices, which affect clinical documentation, DRG assignment and reimbursement methodologies

Rn-clinical Documentation Specialist Resume Examples & Samples

Must possess at least five years of acute hospital nursing experience(e.g. medical/surgical unit, intensive care) Experience in Utilization Management/Case Management, Critical Care, patient outcomes/quality management and /or inpatient coding considered a plus
Prior experience in clinical documentation improvement, ICD coding and MS-DRG preferred
Prior experience in educating physicians/providers preferred

Rn Clinical Document Improvement Specialist Him Days Resume Examples & Samples

Performance of inpatient medical record audits
Issuance of compliant, CHS-approved, best-practice physician documentation clarification requests
Tracking and reporting of CDIS activities
Development and delivery of Physician, Coder and Clinical Documentation Improvement Specialist (CDIS) education through a variety of modalities
Providing coders, senior leadership and facility personnel orientation to documentation improvement activities
Degree concentration in Health Informatics and Information Management, Health Care Administration, or clinical background as a Registered Nurse or comparable clinical experience
Minimum of two years’ experience in clinical documentation improvement, ICD-9-CM and DRGs required
Two years’ experience in providing physician and coder education in an acute care setting preferred
Minimum of one-year auditing experience required

Rn-clinical Resource Director Resume Examples & Samples

Demonstrated leadership skills
Demonstrated organizational and communication skills
Functional working knowledge of clinical and surgical supply and SKU maintenance processes
Demonstrated quality improvement implementation skills with regard to clinical processes and SKU management

RN Clinical Lead Resume Examples & Samples

Ensures that medications are administered safely and only by competent clinical support staff as ordered by the provider and consistent with TAMC's policies and protocols
Triages medical issues per policy and coordinates with physicians and/or clinical support staff to ensure procedures are followed appropriately when dealing with patient medical issues
Works in collaboration with Clinical and Administrative Practice Leadership staff to resolve identified patient issues and/or concerns
Monitors provider's desktop; handles items that appropriately meet JPP standards. Prioritizes provider desktop and communicates critical messages/results with provider within an appropriate timeframe
Ensures that ancillary testing ordered by provider is completed and follows-up with patient and/or provider as appropriate, i.e. abnormal test results, results not received, etc
Recognizes the importance of professional development and growth for clinical team and self; seeking out appropriate clinical/leadership educational opportunities
Displays leadership skills and sets an example for practice staff. The RN will serve as a role model to the clinical staff; utilizing effective communication, consistently adhering to TAMC/EMHS Standards of Behavior and policies; demonstrating safe, competent, and compassionate care to the patient/family
Complies with all mandatory educational offerings, Healthstream assignments, and attends all meetings as scheduled (unless excused by the Practice Manager)
Role models commitment to the philosophy and objectives of TAMC's Mission, Vision, Strategic Plan, and Service Excellence
Either Handedness. 70%- 100% of job cycle time
Both Handedness. 70%-100% of job cycle time
Tasks Requiring Use of Both Hands. Up to 40% of shift or job cycle time
Sight. Requires corrected 20/25 near vision and minimum 20/40 corrected far vision
Hearing. Can hear whispered voice at eight (8) feet (FAA class II). Must be able to recognize speech at normal tone and volume at normal conversational distance (up to 4 feet)
Speech. Frequent clear speaking ability required. Ability to speak and be comprehended in normal conversation

RN Clinical Supervisor CVC / Tele Resume Examples & Samples

Degree, licensure and/or certification, as required
Demonstrated managerial skill as required by the position
Successfully passing the Nurse Career Battery is a requirement to be considered for employment

RN Clinical Transplant AO Coord Resume Examples & Samples

Manages the master transplantation list, collects and evaluates data and makes recommendations pertinent to potential organ donation, medical management, and transplantation
Assesses the suitability and prepares the potential transplant/artificial organ recipient and live donor for solid organ transplantation
Applies recipient and cadaver/live donor selection criteria at time of transplant and coordinates preoperative care for cadaver/live donor and recipient
Coordinates post-transplant/implant care and facilitates rehabilitation
Conducts nursing research and collaborative research with physician related activities, including gathering of data and analyzing results
Assembles sterile pump in the operating room (LVAD position only)
Drives to rural communities to visit with patients and community agencies regarding care of the LVAD patient (LVAD position only)
5 years clinical hospital experience
CCTC certification required
3 years Critical Care LPN or Paramedic experience may be substituted for 3 years of RN experience
Bachelors degree in Nursing may be substituted for 2 years of RN experience
Valid Oklahoma drivers license and automobile insurance verification required (LVAD position only)
Must provide own transportation (LVAD position only)

RN Clinical Audit Business Consultant Resume Examples & Samples

Identify and resolve barriers to performance from determining root cause analysis, creating process mapping and resolution – implementation
Ability to effectively communicate/present to upper leadership, legal and/or compliance
Keep up to date on CMS regulations and industry standards to identify any new opportunities for Chart Audit and Itemized Bill Review
Cost benefits analysis / business projections
2 years’ experience as RN/LPN
Progressive experience in the health service industry, healthcare finance or healthcare related consulting
1 year of leading associates or full responsibility from start to finish on project
Experience collaborating with multiple departments and taking the lead on projects or issues that involve multiple departments
Understand upstream and downstream impacts
Ability to effectively prioritize multiple projects at the same time
Working knowledge of Microsoft Word, Excel and PowerPoint
Strong written and verbal communication skills; strong analytical, organizational and time management skills
Basic understanding of Claims Payment Process
Certified Medical coder with one of the following credentials: CCS, RHIT, RHIA
Experience with Microsoft Access

RN Clinical Quality Consultant Resume Examples & Samples

Prior clinical experience and expertise preferably in an acute care or provider setting practice
Must be able to travel 50% of the time - majority local travel
Education: Master’s Degree
Understanding of medical coding
Reporting Relationships

RN Clinical Program Consultant Resume Examples & Samples

Contributor to Provider Solutions clinical program design and successful program delivery to advance Optum as the leader in transforming the healthcare delivery and medical management landscape
Translates program objectives into actionable plans and drives enterprise adoption
Identifies and drives continuous improvement
Build collaborative relationships with internal and external stakeholders
Leverages relationships to advance growth, build solutions and deliver communications relaying program results
Strong ability to break overall objectives into actionable tasks and drive results consistent with program scope, time and resource constraint
Coach and mentor staff as required to attain program value and outcomes goals
Utilizes data to identify and drive performance improvements
Drive end-to-end credentialing and onboarding of staff at designated hospitals for all applicable in-field programs
Perform analysis of admission, re-admission and related metrics at designated hospitals to support appropriate staffing levels
Assist in managing partner hospital relationships in conjunction with regional Directors of Performance Management
Assist in analysis and presentation of program value reporting to key constituents
Current unrestricted RN license in state of residence
Strong clinical background in varied settings
Strong case management
2+ years demonstrated relationship management skills with internal and external partners, strong client and consultant facing skills
Available to travel at least 25% of the time (combination of local and overnight travel throughout Western / Central region
Demonstrated project management: track record completing projects successfully
Experience leading performance improvement initiatives and teams: track record in making data driven decisions and implementing successful operational improvements
Demonstrated solution design: developing innovative clinical approaches to address the needs of a population
2+ years of supervisory experience: strong orientation to team work and employee development

RN Clinical Supervisor Progressive Care Unit Resume Examples & Samples

Assumes responsibility for direction and coordination of all functions of the unit
Assumes responsibility for the overall quality and satisfaction of patient care
Current licensure in Idaho as a Registered Nurse or RN Compact license required
Minimum of three (3) years clinical practice in the Progressive Care Unit
Position requires completion of AHA CPR for Healthcare Providers, ACLS, TNCC, and PALs for CCU
Clinical Supervisors will be professionally responsible for the Maintaining of all appropriate certifications and licensure. Unit-based competency classes to be completed within designated time per PCU Educator
Leadership and management experience preferred
Under no current disciplinary action

RN Clinical Operations Consultant Resume Examples & Samples

Improve or maintain delegate operational performance by applying end-to-end clinical services process assessment to identify risks or opportunities
Improve patients’ clinical outcomes in a cost effective manner
Achieve targeted utilization and cost goals for in-patient, SNF, and outpatient surgery while maintaining high levels of healthcare quality
Develop and initiate strategies that maximize effective and efficient operational, authorization and referral procedures
Eliminate inappropriate ER referrals, and hospital admissions and re-admissions
Design and manage a formal mechanism to identify all PMG/IPA catastrophic, disease management and population based information and
Coordinate hospital and ancillary re-direction efforts
Conducts pre-delegation and annual assessment of delegate’s performance and processes to develop strategies for improvement
Acts as a consultant to develop, implement and maintain new and revised medical management systems and business processes with delegates
Serves as a SME to review and provide recommendations related to the implementation of existing delegate changes in status
Monitors monthly and quarterly UM performance of assigned medical groups: analyzes data and interprets results to assess the performance of the group; identifies strategies for improvement to include specific outcomes and metrics to monitor progress to a goal; provides feedback and makes recommendations in coordination with the Medical Director to the delegation oversight workgroup, delegation oversight committee, and delegate
Provides training to medical groups and hospitals on a variety of topics including utilization management, disease management/Quality programs
Participates in delegate orientation and implementation activities as needed
Serve as the Clinical Interface / Liaison with UHN delegation teams, regulatory, compliance and external partners to coordinate trends, defects, remediation, and CMS concerns
Acts as the primary contact for assigned delegates for general clinical issues and operational issues
Acts as primary contact for assigned delegates to resolve general clinical and operational issues, attends regular internal meetings with Network Management and Sales staff
Attends and presents at external meetings such as the Joint Operating Committee, Orientations, Medical Group Training classes, PMG/IPA and Hospital Utilization Management meetings
Assists other internal departments with delegate changes and terminations
Travel is frequent, up to 50% of the month; typically, same day trips to Medical Groups Occasional overnight trips to the regional office and to outlying medical groups
Establishes and maintains strong working relationships with key internal and external customers
Active, unrestricted nursing license in the State of Residence
Demonstrated experience in assessing clinical performance and identifying opportunities for improvement
Demonstrated experience implementing clinical initiatives designed to help achieve organization goals and affordability targets
5+ years of experience in at least one of the following: quality improvement, practice management, utilization management/medical management,
Expertise in Microsoft office products: Word, Power Point, Excel, Visio
Excellent presentation skills in person, via WebEx and conference call
Excellent written and verbal communication skills with internal and external customers
Excellent interpersonal skills, serves as a leader or mentor
Self-directed with the ability to work independently and with other team members
Experience preparing and presenting information as well as training clinical teams

RN Clinical Supervisor Internal Med Resume Examples & Samples

In
Current licensure as a registered nurse in the state of Utah or Registered Nurse compact license from participating compact states
Maintains current BLS and ACLS certification
BSN Preferred
Requires a minimum of two (2) years RN experience but prefer three (3) years experience
Leadership and management experience is highly desirable

Rn-clinical Quality Resume Examples & Samples

Requires a current, unrestricted RN license in the state of West Virginia
Ability to travel up to 40% throughout the state of West Virginia for provider visits
3 years of compliance, audit or quality improvement experience; or any combination of education and experience, which would provide an equivalent background
Experience with regulatory/accreditation audits and knowledge of regulatory/accreditation standards in a health or managed care environment is preferred

Hospice RN Clinical Liaison Resume Examples & Samples

Minimum of 1-2 years health care or related industry sales experience
Strong knowledge of the facility protocols and industry regulations required. Understanding the hospice philosophy of death and dying
Excellent customer service, account development capabilities, organization, time management, problem solving, communication and selling skills
Computer and Microsoft proficiency

Hospice RN Clinical Specialist Resume Examples & Samples

Nursing degree or the equivalent
Bachelor’s Science in Nursing
Must have strong knowledge of governmental hospice regulations, Medicare eligibility requirements, comprehensive understanding of potential care plan needs for the patient and coordination of necessary resources
Demonstrates the ability to work independently as well as a team player

RN Clinical Reviewer Resume Examples & Samples

Review medical records for accuracy, completeness and consistency with professional standards
Participate in on-site field examinations of Medicaid providers to review clinical documentation
Successfully interact with providers in a professional manner, developing rapport and enhancing business relationships
Maintain security of and confidentiality of all Protected Health Information (PHI)

Weekend RN Clinical Supervisor Resume Examples & Samples

Develop, mentor, and educate Clinicians to ensure competency
Identify clinician learning needs and collaborate with Staff Development and PI Nurses in the development of education and training to meet those needs
Review visit calendars to ensure appropriate utilization of services and the assignment of service codes. Review the patient’s plan of care to ensure it is individualized, appropriate, and adheres to the Healing Pathway recommended frequency
Review and process vital sign alert reports. Document action, any follow-up and physician notification
Review and process all wound score deviations documenting any action and / or follow up
Ensure generation of monthly on-call schedule and review on-call log on a daily basis
Process the OASIS and 485s, verify the correct start of care date and episode date range in the clinical record
Perform a minimum of 12-15 Supervisory field visits per month to ensure clinician competency and appropriateness of patient care
May be required to serve on Agency wide committees
Demonstrate a clear understanding of WILLCARE’s Mission, Purpose and Philosophy
Exhibits commitment to personal and companywide goals
Approach everything with the passion and desire to meet the highest standards
Treat employees, patients, and business partners with respect
Embrace diversity and demonstrate the ability to work together
Promote a safe and efficient working environment by adhering to agency policies and procedures
Adhere to departmental and agency dress codes
Clinical Supervisor Job Description
Must possess at least one of the below combinations of education & experience (see state specific requirements below if applicable)
Knowledge of State and Federal Home Care Regulations
Proficient in OASIS-C completion. OASIS-C certification preferred,

