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37 rn clinical documentation specialist jobs found

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Nursing rn clinical documentation specialist
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Marshall Medical Centers
Jun 24, 2026
RN Clinical Documentation Specialist
Marshall Medical Centers Huntsville, AL
Overview Responsible for facilitating the improvement in the overall quality and completeness of medical record documentation. Obtain appropriate clinical documentation through extensive interaction with physicians, nursing, patient caregivers, and coders. To ensure that appropriate patient centered clinical data, quality metrics and reimbursement is received for the level of services rendered. That the clinical information utilized in profiling and reporting outcomes is complete and accurate. On a consistent basis the individual will maintain ongoing education relative to CDI/ACDIS/AHIMA and the Coding Clinic. Qualifications Education required:  Graduate of an accredited school of nursing Education preferred: Associates Degree in Nursing or BSN, MSN License, Certification and/or Registration: Current Alabama Nursing License. CCDS Certification Preferred or will obtain post 2-3years. Experience:  Prefer at least...
Assistant & Support Nursing
Ensemble Health Partners
Jun 19, 2026
Full Time
RN Clinical Documentation Specialist - Referrals
Ensemble Health Partners Putnam, CT
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...
Assistant & Support Nursing
Ensemble Health Partners
Jun 29, 2026
RN Clinical Documentation Specialist - Referrals
Ensemble Health Partners CT
CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement The Base Salary for this role is $80,000 The CDI Specialist facilitates and obtains appropriate physician documentation for any patient clinical condition or procedure to support the appropriate severity of illness, expected risk of mortality, and complexity of care as documented in patient medical records. Extensive medical record review and interaction with physicians, nursing staff, other patient care givers and HIM coding professionals is done to ensure the documentation is complete and accurate. Job Responsibilities: Completes initial patient medical record review within 24-48 hours of patient's admission; completes subsequent reviews of patient's medical record reviews every 24-48 hours and enters review findings in CDE software system Assigns Principal diagnosis, CC/MCC (complication...
Assistant & Support Nursing
Ensemble Health Partners
Jun 29, 2026
RN Clinical Documentation Specialist - Referrals
Ensemble Health Partners Putnam, CT
CAREER OPPORTUNITY OFFERING:   Bonus Incentives   Paid Certifications   Tuition Reimbursement   Comprehensive Benefits   Career Advancement   The Base Salary for this role is $80,000 The CDI Specialist facilitates and obtains appropriate physician documentation for any patient clinical condition or procedure to support the appropriate severity of illness, expected risk of mortality, and complexity of care as documented in patient medical records. Extensive medical record review and interaction with physicians, nursing staff, other patient care givers and HIM coding professionals is done to ensure the documentation is complete and accurate. Job Responsibilities: Completes initial patient medical record review within 24-48 hours of patient's admission; completes subsequent reviews of patient's medical record reviews every 24-48 hours and enters review findings in CDE software system Assigns Principal...
Assistant & Support Nursing
Hugh Chatham Memorial Hospital
Jul 07, 2026
Full Time
Clinical Documentation Specialist RN
Hugh Chatham Memorial Hospital Chicago, IL
Department: 10169 Advocate Illinois Masonic Medical Center - Clinical Documentation Improvement Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Hybrid position, 3 days onsite, 2 days Work from home Pay Range: $38.20...
Assistant & Support Nursing
Anna Jaques Hospital
Jul 06, 2026
Full Time
Clinical Documentation Specialist II- RN- Remote
Anna Jaques Hospital United States
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. **This position is remote. Candidates must be local to New England States for consideration** The Clinical Documentation Improvement (CDI) Specialist II assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient’s hospital stay and care provided including Severity of Illness (SOI), Risk of Mortality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward quality physician documentation within the body of the medical record. The CDI Specialist II works under the direction of the Manager of CDI and collaborates with coding, clinicians, medical staff, and physician advisors to improve documentation and the...
Assistant & Support Nursing
AH
Jul 01, 2026
Full Time
Clinical Documentation Improvement Specialist (RN)
Albuquerque Hghts HC and Rehab Albuquerque, NM
Overview: Genesis Healthcare is currently looking for a Full-Time, On-Site Clinical Documentation Improvement Specialist to join our team. You would support multiple centers in this role!     At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve. Responsibilities: The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of...
Nursing
Intermountain Health
Jul 07, 2026
Registered Nurse Interventional Radiology & Cardiovascular Lab CVIS II
Intermountain Health CO
Job Description: The CV Invasive Specialist II (CVIS II) performs duties necessary for catheterization procedures at a technical and professional level requiring minimal supervision of technical detail. The CVIS II performs a variety of technical procedures that require independent judgment. The CVIS II assumes responsibility and initiative for designated areas and procedures as required. Follows Alliance of Cardiovascular Professionals (ACVP) scope of practice or for Electrophysiology, the NASPE Standards of Professional Practice for the Allied Professional in Pacing and Electrophysiology. Registered Cardiovascular Invasive Specialist (RCIS) or Registered Cardiac Electrophysiology Specialist (RCES ) is required to pass medications. Shifts: 4 - 9 hr shifts , with call Essential Functions Perform all of the duties of the CV Invasive Specialist I. Participate in procedure room preparation and post procedure turn around. Develop specific knowledge with regard to invasive,...
