Regional RN Clinical Documentation Quality Liaison
AdventHealth
**All the benefits and perks you need for you and your family:**
- Benefits from Day One
- Paid Days Off from Day One
- Student Loan Repayment Program
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
- Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense)
- Nursing Clinical Ladder Program
**Our promise to you:**
Joining Texas Health Huguley - AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. Texas Health Huguley - AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.
**Texas Health Huguley- operates as a joint venture between Texas Health Resources and AdventHealth.**
**Schedule:** **Full-time**
**Shift:** **Days (Monday – Friday 8:00am – 5:00pm) **Flexibility with hours**
**Location:** **FULLY REMOTE**
**The community you’ll be caring for:**
+ Our care for patients extend to the spiritual level by praying with patients and families and providing on call, 24 hours, 7 days a week Chaplains for spiritual support.
+ Award winning facility and departments including “Great Place to Work” by Becker’s Hospital Review and Gallup.
+ Work with the latest technology and top experts including “Daisy Award” recipients while on our journey to Magnet status and Pathways designated.
+ Designated Emergency Center of Excellence recognizing our facility as a high-performing emergency department
+ Located about 10 minutes from downtown Fort Worth and near TCU in the award-winning school district, Burleson ISD which also provides a low-cost of living.
**The role you’ll contribute:**
Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the Clinical Documentation Integrity Manager, and in collaboration with physicians, nursing and HIM coders, strategically facilitates and obtain 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. The Clinical Documentation Quality Liaison educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, care management and quality abstracters. The Clinical Documentation Quality Liaison adheres to strict departmental and organizational goals, objectives, standards of performance and policies and procedures, continually ensuring quality documentation and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
**The value you’ll bring to the team:**
· Demonstrates, through behavior, Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork
· Performs mortality and quality reviews. The mortality reviews are to ensure the expected mortality risk scores are appropriate and consistent in documentation of care delivered. Quality reviews consist of but not limited to concurrent, mortality, retrospect and other internal CDI audits to ensure compliance to guidelines.
· Completes accurate and timely record review to ensure the integrity of documentation compliance. Completes accurate and concise input of data into Iodine resulting in accurate metrics provided by the Iodine metrics. Understands and supports documentation strategies (upon completion of training) and continues to educate self and team members using educational tools, videos and provided WebEx’s.
· Recognizes opportunities for documentation improvement using strong critical-thinking skills. Uses critical thinking and sound judgment in decision making keeping reimbursement considerations in balance with regulatory compliance. Initiates/formulates Iodine severity worksheets and clinically credible clarifications for inpatients, sending/presenting opportunities for improved documentation compliance to physicians, nurse practitioners and other medical staff.
· Transcribes documentation clarifications as appropriate for severity of illness, expected mortality, PSI, HCCs and HACs to ensure documentation compliance is accomplished.
Qualifications
**The expertise and experiences you’ll need to succeed:**
**EDUCATION AND EXPERIENCE REQUIRED:**
· Minimum of five years acute care nursing experience with specific medical/surgical, Intensive Care, post-acute care unit, or Emergency Department experience.
· Current active State license as a Registered Nurse, Nurse Practitioner, or Physician’s Assistant
· Three to Five years in Clinical Documentation Specialist experience
· Adventist Health Care online learning (ALN)
· Achieve a 70% or greater on JA Thomas Clinical Competency Pre-Assessment (if applicable).
· Achieve a 70% or greater on the CDI Annual Competency
**EDUCATION AND EXPERIENCE PREFERRED:**
· Certified Clinical Documentation Specialist (CCDS) and/or Certified Documentation Improvement Practitioner (CDIP).
· Bachelor’s or Master’s degree in Nursing (BSN or MSN
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
**Category:** Quality/Clinical Effectiveness
**Organization:** Texas Health Huguley Hospital
**Schedule:** Full-time
**Shift:** 1 - Day
**Req ID:** 24039619
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
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