RN Clinical Director Resume Examples & Samples

Directs employee performance management and provides ongoing education opportunities for staff members
Responsible for fiscal management of unit/department
Responsible for overall management of the staffing schedule. May participate in a rotating staffing call schedule within service line
Responsible for ensuring compliance with Standards of Nursing Practice for assigned unit(s)/department(s) as well as local, state, federal, and Regulatory Agency standards
Implements, reviews, interprets and revises all relevant Integris Health and departmental policies and procedures
Community Health Improvement/CHI Only: Act as a resource for Community Health Improvement and rural facilities
CHI Only: Oversight of the Western Village Academy Clinic and the INTEGRIS Free Clinic
Bachelor of Science in Nursing required. Masters degree in Nursing preferred (eff 12/31/2012)
Current Oklahoma RN License
National Certification in Administration or clinical specialty required (eff 6/30/2012)
5 years RN experience
Previous nursing management experience preferred
BLS certification or completion within 30 days of hire required
Surgical Services Only: 3 years current operating room, PACU, or outpatient surgery experience, with 1 year prior management experience required
For Jim Thorpe Rehab Hospital, the national certification for Rehab nursing, CRRN, is preferred
For Community Health Improvement, ARNP with Prescriptive Authority is required

RN, Clinical Quality Coordinator Resume Examples & Samples

Experience in Risk Management or Performance Improvement in an acute care hospital setting is preferable
Prior experience in analysis of clinical data is required
Experience in adult education, Lean group facilitation and leadership is preferable
Experience working in teams of diverse health care disciplines is required
Experience in developing and managing clinical research is preferred
This position must have excellent interpersonal skills to be able to tactfully direct the efforts of diverse groups of health professionals towards performance improvement and risk reduction activities
Critical to this position is the ability to interpret and implement requirements of regulatory agencies, including Title 22, Department of Health Services, TJC, and OSHA
Familiar with standards from the National Committee on Healthcare Quality (NCQA) is preferred
Current knowledge of state, federal and professional industry standards pertaining to the healthcare industry is required
Knowledge of investigation of high-risk events and reporting requirements to Sutter Insurance Services Corporation (SISCO) is preferred
A thorough knowledge of medical staff, organizational and administrative structure is required. Familiarity with comparative databases and statistical methodology is preferred
Requires excellent verbal and written communication skills

RN Clinical Supervisor ICU, Days Resume Examples & Samples

Administers prescribed medications, changes dressings, cleans wounds, and monitors vital signs
Maintains communication with other members of the management team regarding potential/actual problems or concerns, and with Medical Staff issues. Assists with establishing and maintaining communication channels with Medical Staff and other departments in the Hospital
Assesses need for and assists in implementation of staff development programs to enhance professional growth of personnel
Maintains own professional growth through appropriate organizations, workshops, seminars, and other educational endeavors
Organizes, coordinates and facilitates the delivery of patient care activities throughout the shift, assists with bed assignments, discharge planning, census, and support completion of physicianâ€™s orders. Communicates directly with the director/manager on unit and staff performance issues needed attention
Responds to all emergencies as needed
Accountable for adhering to the â€˜I am ORMCâ€™ commitment
Understands and supports the nursing philosophy and hospital mission as it applies to the department. Attends 80% of the staff meetings held during the year
Adheres to the Hospitalâ€™s Safety policies and demonstrates safe practices in all patient care
Leadership and management experience is highly desired

RN Clinical Supervisor ICU, Nights Resume Examples & Samples

Cares for patients requiring long term pain management
Communicates appropriately with other members of the health care team to promote continuity of care. Collaborates with preceptors and new employees, and facilitates new employees in becoming part of the team
Promotes the patientâ€™s bill of rights
Current licensure as an RN in the state of Utah
Previous hospital experience strongly preferred
3 years of clinical practice preferred

RN Clinical Supervisor Intermediate Care Unit Resume Examples & Samples

Provides age and culturally appropriate care to the adolescent, adult and elderly population
Orients and mentors new staff members and assists Licensed Practical Nurses with intravenous medication administration
Teaches, supervises and serves as a resource for staff, assists with clinical procedures as needed
Makes assignments for the present or following shift to provide for smooth transition and ensures appropriate assignments throughout shift to cover changing patient needs and staff availability due to absences, breaks, etc
Actively participates in appropriate Department and Hospital committees and ensures that unit personnel are involved in this process as appropriate
Rounds on patients during the shift
Organizes, coordinates and facilitates the delivery of patient care activities throughout the shift, assists with bed assignments, discharge planning, census, and support completion of physicians orders. Communicates directly with the director/manager on unit and staff performance issues needed attention
ACLS certification is recommended

RN Clinical Supervisor Smokey Point Resume Examples & Samples

20% Provide regular performance feedback and conduct performance appraisals. Monitor skill development and performance of the staff. Direct work of staff, including supervision, hiring, and terminations; determine staffing needs, and ensure efficient utilization of staff
5% Meet regularly with management. Perform other duties including assisting in budget preparation and resolving variances, researching and resolving consumer complaints with staff
3% Assists in conducting monthly nursing and staff meetings
Must relate to other people beyond giving and receiving instructions: (a) get along with co-workers or peers without exhibiting behavioral extreme; (b) perform work activities requiring negotiating, instructing, supervising, persuading or speaking with others; and (c) be open to receiving feedback regarding performance from a supervisor
Performs all duties in a manner which promotes and supports the core values of The Everett Clinic
Frequently must follow written and oral instructions as well as complete routine tasks independently
Ensures confidentiality of patient information following HIPAA guidelines and TEC policies
Attends training to meet requirements of the job position and as needed or mandated by TEC policies, Div. of Occupational Safety & Health (DOSH), OSHA, L&I and other state/federal regulations
Has regular and predictable attendance

RN Clinical Reviewer Resume Examples & Samples

Reviews charts and analyzes clinical record documentation
Conducts ongoing activities which monitor established quality of care standards in the participating provider network and for other clinical staff
Collects, analyzes and prepares clinical record information for projects related to assessing the efficiency, effectiveness and quality of the delivery of managed care services. Prepares monthly performance reports
Assists in the planning and implementation of activities to improve delivery of services and quality of care including the development and coordination of in-service education programs for providers and other clinical staff
Provides training, interpretation and support for QI Clinical Reviewer staff
Responsible for auditing as well as validating internal audit results and/or corrective action plans

Rn-clinical Specialist Resume Examples & Samples

Functions as a patient advocate and provides family support. Ensures parent education, diagnosis-related discharge planning, and wellness training (parenting skills)
Leads in the coordination of complex care across a continuum of care from admission, transfer, discharge & ensures follow-up call for all patients/families to improve care processes and outcomes
Identifies practice changes and develops unit specific outcome measures related to the hospital strategic plan and reports on these outcomes on a quarterly basis
Obtains, synthesizes, analyzes, and utilizes data from information systems and technologies to improve and/or change current processes to achieve desired outcomes using LEAN principles
Collects & gathers pertinent information to improve care, processes, and recognizes staff. Conduct in-services encompassing different shifts and collaborate with team to review case studies
Identifies practice changes affecting outcomes and sustains processes and staff compliance
Develops, implements, and maintains policies, procedures & programs which assure the provision of quality nursing care based upon Evidence Based Practice (EBP)
Identifies and develops clinical measures related to strategic plan for data collection report outcomes on a quarterly basis. Participates in the selection of new staff, preceptors, and mentors
Coordinates orientation for new staff members and preceptor development. Completes probationary review and participates in Learning Contract development
Shares and disseminates information within the department & across the institution. Identifies educational needs, makes recommendations for funds & implements programs to enhance performance
Mentors and engages staff in the development of Evidence Based Practice and research to influence quality of care and improve patient and nursing outcomes
Ensures parent education, diagnosis-related discharge planning, and wellness training (parenting skills)
Coordinates and maintains a portfolio of special stories, events to support Magnet, nursing journal, and regulatory bodies
Completes quarterly closed chart reviews and reviews clinical data. Critically evaluates and anticipates risks to patient safety with the aim of preventing medical errors
Remains current and at the cutting edge of trends in pediatric nursing practice specific to the particular specialty. Shares and disseminates information across the institution and the community
Collects and gathers pertinent information to improve care and processes. Functions as a patient advocate and provides family support
Designs, develops, coordinates, and provides an annual educational plan for the quality and safety including a variety of nursing and patient care topics
Conducts in-services and maintains open communication with patients/family keeping them updated with the plan of care. Works collaboratively in all service excellence initiatives
Specialized teaching skills for specific specialty area
2 years in a CS, educator, or management position in pediatrics preferred
Ability to demonstrate effective conflict management skills
Able to relate cooperatively and constructively with patients, families, and co-workers
Ability to interpret, adapt, and react calmly under stressful conditions
Ability to problem solve to formulate a plan of care and evaluate the patient's response to care

RN Clinical Quality Program Admin Resume Examples & Samples

Performs assessments to identify gaps in the enterprises quality and technology assessment processes and initiates actions to correct these gaps
Assures accuracy and completeness of input provided to internal and external QI committees and timely implementation of appropriate interventions
Assures QI activities are relevant to the targeted population
Assures compliance to Practice Guideline, Delegation and Continuity and Coordination of care Standards
Current unrestricted license or certification in applicable field preferred (i.e. CPHQ). MS in the health field (i.e. Nursing) preferred

RN Clinical Quality Auditor Senior Resume Examples & Samples

Current unrestricted RN license in NY required
Field experience preferred
Medical record audit experience preferred
Computer skills: must be proficient in MS Word, Excel and PowerPoint
Knowledge of managed care/LTSS preferred
Experience conducting quality audits preferred

RN Clinical Quality Program Admin Resume Examples & Samples

Current unrestricted RN license
MS in the health field (i.e. Nursing) preferred
Experience writing performance improvement plans preferred

RN Clinical Abstraction Specialist Resume Examples & Samples

Ability to complete all training modules and pass the certification examination is required
Minimum of one year experience in one of the following settings: hospital surgery department, surgery clinic, clinical research, or medical Clinical chart review and abstraction experience required
Ability to build relationships and gain alignment for clinical support; must be able to articulate questions to receive an appropriate level of support from superiors and peers
Ability to interact with all members of the surgical team and administrative staff in a professional and courteous manner
Computer and Internet experience required - familiarity and comfort with MS Office products is essential for success in this position (Word and Excel- required; PowerPoint and Access- preferred)
Database data entry and/or management experience
Basic statistical knowledge preferred
Quality improvement or patient safety knowledge and experience preferred
Analyzes patient care and practice patterns within nursing, ancillary and medical staff and identifies issues with opportunities for improvement. Identifies patient safety issues, events, trends and deviations from expected clinical practices
Utilizes electronic data systems both clinical and financial, and assists with creating reports needed for improvement activities and reappointment of medical staff. Assists and supports peer review activities, when appropriate
Maintains expertise and acts as a resource in clinical data abstraction for CMS and TJC core measures, STS, ACC and other facility or clinical registries
Acts as a resource for new personnel
Acts as a consultant and subject matter expert for designated clinical area(s). Acts as a consultant and subject matter expert for clinical quality metric requirements
Participates in implementation of standardized clinical practices and criteria at the system and facility level. Develops and analyzes data for administrative and clinical decision making related to clinical performance of expected practices

Rn Clinical Supervisor Ffhc Resume Examples & Samples

Demonstrates knowledge and competency in the provision of nursing care appropriate to the patient population served by the designated practice(s) and/or department(s)
Responsible for clinical/administrative duties, including, but not limited to, clinical staff scheduling, oversight of clinical staffs' orientations and education, development of individualized clinical action plans and coaching as needed, staff's annual competencies and evaluations, and fostering staff's professional growth; under the guidance of the Director of Nursing-TAMC Medical Group
Responsible for the development, implementation, revision, monitoring, and reporting of the clinical Performance Improvement activities appropriate to the practice(s)/department(s)
Will be an active participant on the Policy and Procedure committee; utilizing evidenced-based-practice to improve patient care, practice flow, and meet regulatory requirements essential to achieve a consistently high standard of patient care
Responsible for ensuring the clinical environment is in compliance with JCAHO and Maine state regulations
Responsible for identifying the need for, supporting, and assisting in the development/administration of continued education for clinical support staff. Also recognizes the importance of professional development and growth for self; seeking out appropriate clinical/leadership educational opportunities
Comply with all mandatory educational offerings, Healthstream assignments, and attend all meetings as scheduled (unless excused by practice manager and/or Director of Nursing)
Role model commitment to the philosophy and objectives of TAMC's Mission, Vision, Strategic Plan, and Service Excellence
Serves as a resource to the Primary Care clinical support staff to ensure that consistent, safe, and efficient patient care is delivered. Acts as a liaison between MA/LPN's and providers to ensure the consistent/safe delivery of patient care. Also ensures effective communication is occurring between the Primary Care Team, as well as the patient/family
Collaborates with providers regarding medication management, i.e., opioids, anti-coagulants
Works in collaboration with Clinical and Administrative Practice Leadership to resolve identified patient issues and/or concerns
Huddles daily with the RN's assigned clinical support staff team; encouraging staff to effectively communicate concerns, provide real-time education, and ensure that the clinical environment is maintained appropriately

