The Nurse Clinician adjuncts the departmental communication and activities and ensures the delivery of quality patient care by complying with and enforcing policies and procedures, mission, vision and core values of the facility.
In this role, you will under general supervision of the Director of Clinical Documentation Improvement and more closely the supervision of the Clinical Documentation Improvement Manager, and in collaboration with physicians, nursing and HIM coders, the Clinical Documentation Specialist (CDS), strategically facilitates and obtains appropriate and quality physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, and to support ICD-10 implementation.
In this role, you will develop, initiates, and coordinates individual patient case management plans to ensure appropriate level of care across the continuum. Ensures plan meets patient's clinical, psychological and discharge needs in collaboration with the attending physician and interdisciplinary team.
In this role, you will performs concurrent hospital-wide medical record reviews facilitating improvement in the quality, completeness and accuracy of medical record documentation to ensure coding compliance, accurate reporting, and improved patient outcomes.