RN Clinical Liaison Resume Examples & Samples

Educates existing and new referral sources, medical professionals and the community on Kindred’s core competence in rehabilitation by utilizing clinical outcomes
Manages referrals and admissions generated through their assigned territory by representing the hospital with professionalism
Conducts patient assessments and coordinates transfer of medically appropriate patients for admission to the acute rehabilitation setting
Maintains effective communication and ability to connect with patients, families, physicians, case managers, nurses and insurance case managers
Designs and develops marketing strategies for their assigned territory designed to increase patient admissions that leverage Kindred’s core competence in the area of rehabilitating medically complex patients/residents who require an extended stay in a healthcare setting
Provides referral sources, medical professionals, the community, patients and caregivers with education on Kindred’s clinical expertise in rehabilitation and clearly establishes how Kindred is able to differentiate themselves from their competition
Participates in continuing education/professional development activities
Minimum of three years of Clinical/Case Management experience preferred
Minimum two years demonstrated full life cycle sales experience from lead generation, educating the client, persistent follow up and follow through on all leads, issues and success stories preferred
Strong preference given to candidates who have previously operated in the sales function of a durable medical equipment, institutional pharmaceutical or healthcare setting company
Knowledge of acute hospitals and post-acute settings preferred

RN Clinical Manager Radiology Department Day Shift Resume Examples & Samples

Bachelor of Science Degree - Nursing
Current American Heart Association BLS certification (maintain current at all times)
Current American Heart Association ACLS Certification (maintain current at all times)
Current American Heart Association PALS Certification (maintain current at all times)
Demonstrated clinical competence and leadership skills
3 to 5 years’ clinical experience
Effective verbal and written communication skills to communicate with people on all levels and able to maintain positive working relationships with patients, families, and co-workers inter- and intra-departmentally

Rn-clinical Specialist Resume Examples & Samples

Collaborates with physicians, nursing personnel and other health care professionals to identify expected outcomes that incorporate scientific evidence and are achievable through implementation of evidence-based practice
Identifies patient/family/community health care and education needs and collaborates in the development, implementation, and evaluation of teaching programs and materials that is appropriate to the patient’s developmental level, learning needs, readiness to learn and cultural values and beliefs
Provides physical care to patients as necessary to meet patient care outcomes or education needs of staff
Identifies expected outcomes that incorporate cost and clinical effectiveness, patient satisfaction and continuity and consistency among providers
Provides patients with information about intended effects and potential adverse effects of proposed prescriptive therapies along with information regarding cost, alternative treatments and procedures, as appropriate
Integrates nursing practice with medical diagnoses and treatment of disease, injury and disability; implements measures to reduce complications, frequency of Emergency Room visits, and hospital readmissions
Current licensure as a Registered Nurse in the State of Iowa
Master’s degree in Nursing required from an accredited college or university; Master’s degree candidates will be considered
Progressive clinical, educational, administrative experiences with demonstrated expertise in specialty
Demonstrated ability as self-directed, efficient, effective leader with outstanding oral (e.g., clinical practice, systems-thinker, program assessment), written (e.g., professional, research, program management, grants), and technical (e.g., computer, telephone) communication skills
Experience in clinical settings as a member of interdisciplinary health care teams and committees
Flexibility in work hours to meet needs of patients, families, medical and clinical staff, academic and community audiences

RN Clinical Services Specialist Resume Examples & Samples

A.D.N degree from accredited school of nursing required; B.S.N preferred; three-year diploma from accredited diploma program may be substituted for nursing degree
Current RN license in state of practice required
Bachelor's degree in associated field preferred
Minimum of 3 years (5 years preferred) of nephrology experience required
Experience in researching, updating, and maintaining clinical policies and procedures preferred
Flexibility in scheduling and ability to travel
Experience in teaching the adult learner strongly preferred with demonstrated ability to communicate technical/medical information in lay terms as necessary
CNN or CDN, Bonent certification within one year of hire or position change
Current driver's license in state of residence and insurable driving record required
Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint and Outlook required

Rn Clinical Per Diem Resume Examples & Samples

COMMUNICATION: Communicates and collaborates with all health team members, patients, and families effectively. Ensures patient care needs are met in a timely manner and follow through is initiated and/or completed. May act as a patient advocate
Ability to vertically/horizontally transfer objects weighting up to 10 lbs from 8 inches to 30 inches, up to five times an hour for a distance of up to 5 feet without mechanical assistance. (example: Charts)
Ability to vertically/horizontally transfer objects weighing up to 15 lbs from 17 inches to 28 inches, up to once an hour for a distance of up to 5 feet without mechanical assistance. (example: P&P Manual)
Ability to vertically/horizontally transfer objects weighing up to 20 lbs from 45 inches to 26 inches, up to once an hour for a distance of up to 200 feet without mechanical assistance. (example: Oxygen Tank)
Ability to vertically/horizontally transfer objects weighing up to 20 lbs from 33 inches to 26 inches, up to once an hour for a distance of up to 200 feet without mechanical assistance. (example: Monitors)
Ability to push/pull crash cart or wheelchair (with patient). Must be able to horizontally transfer wheelchair and crash cart requiring a force up to 10 lbs (total weight of 250 lbs), up to once an hour for a distance up to 200 ft
Ability to push/pull gurney with patient. Must be able to horizontally transfer gurney requiring a force up to 35 lbs (total weight of 410 lbs), up to once an hour for a distance up to 200 ft
Ability to push/pull patient bed (with patient). Must be able to horizontally transfer patient bed (2 man ) requiring a force up to 38 lbs (total weight of 713 lbs/2 =357 lbs.) five times an hour for a distance up to 50 ft
Ability to push/ pull patient on bed sheet from gurney to bed, bed to gurney, and sit patient upright in bed. Requires upper body forces up to 45 lbs, up to five times an hour
Ability to lift and transfer patient from bed to wheelchair, and wheelchair to bed. Requires upper body forces up to 50 lbs, up to six times a day
Ability to turn patient side to side in bed and boost up in bed. Requires upper body forces up to 50 lbs, up to six times an hour (one time in ten minutes)
Ability to tolerate a standing posture up to 2 hours, continuously, for a total of up to 9 hours per 12 hour time period

RN Clinical Reviewer Resume Examples & Samples

Utilize health care knowledge and experience to review medical records for various types of medical services for accuracy, completeness and consistency with professional standards and compliance with billing and coding requirements
Document and report findings of reviews and audits in accordance with professional standards and project protocols
Work closely with accounting staff and state client personnel on health care reimbursement and compliance-related issues, including recommending changes and improvements of policies to ensure provider compliance
Perform additional assignments relating to Medicaid reimbursement
Develop and maintain general knowledge of Medicaid statutes, regulations, provider billing manuals and other Medicaid policies
Interpret and analyze health care data
Successfully interact with accounting staff, state agency staff and providers in a professional manner, developing rapport and enhancing business relationships
Maintain security of and confidentiality of all protected health information

Rn-clinical, Rheumatology FTE Resume Examples & Samples

Responds to patient phone calls in a timely and appropriate manner
Orders supplies, or designates responsibility to MA/CAN, stocks examination rooms, and maintains exam room inventory including inspection and maintenance of emergency equipment
Helps to maintain appropriate level of sample stock and educational materials for family/patient education
Acts as a departmental representative in a Hospital committee
Keeps current on trends in nursing and rheumatology
Works as a team player with all members of the Section as well as other sections/departments in the Hospital
Performs duties as assigned by Practice Administrator
Commitment to customer service
Must be able to demonstrate the knowledge and skills necessary to provide care based on physical, psychological, developmental, social, educational, safety, and related criteria, appropriate to the age of the patient’s service in the Section of Child Neurology

Rn Clinical Docu Spec Days Resume Examples & Samples

Active license as a Registered Nurse or Equivalent Clinical knowledge obtained through Medical School
5 years as Registered Nurse, LPN or Equivalent, such as a graduate of a foreign medical school
Knowledge of patient care delivery documentation and related medical record documents. Strong broad-based clinical knowledge and understanding of Pathology/Physiology of the disease process. Knowledge of care delivery documentation systems and related medical record documents. Excellent written and verbal communication skills. Excellent clinical & critical thinking skills. Ability to work independently in a time-sensitive environment. Assertive personality to facilitate ongoing physician communication. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, hospital management staff and coding staff. Working knowledge of coding logic. Competent literacy and familiarity with the operation of basic office equipment. Working knowledge of Medicare reimbursement system

Rn Clinical Document Specialist Days Resume Examples & Samples

Active license as a Registered Nurse or equivalent clinical knowledge obtained through medical school
At least 5 years of experience as a Registered Nurse or LPN or equivalent experience such as a graduate of a foreign medical school
Knowledge of patient care delivery documentation and related medical record documents
Strong broad-based clinical knowledge and understanding of Pathology/Physiology of the disease process
Excellent written and verbal communication skills
Excellent clinical and critical thinking skills
Ability to work in a time-sensitive environment
Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, hospital management staff and coding staff
Competent literacy and familiarity with the operation of basic office equipment
Working knowledge of Medicare reimbursement system

RN Clinical Program Consultant Resume Examples & Samples

Serves as conduit to educate and enable care coordination between stakeholders resulting in an optimal healthcare experience and customer satisfaction Partners with account teams and matrix partners, providing data analysis, clinical insights and consultative strategic recommendations that positively impact short and long-term program goals Serves as clinical advisor to the sales organization, providing ongoing product and industry knowledge/education that positively influence cost, quality and customer satisfaction Provides clinical expertise and strategic consultation for account retention activities and enterprise approved non-standard benefit requests May assist with development of customized analyses and illustrations to be used in key stakeholder presentations Participates as assigned, with on-site presentations to educate and inform Facilitates resolution to the largest most complex clinical issues and inquiries, solving non-routine problems, and ensuring client satisfaction with products and services Identifies and influences systemic enterprise change that impacts improved performance results, organization effectiveness and/or systems/quality/services (e.g., policies, processes or systems) Identifies enterprise improvement opportunities and challenges self and others to develop and/or facilitate solutions Applies fundamental knowledge of business segment strategies, distribution channels and operating issues in support of growth and persistency In partnership with the Market and/or National Medical Executive and other key matrix partners, assist with the identification and support of Total Medical Cost (TMC) initiatives that result in trend reduction and overall value to the customer Collaborates cross-functionally to promote operational efficiencies and a seamless client experience that may include cultural training, readiness assessments, vendor integrations and clinical audits · As part of the Cigna Collaborative Care (CCC) clinical management team, works with multiple teams of internal business partners and external constituents, leveraging clinical knowledge and industry perspective to drive CCC program success in quality, affordability and experience of care
Fosters and maintains effective relationships with Collaborative Embedded Care Coordinators to encourage and support achievement of CCC goals Provides analysis and interpretation, prepares key talking points and presents performance results for Cigna Collaborative Accountable Care groups at the direction of or in lieu of the Market Medical Executive Possesses an understanding of local market industry innovations and supports the Market Medical Executive in market specific value-based network initiatives
Registered Nurse with a current active licensure Required Bachelor’s degree, Advanced Degree preferred· Minimum of three (3) years of clinical practice experience
Proven industry experience in a Health Sector related field (Health Insurance; Healthcare Professional and/or Delivery System Entities or Allied Health Industry) · Excellent time management, organizational, research, analytical, communication and interpersonal skills with demonstrated ability to build strong relationships and influence diverse teams
Demonstrates Flexible, Consultative Critical Thinking and Action planning
Outstanding verbal and written communication skills, including formal presentations for all levels of management
Proficient in using Microsoft and Technology/Software applications
Requires intermittent travel (may vary by assignment) up to 50% of time

RN Clinical Specialist Sales San Jose Resume Examples & Samples

Act as primary liaison and clinical sales support between Cardiac, Rheumatology and Pulmonary Arterial Hypertension (PAH) centers, physician practices, hospitals and division to facilitate communication between supplier and distributor. Attends and represents division at meetings for PAH product lines
Visits physician(s) and PAH treatment centers to facilitate referral process and support communications locally and regionally between division and center. Perform case management for caseload of patients at major treatment center(s). Facilitates regular patient case conference meetings between physician groups and branches
Assists with PAH presentations. Accountable for coordinating and working with cardiopulmonary sales, Regional Team and branch clinical team in facilitating new cardiopulmonary business
Obtains clinical documentation from referral sources to obtain financial and clinical clearance from payor for PAH therapies, including new and existing clients
Identifies and reports contract issues, threats, and opportunities to management
Proficiency with MS Word, Excel and PowerPoint; proficiency in Access preferred
Strong technical aptitude. Collegial work style; team-oriented
Ability to align efforts effectively with other work groups. Energetic, self-motivated, engaging individual
Ability to impact and influence employees at all organizational levels. Effective conflict management skills
Professional, positive demeanor. Problem solving and project management skills
Strong leadership ability; Understanding of legal and regulatory issues
Organize people and systems to achieve goals

RN Clinical Team Lead for the Area Resume Examples & Samples

Receives case referrals and accepts those who the agency is capable of providing services for
Reviews available patient information related to case, including home visits, to determine home health care needs. Assigns appropriate home care personnel to case as needed
Conferences with Attending Physician regarding any questions about an individual's eligibility for services
Reviews patient's medical diagnosis, procedures, medications, and clinical course
Attends and runs, and documents case conference meetings with organization personnel to facilitate coordination of care
Participates in quarterly record reviews and communicates findings and recommendations to Director of Nursing and appropriate organization personnel
Makes recommendations for employment of individuals. Assists in the orientation of new organization personnel
Assists Director of Nursing in the planning, implementation and evaluation of in-service and continuing education programs
Participates in public relation and community activities that promote the Organization's role as an effective member of the health care delivery system
Performs other duties and activities as delegated by the Director of Nursing and/or Branch Manager

Rn-clinical Oncology Researchcoor Resume Examples & Samples

Current valid Michigan RN license required
ACRP or SOCRA certification preferred
Two years' of progressive oncology research experience preferred

RN Clinical Manager Surgical Unit Resume Examples & Samples

Must have a current and valid state license as a Registered Nurse
BLS (AHA) upon hire and maintain current
A minimum of two years supervisory/management experience necessary
Minimum of three years of continuous clinical experience in a clinical/acute care setting
Advanced Cardiac Life Support (ACLS) (AHA) upon hire and maintain current

RN, Clinical Supervisor Resume Examples & Samples

Requires extensive knowledge and understanding of multiple body systems
Minimum 2 years Intensive Care Unit experience
Intra-aortic balloon pump, open heart surgery, neuro-interventional, complex surgical and medical experience preferred
Current CA RN license required
ACLS required
NIHSS required

RN, Clinical Resume Examples & Samples

Assesses health care needs. A data collection process that is systematic, includes psychosocial, cultural, spiritual, and other factors and is on-going, determined by the patient’s immediate condition or needs, and involves the patient, family, significant others, and health care providers when appropriate. Analyzes the assessment data in determining diagnosis and plan of care
Develops and contributes to a written plan of care to meet patient’s subtle as well as obvious nursing needs
Implements the plan of care to attain expected outcomes
Evaluates the patient’s outcomes. Evaluation is systematic and on-going, is determined by the patient’s responses to the interventions, which are documented in the medical record
Systematically evaluates the quality and effectiveness of nursing practice and considers factors related to safety, effectiveness and cost in planning and delivering patient care as a professional work responsibility
Identifies, develops and implements an action plan for self-development/professional growth
Identifies subtle as well as obvious patient problems and reports to an appropriate resource person
Addresses the age specific needs of all populations served: adolescent, adult, and geriatric

Rn-clinical Resume Examples & Samples

Triage patients upon presentation to the Emergency Department
Assesses the patient and family needs and completes admission assessment documentation
Documents patient status at the time of admission, transfer, or discharge to and from nursing unit
Sets priorities in planning for patient needs
Utilization of the departmental grease board concerning patient status
Performs technical skills safely and according to accepted procedure
Demonstrates ability to use equipment according to accepted procedure
Is knowledgeable about signs and symptoms of patient conditions most commonly encountered in the pediatric, adolescent, adult and geriatric patient and understands the patho-physiology as demonstrated by appropriate nursing interventions
Is knowledgeable about medications and IV solutions in terms of purpose, side effects, and contraindications in the pediatric, adolescent, adult and geriatric patient
Instructs the patient and/or family in identified knowledge and/or skills deficits
Evaluates and documents the response of patients and/or family to teaching
Evaluates and documents the response to medications and/or treatments
Provides feedback for co-workers concerning appropriate or inappropriate nursing interventions
Demonstrates responsiveness to co-members by listening, providing support, or referring to appropriate source of help if indicated
Recognizes own limitations and seeks help from appropriate sources when needed
Assumes computer duties when necessary or when assigned
Communicates with Clinical Director regarding new or temporary employees assigned to the unit
Makes self available to listen to patient and family concerns
Addresses patient with appropriate title as agreed by patient and family
Communicates concise and appropriate information concerning patient’s needs and condition to physician and ancillary departments
Communicates concise and appropriate information concerning patient’s needs and condition by way of inter-shift reports
Attends a minimum of three (3) staff meetings per year, or reads and initials that they have read minutes from staff meeting
Participates in Nursing Department committees as requested
Seeks experiences to enhance clinical knowledge of the pediatric, adolescent, adult and geriatric patient as evidenced by maintaining education file on unit
Submits copies of CEU certificates for outside seminars to Clinical Director yearly
Participates in annual Competency evaluation
Maintains current BCLS, ACLS and PALS certification
Appearance is in accordance with nursing policy. Wears complete uniform and photo identification badge
Cooperates with and accepts changes in policy, procedure, personnel, and environment
Accepts guidance and direction from the Clinical Director
Contributes to positive unit atmosphere as evidenced by a smile, eye contact, friendly demeanor, etc., as defined by guest relations policy
Is ready to begin working at the scheduled time
Utilizes time effectively to complete assignments on time
Unscheduled time off does not exceed an average of six to eight days annually
Demonstrates flexibility in response to unexpected change in volume, emergencies, staffing, or scheduling
Successful completion of basic arrhythmia course
AB-508 training
8 hours of pediatric BRN approved education every 2 years

RN, Clinical Affiliate Resume Examples & Samples

Completes specialty nursing assessment
Gathers patient data from all disciplines to improve operational efficiencies of care delivery
Assists patient care providers with physician access in caring for the patients
Works in a collaborative fashion with all providers in the acute care setting. Maintains responsibility of competency and licensure requirements
Works with providers, nursing education and ancillary staff to develop, update and standardize patient and staff education
Provides patient education for their specialty and documents accordingly
Performs staff education for inpatient units and caregivers using group and one-on-one methods
Works collaboratively with providers, and nursing education to standardize discharge instructions and processes. Reviews annually with team to ensure information is up to date and for opportunity for process improvement
Responsible for scheduling patient surgery during inpatient stay
Works collaboratively with all members of the care team including clinic staff and outpatient services to improve patient flow from admission to discharge
Serves on committees, as requested, to meet goals of specialty service line
Follows all professional practice standards, regulatory requirements and orgnizational policies and procedures, medical staff by-laws in the delivery of care
Participates in quality review and research initiatives as applicable
Provides excellence in customer service through communication with all members of health care team. Completes service recovery as appropriate
Must be a registered nurse and licensed to practice in the State of Ohio
Must be CPR certified. Specialty certification encouraged
Minimum 3-5 years of nursing experience in the specialty of the position
Must be able to successfully complete the hospital/unit professional nurse orientation
Responsible for maintenance of competency and licensure requirements
Communicates in an effective and professional manner with all members of multidisciplinary team

RN Clinical Appeals Resume Examples & Samples

Focuses on the review and analysis of governmental denial rationales and provides appropriate medical necessity appeal services
Review governmental contractors response letter in comparison to the medical records
Communicates with facility regarding missing or insufficient medical documentation
Review medical documentation for adherence to Medicare guidelines relating to inpatient services (or other Medicare issues) and draft appropriate appeal letters based upon professional clinical opinion as to the medical necessity of the services provided
Research issues using federal or law, federal regulations, and relevant CMS policies
Communicates with members of the healthcare team identifying root causes for potential denials
Communicates with the CMO/VPMA regarding appeals and obtain signature for appeals
Assures all discussions and appeals are filed timely
Completes data entry in the Denial database for tracking, trends, and analysis
A.Education/Skills
Graduate of an accredited School of Nursing with an Associate or Bachelor's degree (Preferred) in nursing
Excellent verbal and written communication skills, strong listening skills, critical thinking and analytical skills, problem solving skills, ability to set priorities and multi-task
Intensive writing capabilities/efficiencies
Ability to communicate with multiple levels in the organization (e.g. managers, physicians, clinical and support staff)
Ability to maintain a strong relationship with the medical staff and work collaboratively to positively affect clinical and financial outcomes
Assertive and diplomatic communication, proven ability to function on a multidisciplinary team
Excellent organizational skills including effective time management, priority setting and process improvement
B.Experience
Two to four years of Case Management experience
Two-three years' experience in the denial and appeal process
Experience with managed care, governmental and/or RAC appeals strongly preferred

RN Clinical Applications Coordinator Resume Examples & Samples

The position is responsible for the initial end user training in the use of Advanced Clinicals - CPOE, and the ongoing educational support to ensure adoption and integration
The pivotal role will be responsible for coordinating the completion of project assessments, quality of data input by users, and verification of appropriate sign off of orders within Meditech-our computerized documentation system
The data quality manager works with the facility, division and corporate peers to ensure Advanced Clinicals data is correct and appropriate and meaningful use is achieved throughout the facility
Manage orders in MEDITECH
Collaborate with physicians to correct erroneous PDoc entries
Resolution of complex issues and requests escalated from the division service desk or other division or facility service resources
Acts as a liaison to clinicians, physician level providers, and the HIM to collaborate for resolutions at the source of data quality issues
Establish data integrity auditing process
Participate in training activities for Advanced Clinicals
Provide initial orientation to Advanced Clinicals for all new and existing providers; to include elbow-to-elbow rounding support
Identify and report system or build issues that negatively affect adoption and/or performance
Ongoing monitoring of various Advanced Clinicals usage trend reports. Identify gaps/areas of opportunity and develop action plan to address areas of concern
Participate in clinical review of order sets and protocols
Assists testing and training for new Advanced Clinicals - CPOE releases and functionality
Adheres to Code of Conduct and Mission/Value Statement
Ensure that provider documents are signed in Meditech and in the appropriate status to become a part of the legal medical record
Minimum of 2 years’ experience working with an Electronic Health Record system; Meditech preferred
Documented recent experience with Advanced Clinicals-CPOE implementation or related Informatics project completion
1 year teaching experience; i.e. precepting, mentoring, in-service provision, in a clinical environment, preferred
RN clinical background-minimum 2 years
Exposure and experience within Nursing Informatics and Hospital Information Management, preferred

RN Clinical Coordiator, Progessive Care Unit Resume Examples & Samples

Assures satisfaction of customers (patient, visitors, physicians and staff)
Functions as a resource to Clinical Coordinators in problem resolution
Five (5) years current nursing experience. Experience as a Clinical Coordinator with demonstrated proficiency. Demonstrated leadership ability with the skill to educate others (preferred)

Ubc-supervisor, RN Clinical Resume Examples & Samples

Monitor operational performance relating to Operational metrics, Quality measures, Contractual requirements, Execution of MBM policies and procedures and Clinical appropriateness
Monitor the daily administration of clinical programs, including application of medical policy, utilization management processes and practices while remaining compliant with contractual and regulatory requirements
Serve as a point of escalation for issues requiring a higher degree of expertise or discretion to resolve
Provides department leadership in the area of staff performance including mentoring, auditing, productivity monitoring and coaching for success
Corresponds with management on employee/HR issues, state of the department and any service issues involving key clients or legal risk issues to the company
Analyze reporting data trends within team relative to quality to ensure efficiency and productivity requirements are maximized. Provide feedback to team related to productivity and efficiency
Continual identification of operational opportunities to gain efficiencies, improve processes and workflow and develop best practices
Bachelor’s degree in relevant discipline or equivalent experience
2-5 years relevant experience or Master’s degree
Solid PC navigation skill set
Excellent verbal and written communication and presentation skills
Solid understanding of the health insurance industry
Ability to navigate and support both public and private insurance/plan requirements
Managed care exposure; Understanding or ability to implement utilization management principles
Proven leader in a clinical ops environment

RN Clinical Consultaion Resume Examples & Samples

Identifies the needs of caller by triaging, obtaining general health information and/or physician services referral
Evaluates need for alternative treatment through telephonic contact and assessment with service provider
Triages patient utilizing computerized protocols/algorithms; interviews patient to obtain pertinent data; and enters data into computer system
Identifies life-threatening emergencies and recommends appropriate interventions
Refers issues requiring physician interventions to physician in a timely manner; directs patients to appropriate level of care including but not limited to the nearest emergency room, urgent care facility, primary treating physician or home care
Interacts and coordinates work of Physician Advisors as necessary
Knowledge of current alternative resources and treatments in out-patient and alternative care settings

RN Clinical Consultation Resume Examples & Samples

Applies all phases of the nursing process; i.e. assessment, planning, implementation and evaluation when triaging calls
Demonstrates effective verbal communications; communicates phone advice in a calm manner ensuring it is properly received and understood
Adheres to quality assurance standards
Serves as resource to triage team members
Strong knowledge of nursing practice and theory
Knowledge of the insurance industry and claims processing

RN Clinical Appeals Analyst Resume Examples & Samples

Perform medical necessity reviews on accounts with financial risk due to unresolved accounts receivable including on denied accounts and accounts with other payment discrepancies
Prepare and document fact based clinical summaries/appeals based on industry accepted criteria, State/Federal guidelines, evidenced based research and predictive determinations to support account resolution and/or litigation; if clinical review does not meet criteria, leverages co-morbid conditions and other pertinent clinical facts to support account resolution
Perform retrospective (post -discharge/ post-service) medical necessity reviews to determine appropriateness of level of care documented and provided using nationally accepted criteria, State and Federal Guidelines, evidenced-based research and predictive determinations
Manage RAC functions to include tracking status of all RAC activity, communicating with all involved in the RAC process, writing appeal letters as applicable, and following all RAC activities to closure
Assess the robustness/strength of already constructed clinical cases and make recommendations regarding most appropriate route of resolution
Monitor the progress and resolution of appealed denials, following-up with third party payors where necessary in order to drive claims to resolution
Identify coding or clinical documentation issues and work with the appropriate stakeholder to correct them in a timely manner
Demonstrate ability to critically think, problem solve and make independent decisions supporting the litigation process including interactions with arbitrators/mediators, legal counsel, payor representatives, physicians and case managers
Demonstrate proficiency in utilization of electronic tools including but not limited to Case Management tool, InterQual®, visual imaging, electronic medical record, as well as competency in Microsoft Office including Outlook, Excel, Word and PowerPoint
Provide an accurate and comprehensive Executive Summary and detailed monthly account review
Daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate
Adhere to Piedmont organizational policies and procedures for relevant location and job scope
Complete and/or attend mandatory training and education sessions within approved organizational guidelines and timeframes
Must adhere at all times to Compliance policies and procedures and maintain sensitivity and confidentiality with patients’ medical record documentation, and all private health information used in the Government Appeals Department processes
Other miscellaneous duties/projects as assigned

RN Clinical Integration Process Manager for Wellmed Resume Examples & Samples

Completes pre-acquisition Practice Health and Safety Assessments and the follow-up processes as assigned
Completes pre- acquisition Medical Chart Reviews as assigned
Serves on Quality of Care Committee reviewing Patient concerns from a clinical perspective
Supports patient satisfaction improvement processes with the integration clinics
Identifies variances in clinical operational structure and function between current and desired state related to Clinical reviews
All Assessments and reviews must be performed in a timely and accurate manner
Provides support and serves as on-going resource to the clinic and/or market team to ensure performance targets are met, with a focus on quality and risk adjustment goals
Identifies risk issues that impact successful integration of the clinic and /or engages proper resources to ensure resolution
Ensures integration timelines are met in accordance with the approved project plan
Maintains and builds relationships across business groups
Assists clinic staff and / or market team in defining appropriate workflows based on introduction of new processes
Provides input into engagement decisions, including work plan, timeline and resource allocation
Completes clinical training modules as assigned
Supports Medical Management and Utilization Management processes and training as assigned
Active unrestricted Registered Nurse (RN) license in the applicable states of employment
Bachelor’s degree in Nursing, Healthcare or Business Administration or a related field required. (6 additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a Bachelor’s degree)
Four or more years in the healthcare field, with an emphasis in clinic operations or staff training and development
Strong interpersonal skills with ability to interface effectively both externally and internally with a wide range of people including physicians, office staff and other health plan staff
Knowledge of organization policies and procedures and ability to read, interpret and apply
Knowledge of and skills with tools used in Healthcare Operations: EMR, Practice Management System, Clinic Operations and related systems
Significant travel required approximately 75% travel time
Six years or more of directly related experience in medical practice management
Supervisory experience in a healthcare setting

Rn-clinical Documentation Improvement Specialist Resume Examples & Samples

Bachelors degree in nursing or Associate degree in nursing and Bachelors degree in a related field
2-3 years of nursing practice
Experience with quality improvement programs and outcomes
Working knowledge of electronic medical records (EMR), clinical documentation and medical coding
Proven ability to develop collegial relationships in an interdisciplinary environment

Ambulatory Rn-clinical Center Resume Examples & Samples

Proficiency in electronic medical record documentation
Participates in the recommendation of policy and/or procedural changes according to nursing expertise
Prepares equipment and assists physicians during physical exams and medical procedures. Prepares and administers medications as prescribed by physician
Inspects equipment and facilities visually and physically to ensure patient safety and proper functioning of equipment. Maintains adequate stock of supplies as required for work area
Attends and participates in meetings related to clinical activities
Duties performed may include one or more of the following core functions: a) Directly interacting with or caring for patients; b) Directly interacting with or caring for human-subjects research participants; c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records
Other Duties: Performs other duties as assigned

RN Clinical Document Specialist Resume Examples & Samples

Provides subject matter expertise related to DRG, clinical documentation opportunities and requirements. Serves as an essential member of the clinical team, emphasizing their role in reviewing content of the medical record, assisting in the clarification of documentation ambiguities. Serves as the liaison between coding and physicians to explain, educate and assist in the needed documentation requirements to accurate conversion from the clinical language to the needed coding language in order to capture revenue
Ensures data integrity of the clinical documentation database through compliant, accurate and appropriate entries, which include but is not limited to, accurate input of case data, correct assignment of documentation clarification types and provider responses, and ensuring precise case reconciliation with correct DRG shifts recorded
Serves as member of facility task force meetings, and as requested attends facility steering committee meetings and/or other facility meetings

RN, Clinical Float Resume Examples & Samples

Triage: triage patient phone calls and give direction to patients who are ill or injured; communicate individual situations to appropriate physician/PA for their advice; call in patient prescription refills after approved by physician/PA; fill out test order forms, lab requisitions, patient forms and referral forms upon approval of physician/PA; and all other duties/responsibilities as assigned
Rooming patients: Bring patients back to exam room to take vitals and information about appointment made for that day; call patients back with results of tests ordered by their physician/PA; assist with any procedures done; complete lab tests done in the office; fill out lab requisitions, test orders, patient forms and referral forms as per their physician/PA request; respond to patient calls as appropriate; open supply orders as they are received in the office; and all other duties/responsibilities as assigned
Good communication skills, able work well with physicians; computer skills and ability to learn new software as needed
Competency must be demonstrated in four of the following specialty departments: After Hours Care, Allergy, Gastroenterology, Nephrology, Neurology, Podiatry, Pulmonology, Rheumatology, Spine Center, Wound Care
Competency must be demonstrated in Internal Medicine and Family Medicine
Experience in physician office preferred
Epic experience a plus

Prn-rn Clinical Documentation Specialist Resume Examples & Samples

Must be proficient with Windows-style applications and keyboard
Skills to articulate questions to receive an appropriate level of support from superiors and peers
Quality improvement or patient safety knowledge and experience

RN Clinical Reviewer Resume Examples & Samples

Utilize healthcare knowledge and experience to review medical records for various types of medical services for accuracy, completeness and consistency with professional standards and compliance with billing and coding requirements
Update and develop new and current audit recovery projects
Work closely with accounting staff and state client personnel on health care reimbursement related issues
Perform additional assignments relating to Medicaid reimbursement and Medicare compliance
Develop and maintain general knowledge of reimbursement regulations, provider billing manuals and other Medicaid policies
Work collaboratively with medical director in the development and management, project governance and detailed project plans as it relates to completing contract deliverables as defined by the statement of work
Participate in and contribute to the quality management system
A high level of dependability and accountability to meet predefined production and quality standards

RN Clinical Lead-pacu Resume Examples & Samples

Demonstrates physical and mental abilities to apply nursing and management theories, procedures and standards of clinical practice
Manages limited resources
Demonstrates effective and appropriate communication skills
Participates in making collaborative decisions that contribute to the success of the organization
Uses critical thinking and emotional intelligence to adapt to changing needs of a healthcare system
Coaches staff on problem solving and critical thinking
Attends at least two continuing education sessions per year. One related to management/leadership and the other related to an area of clinical expertise
Promotes a unit environment that encourages retention, development of staff, customer service, and family-centered care
Facilitates staff competency by identifying, measuring and evaluating desired performance and holding staff accountable
Provides leadership for identification, initiation, and follow-up for conflict resolution
Facilitates creative development of processes and standards which ensure quality patient care
Engages in a collaborative partnership with physicians to impact quality of service
Is aware of department issues, recognizes needs and recommends innovative changes, offers suggestions for quality and process improvement activities, and participates in quality activities
Participates in the implementation and controls of cost-effective operating budget process in order to accomplish appropriate staffing levels
Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V

100

Rn-clinical Manager Resume Examples & Samples

Two years’ experience in home care agency or two years of supervisory experience in an acute or similar setting required
Previous supervisory experience in a health care setting strongly preferred
Strong computer skills, including competency with MS Office suite (Outlook, Word, Excel)
Must be able to demonstrate competence in ICM and AIM within introductory probation period
Must have excellent interpersonal skills and role model customer service skills
Flexibility and independence required to work competently and autonomously in the absence of the Administrator
Self-started with a high degree of initiative, motivation, flexibility, and creativity

101

Rn Clinical Program Manager Resume Examples & Samples

Develops and maintains a comprehensive, effective clinical program which meets regulatory standards. Collaborates with physicians in the development of standardized patient care plans. Promotes comprehensive treatment approach working with multidisciplinary team to effectively manage patient care through the continuum and provide quality outcomes
Monitors and measures care plan results and patient outcomes. Reviews trends, identifies opportunities and provides leadership with analysis and recommendations for process improvement across entire episode of the patient process. Enhances patient experience across the overall continuum of care
In collaboration with other department leaders, assists in oversight of ongoing daily operations. Researches and recommends changes and improvements with a primary focus on patient outcomes. Oversees resource utilization regarding staff, fiscal management, and quality patient care
Develops, coordinates and oversees community education program. Assesses clinical staff training needs and implements training programs to ensure clinical competence
Develops and monitors financial budget of the program ensuring appropriate utilization of resources including staff, materials and equipment
Assists with selection, evaluation and management of program staff members and effectively facilitates direct patient care for the ongoing viability and success of the program

102

RN Clinical Team Lead Resume Examples & Samples

Participates in account support and management
Assures achievement of unit financial goals and customer service/satisfaction goals
Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions
Knowledge of statutory requirements of state's jurisdiction
Leadership/management/motivational skills
Analytical and interpretive skills
Ability to work in a team environment

103

RN, Clinical Manager, Lahey Health Resume Examples & Samples

HomeCare EliteTM, which annually names the top 25 percent of home health agencies in the United States based on quality of care, quality improvement and financial performance, first named Lahey Health at Home to its select list in 2011 and annually thereafter
Home Health Quality Improvement National Campaign Agency of the month (AOTM)
Fazzi Associates has also honored us with its Patient Satisfaction Award of Distinction, presented annually to home health organizations that have demonstrated superior performance in overall patient satisfaction results

104

RN Clinical Care Coordinator Resume Examples & Samples

Currently licensed as a Registered Nursing in State of California
Effectiveness in leading clinical teams, communication, and interdisciplinary collaboration
Experience in acute care or sub-acute care nursing. Demonstrated. Knowledge of aging process and its influence on health and functional status of elderly. Must be able to assess health status, including triaging, of the frail elderly. Knowledge of all State and Federal laws, regulations and other requirements for Sutter SeniorCare/PACE that is applicable to this position
Experience in acute care, sub-acute care nursing, ambulatory care setting or urgent care
Must have experience caring for the frail elderly in a community based or institutional setting
Knowledge of the interdisciplinary model of care planning and experience in working with seniors who are cognitively impaired is important
Demonstrate effective English verbal and written communication skills
Demonstrated excellent organizational skills. Demonstrated ability to multitask
Must have excellent interpersonal and time management skills
Effective problem-solving and conflict resolution skills
Strong assessment and critical thinking skills necessary to determine services appropriate for participants with complex medical, emotional and social needs
Must be able to work effectively in the Interdisciplinary Team Model
Must be able to deal well with emergency situations and demonstrate flexibility with changes in daily routines
Ability to independently organize and prioritize workload with strong attention to detail
Demonstrate ability to establish positive working relationships with staff
Prioritizes and manages multiple demands in an ever changing environment

105

Hospice RN Clinical Liaison Resume Examples & Samples

Nursing degree or the equivalent required
Understands hospice philosophy, death and dying
Excellent customer service, account development capabilities, organization, time management, problem-solving, communication and selling skills required
Demonstrates the ability to work independently as well as in a team

106

RN, Clinical Documentation Specialist Resume Examples & Samples

2+ years experience in Clinical Documentation Improvement (CDI)
3+ years acute care experience
Experience communicating and working closely with physicians
Basic proficiency using a PC in a Windows environment, including Microsoft Word, Excel and Electronic Medical Records (Cerner is preferred)
Excellent verbal and written skills including strong organizational skills
Previous or current Case Management experience and/ or critical care experience
Current certification as a CCDS, CDIP or CCS
A combination of education and experience, which provides the above knowledge, skills and abilities, will be considered
Certified Clinical Documentation Specialist (CCDS), Basic Coding and DRG education/training
Bachelor of Sciences degree in a health related field

107

RN Clinical Lead-emergency Dept Resume Examples & Samples

2 year minimum RN experience
BLS, ACLS, PALS required
Advanced certification required within 1 year of hire
Ability to handle sometimes high-stress situations
Communicates well with a diverse patient and employee population

108

Rn-clinical Documentation Specialist Clinical Documentation Improvement Resume Examples & Samples

Ability to learn/develop and fine-tune the skills necessary to perform Clinical Documentation Management
Dependable, self-motivated and pleasant
Critical-thinking, problem-solving and deductive-reasoning skills
Knowledge of Pathophysiology, disease process and treatments
Basic computer skills - familiarity with Windows-based software programs
Strong ability to organize/triage work and manage multiple priorities at once
Knowledge of clinical documentation requirements that identify clinical conditions or procedures to support and enhance ICD-9 and ICD-10 coding. (preferred)
BSN, MSN (preferred)
Minimum of one year as a Clinical Documentation Specialist (preferred)
Certified Clinical Documentation Specialist (issued by the Association for Clinical Documentation Improvement Specialists (ACDIS)) (preferred)

109

RN Clinical Improvement Strategist Resume Examples & Samples

Bachelor’s degree (BSN) or three years clinical nursing experience
Two years clinical nursing experience
Proven experience in behavioral coaching and leadership
Strong organizational skills, self-directed, and ability to manage multiple priorities/projects
Effective oral and written communication skills, with the ability to articulate complex information in understandable terms to all levels of leadership, physicians, and staff
Highly skilled public speaker with ability to effectively communicate to small and large audiences of executive leaders, physicians and frontline staff
Excellent communication, interpersonal skills and ability to lead, facilitate, consult, research and educate
Ability to manage and work with a diverse group of individuals, while striving for excellence
Ability to accept responsibility for actions and results, with a drive to achieve and outperform, while continuously looking for improvements
Problem solving and listening skills with the ability to coach, mentor and motivate
Ability to be a change agent who positively influences others to gain acceptance for important System and clinical programs and processes
Ability to teach, translate, and interpret patient satisfaction and voice of the customer data as a tool to enhance patients’ and families’ experiences
Knowledge of clinical operations; safety, regulations, processes, finance
Experience or participation with ability to educate, mentor, counsel effectively (Preferred)
State of Florida Registered Nurse license
Certification in training and/or human performance improvement such as Certified Professional in Learning and Performance (CPLP) and/or Human Performance Improvement Certification (HPI) Issued by ASTD (Association of Talent Development or University Sponsored Curriculum) (Preferred)

110

RN Clinical Appeals Resume Examples & Samples

The RN will prepare appeal summaries, correspondence and documents
Request and reviews medical records, notes, and/or detailed bills as appropriate
Evaluates for medical necessity and appropriate levels of care; formulates conclusions per protocol
Identifying root causes for potential denials
Ability to maintain a strong relationship with the staff and work collaboratively to positively affect clinical and financial outcomes
A minimum of Two to four years Managed Care Appeals, Concurrent Review and/or Case Manager preferred
Fundamental claims processing including coordination of benefits and subrogation
Experience with Managed care, Governmental and/or RAC appeals strongly preferred

111

RN, Clinical Quality Consultant Resume Examples & Samples

Be the primary go to person for all STARS related activities within their assigned market(s) working within a matrix relationship which includes Quality corporate operations and Regional/Market operations
Analyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies
Undergraduate degree preferred, post graduate degree highly preferred

112

RN Clinical Supervisor Woodinville & Bothell Resume Examples & Samples

65% Supervises delivery of nursing services and actively works with all members of the department health care team to manage assignments and patient care, ensuring quality and safety of nursing care and smooth patient flow within department
5% Develops nursing policy and procedures in conjunction with education and training department. Assist with procedures, protocols and other related written resource materials appropriate specialties under nursing supervisor responsibilities
All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous and respectful manner toward fellow employees, physicians and patients
Completes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signs Agreements
2% Performs other duties as assigned

113

RN Clinical Practice Mgr-southridge Instacare Resume Examples & Samples

Financial Management accountabilities, including: Develops, proposes and manages operational budget. Develops, proposes and manages capital budget. Maintains financial literacy relative to ambulatory care and industry trends. Manages accounts payable in an accurate and timely manner. Maintains inventory control processes and facilitates purchasing in accordance with established procedures. Manages facility assets in a responsible manner. Understands and adheres to all financial policies and procedures, and leads others to do the same
Human Resources Management accountabilities, including: Responsible for payroll accuracy and timely approval. Conducts job interviews and employee selection in a manner that supports effective staffing. Performs onboarding and orientation with new staff to promote employee engagement and staff productivity. Conducts staff and provider rounding on a regular basis. Initiates activities to promote employee and physician engagement. Utilizes formal and informal recognition resources to recognize staff and provider accomplishments. Demonstrates accountability and follow through on assignments, projects and tasks. Conducts training activities with staff and providers to support operational functions. Maintains effective staffing levels and adequate scheduling
Information Management accountabilities, including: Understands and utilizes billing systems effectively. Maintains and ensures optimized utilization of telephone systems. Ensures compliance and appropriate utilization of information technology resources. Utilizes information technology to ensure accurate coding processes. Performs and participates in audits to ensure compliance and minimize organizational risk. Understands and abides by privacy laws (i.e. HIPAA) and organizational policies and procedures regarding health information management, safeguarding protected health information (PHI). Utilizes on-line resources, including intermountain.net, effectively
Leadership accountabilities, including: Provides operational leadership in a manner that promotes a consistent, effective culture. Demonstrates effective written, verbal and electronic communication that is professional in both content and delivery. Leads in a manner that promotes positive physician relations and encourages physicians and others to have a voice. Maintains functional relationships with others throughout the organization to draw upon their expertise and resources effectively. Inspires and motivates others toward organizational and personal goal achievement. Demonstrates effective interpersonal skills
Clinical Care Management accountabilities, including: Exemplifies and promotes positive patient relations. Understands and empowers frontline employees and providers to utilize effective service recovery, as needed. Develops and promotes care delivery processes that are harmonious with the organization's healing commitments. Optimizes healthcare delivery processes to streamline an efficient patient flow. Understands quality improvement tools and methodology (i.e. 100% participation) and utilizes the same to improve both the delivery of extraordinary patient care and operational processes. Participates in, promotes, and utilizes patient feedback mechanisms, including patient perceptions of quality (PPQ) surveys, to ensure extraordinary care
Patient Care Delivery Systems accountabilities, including: As nurse manager in the facility the incumbent develops and implements clinical policies and procedures and ensures patient care is delivered in accordance with the same. Develops and promotes adherence to clinical standards of care. Implements and monitors identified quality measures to promote effective patient care delivery
Facility Management accountabilities, including: Promotes safety and security in all facilities by conducting regular safety inspections and monitoring the work environment for potential hazards and maintenance issues. Actively participates in emergency preparedness activities, including drills, simulations and training with staff and providers. Ensures that material safety data sheets (MSDS) are accessible and that staff is familiar with workplace hazards and the process of responding to workplace exposures, accidents, injuries and illnesses. Takes responsibility for all physical facility maintenance, including building repair, landscaping and housekeeping. Ensures that preventative maintenance, repairs, etc. are completed on a regular basis on all equipment, as required
Accounts Receivable Management accountabilities, including: Understands and utilizes financial assistance practices, training staff and providers to do the same. As necessary, coordinates accounts receivable activities with the Central Billing Department. Understands and utilizes approved collection practices in the back office, training staff and providers to do the same. Understands and utilizes financial best practices, training staff and providers to do the same. Understands and utilizes approved registration practices in the front office, training staff and providers to do the same. Understands and utilizes financial scorecard measures to benchmark, monitor and improve financial and operational performance. Ensures accurate and compliant coding practices, training staff and providers to do the same, as applicable
Other Management Responsibilities (Miscellaneous) accountabilities, including: Explores feasibility and practicality of innovations in patient care delivery and patient-provider interactions, (i.e. on-line customer interface). Leads and initiates marketing activities to promote services, facilities and providers within the communities served. Provides and promotes positive public relations
Actively participates in quality improvement initiatives (i.e. CQI, TQM, Lean, 100% participation, etc.)
Experience in an ambulatory outpatient clinic environment

114

RN, Clinical Director, Hospice Resume Examples & Samples

Current VT RN license in good standing
Graduate of an accredited and approved nursing program as indicated by school transcript or diploma, BSN preferred, and required based on state regulations
Strong hospice case management experience required
Prior supervisory experience required
Strong knowledge of hospice regulations
Passion for focusing on hospice care
Desire to lead an interdisciplinary care team

115

RN, Clinical Manager Resume Examples & Samples

Direct and coordinate the care provided by a multi-disciplinary care team
Lead field staff in delivering exceptional client service and quality clinical care
Ensure adherence to policies and procedures
Review clinical documentation, including OASIS and care plan coding
Monitor episodic utilization
Act as internal case manager and client advocate
Participate in hiring, interviewing and orientation of field staff
Participate in on-going education, evaluation and development of field staff
Ensure accurate and timely case management, including HHA supervision, authorization management and interdisciplinary communication
Visit clients to conduct clinical assessments and supervise staff as necessary
Provide clinical insight and focus on clinical competency of your staff
Current PA RN license in good standing
Prior supervisory experience required, preferably in a Medicare Certified Home Health Agency
Minimum of two (2) years community health nursing experience
Strong clinical assessment and case management skills

116

Rn-clinical Surgery Coordinator Neuro Resume Examples & Samples

Serves as a clinical resource for problem solving and Assists staff with patient-related issues and emergency situations
Serves as a role model and Assists into developing staff competence in the delivery of nursing care based on national professional standards and Perioperative Services policies and procedures
Identifies non-compliance and demonstrates correct application of hospital policies and procedures. Refers to Policy and Procedure Manual as necessary for problem-solving

117

RN, Clinical Scholars Program Resume Examples & Samples

Successfully pass the probationary period within 12 months (18 months maximum with a defined action plan developed with manager)
Utilizes the nursing process as the frame of reference for practice as a professional nurse
Participates in activities to develop own practice and to support group practice goals at the unit level
Functions effectively as a member of a multidisciplinary health care team
Is accountable to patient, family and team members for care provided and to the nurse manager for totality of work performance

118

RN Clinical Ladder Resume Examples & Samples

Consistently provides effective direct care, as part of the interdisciplinary team, to a variety of complex patients
Manage care and implement treatment plans at a refined skill level in collaboration with patients, their families, physicians and other members of the health care team
Seek as well as provide feedback for improved clinical practice
Assume a beginning leadership role but seeks mentoring in this process
Assess the physical, psychological, social and cultural dimensions of patients according to professional practice standards and institutional policy/procedures
Organize, coordinate and prioritize nursing care activities considering the needs of the patient
Implement patient population specific interventions based on individual patient needs
Evaluate the effectiveness of care and coordinate care so patients make progress toward desired outcomes
Develop and implement patient/caregiver teaching plan based on identified health education needs and the condition and age of the patient
Provide for a safe environment and safe delivery of care
Assume responsibility for the professional development of self and contributes to and assists with the professional development of others

119

RN Clinical Ladder Resume Examples & Samples

Consistently provide effective direct care as part of the interdisciplinary team to a variety of complex patients
Manage care and implement treatment plans at a refined skill level in collaboration with patients, their families, physicians and other members of the healthcare team
Seek and provide feedback for improved clinical practice
Assume a beginning leadership role but seek mentoring in this process
Implements patient population-specific interventions based on individual patient needs
Evaluates effectiveness of care and care coordination, progressing patients towards desired outcomes
Assumes responsibility for professional development of self, and contributes to and assists with the professional development of others
Graduate of an accredited nursing program required. Bachelor of Science in Nursing degree preferred
Licensed to practice as a Registered Nurse in the Commonwealth of Virginia
American Heart Association (AHA) Health Care Provider BLS certification required
Three years of Neonatal ICU experience (5 or more is preferred)
Must have BLS and PALS
EMT-B certification
Certification: Neonatal Resuscitation Program and STABLE

120

RN Clinical Ladder Resume Examples & Samples

Develop and implements patient/caregiver teaching plan based on identified health education needs and the condition and age of the patient
Demonstrate leadership in the delivery of patient care
Bachelors of Science in Nursing degree preferred
Relevant experience required
Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia

121

RN Clinical Procedures Resume Examples & Samples

Responsible for regulatory and compliance standards in Cath Lab
Responsible for efficient time and resource management in accomplishing acceptable work volumes ( i.e. Supply costs, time mgt.)
Responsible for post procedural care and monitoring

122

RN Clinical Infection Preventionist Resume Examples & Samples

Monitors and investigates known or suspected sources of infections in order to determine the source and ensure control
Collaborates in the development and delivery of educational programs and/or tools that relate to infection prevention, control, and epidemiology
Acts as the clinical advisor for Infection Prevention and Control department and organization
Serves as the infection officer for the organization
Minimum of three years of healthcare experience, preferably in critical care, surgery, community occupational health, infection control and epidemiology or microbiology laboratory preferred

123

Hospice RN Clinical Care Manager Resume Examples & Samples

Pursuit of completion of a BSN degree or another relevant field
RN licensure in the state of Delaware (DE)
Minimum of 2-3 years RN experience in Hospice
Certification in hospice and palliative nursing within two years of employment is strongly encouraged

124

Rn-clinical Documentation Improvement Specialist Resume Examples & Samples

Graduate of an accredited program of nursing. If hired after 2015, completion of a BSN degree within 48 months of hire required
One-year recent experience in acute care or home care experience required
One year recent Home Health ICD-10 coding and documentation review experience required
One year experience in an EMR preferred
Home Health ICD-10 home health coding certification preferred
Demonstrates competency in 90% of auditing and coding standards within 90 days of hire required

125

RN Clinical Navigator Resume Examples & Samples

Clinical Navigator experience
Current, valid Arizona or compact RN state license
Three years of direct patient care nursing experience
Current AHA BLS for Healthcare Provider
Excellent organizational skills with the ability to multitask and handle multiple priorities/tasks simultaneously in a fast paced environment
Basic computer literacy and proficiency in Microsoft Windows
Basic proficiency with MS Office (Outlook, Word, Excel, PowerPoint)
Must pass pre-employment screening

126

RN Clinical Care Coordination Manager Resume Examples & Samples

Associate’s Degree or Diploma in Nursing
Understanding of specific clinical healthcare environments such as primary care physician clinics, hospital organizations, sub-acute area such as skilled nursing, long term acute care hospital, acute inpatient rehabilitation, and home health
Bachelor’s Degree or higher in Nursing, Communication, Clinical Organizational Design, Business Administration or a related field

127

RN Clinical Territory Manager Resume Examples & Samples

Develop and execute strategic plans to grow infusion business in key accounts
Meet a defined market infusion revenue budget by servicing and growing existing business
Assist the market manager in growing infusion therapy business through accurate business projections, goals, specific strategies and pertinent account information
Work closely with clinical branch personnel to ensure the highest level of customer satisfaction with the goal of delivering the best service possible to patients receiving these critical therapies in the comfort of their homes

128

Rn Clinical Supervisor Med / Surg a P Resume Examples & Samples

Must have a current and valid license as a Registered Nurse issued by the State of California
BLS upon hire and maintain current
Minimum of 3 years Med/Surg, Acute Care nursing experience

129

RN Clinical Team Manager Resume Examples & Samples

Supervises and provides direction and leadership to designated Agency personnel in an effort to ensure quality and continuity of services through competent personnel management skills
Assigns, supervises, and evaluates clinical staff
Ensures that all supervised health care staff maintains compliance of federal and state rules and regulations and to agency clinical policies, procedures, and appropriate standards of care
Ensures that a client’s plan of care is executed as written
Ensures that a reassessment of a client’s needs is performed by the appropriate health care professional
When there is a significant health status change in the client’s condition; at the physician’s request; or after hospital discharge
Participates and assists in orientation and training of clinical and paraprofessional staff
Ensures that on-site supervisory requirements of designated staff are met on a timely basis
Demonstrates an effective leadership style and solves problems in an efficient and logical manner after accurately analyzing facts
Ensures scheduling and assignments are appropriately based on patient needs, staff expertise, and geographical locations
Assists in the coordination of patient services, to include lab reports, updated patient reports, and interdisciplinary communication
Receives and coordinates patient referrals from case managers, physicians, and other referral sources
Leads and participates in interdisciplinary care conferences, Agency programs and management functions, as assigned
Monitors documentation and paper flow to ensure records are accurate and timely and adhere to Medicare and other payer guidelines
Ensures that clinical notes, supply log / visit logs are accurate and turned into the office according to Agency policy
Investigates patient / family complaints promptly and takes corrective action as needed
Makes home visits to provide patient care as needed
Recognizes and reports life threatening situations and responds appropriately
Demonstrates knowledge of emergency procedures and responds appropriately
Participates in the Agency's endeavors for accreditation, licensing and professional recognition according to state, federal or CHAPs requirements
Assists in development of Performance Improvement Plan reports to include achieved goals, opportunities for improvement, statistical data and projections
Participates in home care Performance Improvement Program activities to continuously improve the quality of patient care
Serves as a resource person for clinical staff and management in matters pertaining to Performance Improvement
Participates in periodic review of clinical records to promote quality patient care
Educates clinical staff on documentation standards and patient care as needed
Demonstrates knowledge of current status of requirements of third party payers by identifying and reporting potential payment / coverage issues
Attends all required in-service programs to maintain comprehensive home care knowledge base within the review year, as assigned by supervisor
Demonstrates effective time management skills by completing assignments within projected time frames
Promotes Agency philosophy, mission statement and administrative policies to ensure quality of care
Meets productivity requirements based on Agency standard
Demonstrates knowledge and observance of the Patient's Bill of Rights
Follows all infection control, standard precautions, and safety guidelines / standards per Agency policy
Current licensure as a Registered Nurse with the Board of Nurse Examiners for the State of Texas
5years’ experience as a Registered Nurse in an acute care setting or general medical / surgical setting
Maintains certification in Basic Cardiac Life Support Course
Familiarity with medical terminology and equipment. Additional education and / or experience may be required by individual state regulations
Basic knowledge of governmental regulations, Medicare (Medicaid, as required), regulations, and company policies and procedures
Excellent computer skills and knowledge of word processing and excel

130

RN, Clinical Preceptor Resume Examples & Samples

1-2 years of progressively more responsible home care experience
Currently licensed as a Registered Nurse in the state(s) in which they are practicing
Maintains a valid driver’s license
Advanced computer skills and the ability to operate medical and office equipment
Must maintain certification in CPR
Ability to provide direct patient care as outlined in the registered nurse job description
Knowledgeable of State, Federal and Joint Commission regulations, which govern the provision of services within the scope of nursing practice
Critical thinking skills necessary in order to organize and oversee the work of others and evaluate quality and outcome of care provided
Advanced communication skills with the ability to set clear goals and expectations, understand and answer orientee questions clearly and precisely, and explain the basis for actions and decisions
Skill in practice and teaching to provide effective role modeling, demonstrate skillful interactions with patients and families, organize and control the learning experience, balance clinical and teaching responsibilities and give appropriate responsibility to the orientee
Careful and accurate evaluator to assess the orientee’s knowledge, attitudes and skills, provide effective feedback, emphasize problem-solving, and develop a supportive relationship with the orientee
Functions as RN when needed
Bachelor of Science Degree in Nursing preferred
For Home Health, OASIS (COS-C) certification is preferred

131

RN Clinical Leader Resume Examples & Samples

Ability to work in a demanding and stressful environment, where prioritizing is essential while maintaining a professional demeanor in difficult situations
Analytical skills necessary to organize and oversee care team members and assist in developing and administering policies and procedures
Excellent interpersonal skills necessary in order to deal effectively with various levels of hospital personnel, outside customers and community groups
Continuously seeks opportunities to improve the quality of patient care delivery through the innovative and creative resolution finding
Knowledgeable of the functional operations of utilization review, discharge planning, clinical assessment and third party payers preferred
Ability to use and effectively integrate positive approaches to meet diverse patient needs, optimize resources, and adapt care processes to accommodate changes in the healthcare environment
Excellent interpersonal skills in order to form and maintain positive relationships with customers and other healthcare professionals
Two years of experience in healthcare related field preferred, with demonstrated leadership ability
Three years acute care utilization management experience within past five work years
Two years Behavioral Medicine nursing experience in acute setting
Current knowledge of third party payer programs, requirements and criteria utilized
Utilizes clinical judgment and admission criteria and uses it to collaborate with the Behavioral Medicine team and Attending Physician, to assess patients for severity of illness and intensity of service in order to make recommendations regarding the most appropriate level/site of care
Performs utilization (concurrent and retrospective) review of selected patients in assigned area(s) to ensure the necessity of acute care hospital and existence of supportive documentation, as well as appropriate utilization of resources
Identifies patient care issues related to length of stay, cost and confers with the Behavioral Medicine treatment team regarding complex patient care issues
Contacts and collaborates with third-party payers to obtain authorizations
Refers all cases lacking IS/SI criteria for acute care hospitalization to the Physician according to the established department guidelines
Participates in Behavioral Medicine quality improvement efforts by ensuring efficient data collection is reviewed by Physician and care team
Collaborates with the Behavioral Medicine treatment team on identifying those patients not meeting the acute care intensity of service/severity of illness criteria
Assists with variance data collection and reporting to the Unit Quality Improvement teams. Actively engages and participates in unit-based and other committees and initiatives that promote patient and workplace safety, optimal clinical outcomes, and satisfaction
Provides consultation and information to the Behavioral Medicine treatment team regarding third party payer changes, documentation criteria (IS/SI)
Initiates and completes the appeal process on cases where payment has been denied, providing weekly updates to the Program Director
Coordinates provision of care excellence in collaboration with all care team members
Demonstrates principles of Relationship-based Care to cultivate and maintain therapeutic relationships
Uses data and evidence to guide best practice and continuous improvement
Participates in organizational initiatives that promote patient and workplace safety, optimal patient outcomes and satisfaction
Contributes to the positive image of nursing and enhances the SJMO culture of excellence by modeling professional behavior both in the organization and the community
Continuously seeks opportunities to enhance one's own professional practice through membership in a professional nursing organization and involvement in community activities
Participates in recruitment, hiring, orientation, and colleague evaluations
Promotes a care environment that results in care excellence as evidenced by outperforming national
Maintains a working knowledge of applicable Federal, State, and Local laws and regulations, the Trinity Health Organizational Integrity Program, including the Standards of Conduct, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behaviors
Supports and conducts one's self in a manner consistent with customer service expectations
In accordance with unit or departmental practice, actively participates in on-going education and communication regarding revenue management

132

RN Clinical Supervisor Critical Care, Nights Resume Examples & Samples

Serves as the primary coordinator of all disciplines for well coordinated patient care
Facilitates ongoing performance improvement activities which correlate to the Hospital-wide Performance Improvement Program with involvement of all levels of staff on designated shift as appropriate
Formulates staff schedule along with the Clinical Coordinator/Director
Communicates directly with the director/manager on unit and staff performance issues needing attention
Effective utilization and maintenance of manpower, equipment, and supplies
Maintains awareness of current developments and trends in nursing practice
Displays initiative to see processes through to completion and offers assistance without being asked
Follows up and ensures completion of patient treatment, tests and procedures. Ensures all medication discrepancies are resolved prior to leaving the shift
Follows Universal Standard Precautions using personal protective equipment as required
2 years Charge Nurse experience

133

RN Clinical Specialist Resume Examples & Samples

Participates in conference calls reporting on referrals and updating Cardiopulmonary Team on area information/data relative to PAH. Attends regional/national sales and clinical meetings as requested
Bachelor’s Degree in Nursing or equivalent; Master’s degree in Nursing preferred
8 – 12 years of experience; 3+ years experience in clinical nursing experience in an area of specialty
Conduct meetings; Customer service focus; Counsel patients
Develop/maintain a cross section of networks; internal and external customer intermediary; Negotiation skills

134

RN, Clinical Care Coord Wound / Cont ALT Resume Examples & Samples

At least 3 months experience in acute hospital nursing
Bachelors degree in Nursing
Current and active CA RN license (or Interim Permit for New Graduates)
Masters degree in Nursing

135

RN Clinical Leader Resume Examples & Samples

Graduate of an accredited School of Nursing program, a valid license to practice in the State of Texas and a minimum of one year clinical nursing experience in the area of expertise applied for or a valid permit to practice as a Graduate Nurse (GN)
Experienced nurses are defined as having the knowledge and skills commensurate with peers with similar training, and experience functioning on the unit
Clinical RNs with less than one-year experience in related field will require a nursing internship when changing clinical specialties
New graduates from an accredited School of Nursing with a valid GN permit will be considered and required to successfully complete a nursing internship

136

RN Clinical Director MH Woodlands Surgery Center Resume Examples & Samples

Formulate and implement nursing philosophy and objectives consistent with the stated goals of the Center
Develop policies, procedures, and staffing essential to the achievement of the philosophy and objectives of the Center. Review and revise these in collaboration with the Administrator, the nursing staff and the professional staff, keeping up to date on current trends in nursing practice and patient care
Evaluation of programs and patient care activities
Responsible for continued compliance with government regulatory agencies and accrediting bodies
Assures documentation of patient care to meet criteria dictated by legal practice, state and federal health standards Personnel Administration - Develop an organizational structure, assigning responsibilities and delegating authority that will facilitate safe, effective and efficient care for the surgical patient
Provide leadership and support in developing and maintaining effective relationships with the center staff and the medical staff
Establish, maintain, analyze, and evaluated standards of nursing care within the Center in compliance with professional nursing standards and recommended perioperative procedures
Responsible for collaborating on standards of performance with the ancillary support services
Recruitment, retention, evaluation and supervision of nursing personnel
Maintain awareness of professional issues at the local, state, and national levels that impact the delivery of nursing services and health care management. - Initiates and/or supports activities to control costs
Responsible for ordering, receiving, storage and distribution of medical supplies and drugs, including monitoring usage and adjusting stock levels according to the needs of the Center
Make recommendations for medical supplies and equipment purchases to the Administrator, based on the evaluation of new or improved products
Oversees all aspects of the quarterly inventory, including counting, pricing and extending pricing
Delegates administrative responsibilities to another staff R.N. in his/her absence with notification to the Administrator
Assumes administrative responsibility of the Center in the absence of the Administrator
Is available for guidance, counseling and support as needed by the nursing staff
Provide and supervise nursing orientation programs and staff development as needed
Reduce chance of nosocomial infection by directing attention to infection control and environmental safety practices
Supervise collection of all required records and reports
Holds individual employees accountable for assigned responsibilities and individual goals and performance expectations through annual performance evaluations and conferences. Quality Improvement
Serve on the facility Quality Improvement Committee with regard to issues concerning nursing practice
Establish, maintain, and evaluate quality control studies within the operating room, pre-operative area and PACU in collaboration with the Administrator to improve the services these departments provide to others. Personal Development and Professionalism
Identify areas, which require additional reinforcement through education, consultation, or practicum
Maintain patient, physician, and employee privacy and confidentiality per policy
Follow the Center''s professional conduct and dress code policy
Communicate effectively and courteously with visitors, physicians and their office staffs, patients and employees
Attend all mandatory in-services and meetings
Attends annual Safety and Competency education session
Act in accordance with the vision, mission and business of the Center
Graduate of a professional school of Nursing
Current license as a TX Registered Nurse
Current certification in BLS and Advanced Cardiac Life Support
At least five years operating room/critical care experience
At least two years supervisory experience in the outpatient surgery area
Good command of the English language, both verbal and written
The knowledge, skills, and abilities of a Staff Nurse are required for this position

137

Rn-clinical Quality Consultant Resume Examples & Samples

Develop market business plans to motivate providers to engage in improving Stars measures to be 4 STARS or higher
Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups
Identify and assess decision makers and other key provider group personnel with a focus on identifying barriers to achieving targeted outcomes
Professional experience persuading changes in behavior
Medical / clinical background highly desirable

138

RN Clinical Quality Program Admin Lubbock Resume Examples & Samples

Ensures integration of quality into the overall business process
Oversees the clinical quality improvement activities/projects to implement appropriate clinical interventions to improve the quality of care for members
Assures compliance with corporate QI work plans
Maintains documentation of research programs to meet regulatory and Accreditation Standards
Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of results
May provide oversight to the Healthcare Effectiveness Data and Information Set (HEDIS) project team
Requires a BS in health administration, nursing or related clinical field; 3 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background
Must be willing to travel up to 50% within the state of Texas

139

RN Clinical Quality Audit Analyst Senior Resume Examples & Samples

Requires 2 years experience in quality improvement, risk management and/or utilization review in a managed care setting
Knowledge of local and national quality management and regulatory standards, including NCQA and HEDIS reporting
Current unrestricted RN license in applicable state(s) required, with CPHQ preferred

140

RN Clinical Manager Days CCC / SNF Resume Examples & Samples

Demonstrates understanding of and ensures compliance with all State and Federal requirements
Assumes leadership role for daily operations and takes appropriate action
Rounds on residents, nursing staff, and families daily to ensure good outcomes. Supervises nursing staff, assists with hiring, education and disciplinary action of nursing staff. Completes performance evaluations, and supervises scheduling
Assists with writing and revising, and ensures staff understanding and compliance with policies, procedures and standards
Demonstrates the ability to coordinate response to emergencies in a calm and efficient manner
Understands and demonstrates ability to work within the departmental budget. Assists Administrator to prepare operational and capital budget annually
Attends care conferences to ensure coordination of resident needs
Participates in facility monthly CQI and Quarterly CCC meetings with appropriate P.I. goals
Ensures staff schedule is accurate and timely, and checks staffing needs daily to provide that minimum ppd hours are met
Meets regularly with the medical director and other staff physicians to ensure proper communication is maintained
Ensures that communication with the Acute Hospital is accurate and cooperative
Accepts call rotation after hours and on weekends with the Director of Nursing and other managers. Varies hours worked to accommodate unit needs
Markets the unit by phone, visits, and distribution of brochures at least monthly
Attends Stand-Up, U.R. Directors and Weight and Wound meetings
Meets at least weekly with the DON

141

Rn-clinical Coord Hematology / Oncology Resume Examples & Samples

Oversees & administers direct care to immune-compromised patients including: Central line/IV site monitoring, lab draws & monitoring during high census; performs nursing assessment & intervention
Verifies patient Roadmap, protocol and orders for correctness and accuracy, upon admission
Ensures completion of patient admission history, prepares and accurately completes the discharge planning process accurately as per department and hospital policies and procedures
Follows physician’s orders, administers chemotherapy & patient medications & reconstitutes medications when needed. Adheres to six rights of medication administration as per policy
Provides interventions which include electrolyte infusions, sepsis monitoring, and transfusions with blood products
Ensures safe analgesics/narcotics administration, monitoring and reassessment as per hospital Pain Management Policy and Procedure
Ensures appropriate restraint orders, use and documentation and monitoring as required by Sedation Policy and Procedure
Ensures proper and safe wound care as required by Wound Care Policy and Procedures
Assists and supports the RNs and team with all hospital codes
Responsible for patient care coordination on designated shift to include accountability for patient and outcomes
Pediatric RN experience in Hematology/Oncology acute care setting preferred
Career Development: National certification Certified Pediatric Nurse i.e.; (CPHON) or (CPON) or (BMTCN) preferably within 5 years of hire
Ability to oversee and optimize the flow of department and provide exceptional patient care in a fast-paced environment
Ability to positively influence, hold self and others accountable

142

RN Clinical Care Supervisor Mercy Living Center South Resume Examples & Samples

Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved RN program. Bachelors of Science Degree in Nursing preferred
Must possess a current, unencumbered, active license to practice as a Registered Nurse in this state
Must be AANAC Certified or obtain certification within 6 months of hire. Two to three (2-3) year(s) of experience related to the MDS process, preferred
Previous experience/training in rehabilitative and restorative nursing practices and working in long-term care
Previous experience working in long-term care or with the geriatric population preferred Supervisory experience preferred
Must lead by example and possess superior customer service skills and professionalism Flexibility to adapt to ongoing change and work in a fast-paced, customer driven environment
Demonstrates superior written and verbal communication and presentation skills
Basic to intermediate proficiency with Microsoft product suite (MS Word, Excel, Power Point, etc.); basic knowledge and experience with electronic mail and calendaring system in PC LAN environment
Ability to type with speed and accuracy
Possesses a high degree of personal accountability, responsibility and independent decision making abilities with the skills to plan, organize, develop, implement and interpret programs, goals, objectives, policies and procedures of the organization
Must possess a personal presence that is characterized by a sense of honesty, integrity and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Trinity Health

143

RN Clinical Manager, Sign on Bonus Resume Examples & Samples

Ensure staff and clinical operations meet audit and regulatory compliance, assist in the capture and analysis of data related to department, quality measures, policies and procedures, state and federal regulations, and/or standards of care. (i.e. PCMH, A3/tier Reporting, Monthly Audits, Visit Closure Audits, Quarterly Back Office Audits)
Develop and implement patient centered treatment plans (Coumadin, Diabetic Insulin; Hypertension) under the guidance of the primary care provider
CPR or BLS

144

RN Clinical Supervisor Sign on Bonus Resume Examples & Samples

Consciously create a workplace culture that is consistent with the overall organizations and that emphasizes the identified mission, vision, guiding principles, and values of the organization
Ensure staff and clinical operations meet audit and regulatory compliance, assist in the capture and analysis of data related to department, quality measures, policies and procedures, state and federal regulations, and/or standards of care. (i.e. PCMH, A3/Tier Reporting, Monthly Audits, Visit Closure Audits, Quarterly Back Office Audits)
Maintain, facilitate and promote primary care department protocols, processes, policies and standards to include but not limited to the following: Standard Rooming, 5S Exam rooms, Daily Huddles, New and Existing patient management, Medication Refills, Pathology Specimens, Radiology Procedures, and other Specialty specific protocols as signed by department head or designee
Subject matter expert to include but not limited to Automated Referrals, Touchworks and IDX
1-3 years of clinical acute or ambulatory care experience
1+ year of progressive management experience in healthcare and / or equivalent and relevant experience
Current CPR or BLS
Bachelor’s degree in healthcare or related field; and / or equivalent and relevant experience
1+ years of nursing experience at primary care facility (i.e. Southwest Medical)

145

Rn-clinical Care Manager Resume Examples & Samples

3-5 years clinical practice experience (home health highly preferred!)
MLTSS, New Jersey choice certification would be a plus!
Managed Care experience preferred
Will cover Summerset, Middlesex County and Northern Ocean area, need to be located to travel to these areas
Bi-lingual in any language is a plus!
Strong computer and technology skills! PC, tablet and smart phone!

146

Team Lead-rn-clinical Resume Examples & Samples

Provides leadership in the application of the nursing process to client care and organizational processes and/or systems to improve outcomes at the unit or service level
Initiates interdisciplinary projects to improve organizational performance
Leads research and other evident-based endeavors or activities to improve patient care
Utilizes professional standards of care and practice to evaluate unit programs and/or services
Coordinates nursing services staffing for all in-scope units during shifts of work
Provides oversight for multiple hospital departments in the absence of unit management. Makes frequent rounds in all departments to address patient care, staffing, throughput, and any other issues that may arise. Participates and directs associates during emergency and code situations, including disaster situations. May assume role of incident commander if required
Manages performance and fitness-for-duty issues as indicated during shifts of work
In partnership with the department Leader, supervises department RNs and other department associates, makes or recommends decisions on corrective action/termination, assignment of duties, reviews and addresses associate concerns
3 years of related work experience

147

RN Clinical Expanded Role-liver Transplant Resume Examples & Samples

6/23/17NursingFull TimeGreater Salt Lake areaIntermountain Medical Center
Gastroenterology or hepatology experience preferred
Charge nurse, acute care, and/or ICU RN experience strongly preferred

148

RN Clinical Manager SNF Unit Days Resume Examples & Samples

Obtains information and interpret information in terms of the patient’s needs
Demonstrates knowledge of growth and development appropriate to the ages of the patients normally seen on the Unit
Understands the range of treatment needed as appropriate to the ages of the patients normally seen on the Unit
Ensures staff complies with break assignment and cover. Does not allow multiple staff of same classification to leave the floor at the same time
Ensures self and staff follow customer satisfaction initiatives, infection control, safety and other regulatory guidelines at all times
Makes appropriate bed assignments decisions based on and including (but not limited to) infection issues, cognition, type of illness, fall risk, etc. Attempt to ensure compatibility of room mates as much as is possible
Assigns admissions to staff fairly and equitably. Ensures report taken promptly
Ensures admissions and discharges process
Promptly responds to, and investigates all patient complaints and makes every attempt to resolve
Assures timely follow up of patient, family, staff; and physician concerns after consultation with the Director and communicates outcome to Director
Communicates all unresolved patient issues to the Director and/or the appropriate hospital personnel
Maintains a tidy Unit – ensures staff keep Unit clean and tidy. Ensures staff follows regulations regarding storage, hallway clearance and other safety standards
Assists in the control and monitoring of supply costs to achieve flexed budgeted costs
Identifies areas of cost savings through labor and supply utilization efficiencies and communicates suggestions to Director
Supports changes in clinical practice and assists the Department Director implementing changes in hospital policies or practices
Functions as a resource to co-workers. Acts as preceptor and role model as needed
Assists with the development and initiation of strategic plans and goals for the Unit, and with development, review and revision of Policies and Procedures as requested by Director
Maintains competence in nursing practice through attending in services and participation in ongoing continuing education per year
Attends Annual Competencies as scheduled
Displays professional behaviors, which include quality of care, performance accountability, education, collegiality, ethics, collaboration, research and resource utilization
Demonstrates effective, positive, and responsible relationships with patients, families, medical director & key physicians, employees, management & administration, and related outside agencies
Utilizes standard precautions. Ensures others observed follow Standard Precautions
Adheres to hospital attendance/tardiness policy
Demonstrates guest relations in communication, cooperation and in giving assistance to patients, physicians, co-workers and visitors in a prompt and courteous manner. The Unit achieving 4 or 5 star PSMS scores in a majority of months of the year demonstrates success in this component
Observes for, and promptly reports to the Director or Ombudsman, any observed patient abuse. Immediately intervenes appropriately if observes abuse in order to protect the patient from harm. Understands the law as it pertains to mandated reporting
Attends all Ethics and other education required by the Hospital, Unit or Director
Other duties as appropriately assigned by Unit Director

149

Sch Rn Clinical Resume Examples & Samples

Assesses patient condition and initiates nursing and or medical care in accordance with established guidelines. Develops, implements, and evaluates a plan of care based upon the assessment of the patient and documents accurately in the medical record
Delegates and directs specific tasks to other health care workers
Engages in patient/family teaching, as appropriate. Acts as liaison between members of the health care team, patient and patient's family, exemplifying the customer service standards

150

RN Clinical Supervisor Southwest Medical Resume Examples & Samples

Provide direct patient care with exemplary customer service to internal and external customers. Duties included but not limited to triage/screening patients; patient ancillary visits (injection, wound care); patient education; shared medical appointments; follow up in the office or by telephone with patients for medical management of health condition
Coordination of patient care under the guidance of the primary care provider (hospital transfer, blood transfusion, PICC line, urgent or emergent referral, chemotherapy coordination, IV therapy, patient centered form completion), act as liaison in person or by telephone for health plan, case management activities, home health and disease management
Supervise back office patient flow in collaboration with providers and support staff. Ensure staffing is maintained, resources are allocated adequately to meet the team(s) need to function efficiently and effectively. Communicate daily task assignments, staffing changes or shift in work requirements to help the team(s) complete work accurately and on time. Coach, mentor, and develop staff, including new employee onboarding, performance management and disciplinary action if needed
Access to reliable transportation that will enable you to travel to client or patient sites within a designated area
Experience with computer based electronic medical records
1+ years of professional nursing experience in an outpatient/primary care facility

151

RN Clinical Specialist Sales Resume Examples & Samples

Coordinates and provides patient, caregiver, and staff training and continuous clinical support for institutions and related clinical disciplines, including PAH disease process, treatment modalities, related drug administration education and pump operation
Act as regional PAH resource for branches
Act as primary liaison and clinical sales support between Cardiac, Rheumatology and Pulmonary Arterial Hypertension (PAH) centers, physician practices, hospitals and division to facilitate communication between supplier and distributor
Attends and represents division at meetings for PAH product lines
Visits physician(s) and PAH treatment centers to facilitate referral process and support communications locally and regionally between division and center
Perform case management for caseload of patients at major treatment center(s)
Facilitates regular patient case conference meetings between physician groups and branches
Assists with PAH presentations
Accountable for coordinating and working with cardiopulmonary sales, Regional Team and branch clinical team in facilitating new cardiopulmonary business
Participates in conference calls reporting on referrals and updating Cardiopulmonary Team on area information/data relative to PAH
Attends regional/national sales and clinical meetings as requested
8 – 12 years of experience; 3+ years experience in clinical nursing expereince in an area of specialty
Collegial work style; team-oriented
Ability to align efforts effectively with other work groups
Energetic, self-motivated, engaging individual
Ability to impact and influence employees at all organizational levels
Effective conflict management skills
Professional, positive demeanor
Strong leadership ability
Understanding of legal and regulatory issues
Ability to maintain confidentiality; Analyze information, target trends; Compile data and statistics
Conduct meetings
Customer service focus
Counsel patients
Develop/maintain a cross section of networks
Internal and external customer intermediary
Negotiation skills
Strong oral, written communication and organizational skills
Well developed interpersonal skills

152

Shore RN Clinical Care Coordinator Resume Examples & Samples

Execute assignments in a culture that is shared and collaborative across all divisions within TSLC
Establish and/or maintain departmental procedures that support the necessary operational functions for the Skilled Nursing Department
Determine departmental staffing requirements and assist in the recruitment, interviewing, and selection of personnel for the Community or Department
Monitor department work hours (including vacation and holiday schedules), personnel, work assignments, etc., to ensure proper workflow and adequate staffing levels in compliance with state minimum regulations and sanctuary budgeted PPD hours
Evaluate, develop, mentor, coach, counsel and discipline department staff. Supports community personnel from other departments through coaching and mentoring to help achieve optimum standard of excellence. Addresses issues of concern through courageous conversation and notifies department manager of any interactions requiring
Ensure that all nursing personnel are in compliance with their respective job descriptions. Meet with the nursing staff, as well as support personnel in planning the department’s services. Monitor that all departmental personnel follow established policies and procedures, including dress code
Assist the Education Director in developing, implementing, and conducting in-service training programs that relate to the nursing service department. Ensure the continuing education requirements, which allow licensed personnel to keep their license current
Responds to emergency situations, gathers data pertinent to emergencies, takes appropriate action, and notifies appropriate parties. Ensures that all personnel participate in fire safety and disaster preparedness drills and follows establish infection control procedures
Ensure that department work areas are maintained in a clean, sanitary and safe manner
Assists Director of Nursing with incident reporting to assure complete documentation of occurrences. Analyzes data and develops appropriate action plans, identifies trends, patterns and outcomes. Provides these plans and trends to various committees attended
Ensure adequate stock of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the residents. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste
Monitor that staff is using equipment properly. Participate in the development and implementation of the procedures for the safe operation of all nursing equipment
Must function independently, make independent decisions, demonstrate flexibility, personal integrity and ability to work effectively with residents and personnel
Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the community policies and procedures

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