Medical Imaging Nursing
EH
Jul 07, 2026
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
Elevance Health CO
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables associates to work virtually full-time, with the exception of required inperson training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Diagnosis Related Group Clinical Validation Auditor-RN is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. How you will make an impact: Analyzes and audits claims by integrating...
Nursing
UU
Jul 07, 2026
Professional Staff Nurse, OP - UPMC Hamot Foot and Ankle Center
UPMC - University of Pittsburgh Medical Center Erie, PA
UPMC Hamot's Foot and Ankle Center is seeking a Professional Staff Nurse, OP to join their team! This full-time position will work Monday through Friday with shifts scheduled between the hours of 6:45am and 4:30pm. No holidays, evenings or weekends are required. This position will require travel to multiple locations in the region up to 25% of the time. Other office locations can be found below. Candidates with a BSN and with either a Certified Foot Care Nurse (CFCN) or Certified Foot Care Specialist (CFCS) are preferred. Eligible candidates may qualify for a sign-on bonus up to $6000.00 with a 2-year commitment to UPMC. Title and starting pay rate of this position may vary based on years of experience. 7287 WEST RIDEGE RD.  FAIRVIEW, PA 16415 2060 N PEARL ST.  NORTHEAST, PA 16428 991 RT 19 WATERFORD, PA 16441 44 CIRCLE ST FRANKLIN, PA 16323 1885 MARKET ST   WARREN, PA 16365 16039 CONNEAUT LAKE RD, SUITE 106 MEADVILLE, PA 16415 Responsibilities:...
Nursing
KP
Jul 07, 2026
Full Time
RN QRM Acute Transitional Case Manager
Kaiser Permanente Atlanta, GA
SIGN ON BONUS OF $10,000 AVAILABLE TO ELIGIBLE EXTERNAL HIRES!   Job Summary: Responsible for coordinating care for identified members with complex medical conditions in collaboration with hospital physicians, QRM staff (IPCC, CM, SW, PTSP), practitioners, medical office staff and other providers. The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home.  Collaborates with physicians, telephonic care coordinators, inpatient case management/ social workers, telephonic to create a safe discharge plan for identified complex patients.  Key job functions include assessment of identified members, development of a safe discharge plan from acute inpatient, skilled nursing, LTAC and Inpatient Rehab facilities.  Coordinates post-acute services and follow- up medical care to ensure continuity of care.  The Acute Transitional Case Manager (TCM) will identify and communicate any barriers to...
Assistant & Support Nursing
Intermountain Health
Jul 07, 2026
Full Time
Registered Nurse Interventional Radiology & Cardiovascular Lab CVIS II
Intermountain Health Lafayette, CO
Job Description: The CV Invasive Specialist II (CVIS II) performs duties necessary for catheterization procedures at a technical and professional level requiring minimal supervision of technical detail. The CVIS II performs a variety of technical procedures that require independent judgment. The CVIS II assumes responsibility and initiative for designated areas and procedures as required. Follows Alliance of Cardiovascular Professionals (ACVP) scope of practice or for Electrophysiology, the NASPE Standards of Professional Practice for the Allied Professional in Pacing and Electrophysiology. Registered Cardiovascular Invasive Specialist (RCIS) or Registered Cardiac Electrophysiology Specialist (RCES ) is required to pass medications. Shifts: 4 - 9 hr shifts , with call Essential Functions Perform all of the duties of the CV Invasive Specialist I. Participate in procedure room preparation and post procedure turn around. Develop specific knowledge with regard to...
Medical Imaging Nursing
2H
Jul 06, 2026
Psychiatry Nurse Practitioner
22nd Health Care LLC OH
Nurse Practitioner (NP) Location: Highland Hills, OH 44128 Schedule: Day Shift Hours: hours per week (8:00 AM 5:00 PM) Experience Required: Minimum 1 year of experience Job Responsibilities Patient Care & Clinical Duties • Develop and implement patient care plans while performing advanced nursing duties within the scope of licensure. • Monitor patient progress and intervene in the course of chronic illness. • Conduct routine physical examinations to evaluate chronic conditions and diagnose new medical issues. • Evaluate and treat acute and chronic medical conditions, including prescribing medications when appropriate. • Manage discharge planning and coordinate follow-up care for patients with chronic or ongoing medical needs. • Perform minor procedures as permitted by training and competency. • Determine the need for specialist referrals or external consultations when required. • Order and interpret laboratory tests, X-rays, and other diagnostic procedures. •...
Nursing Nurse Practitioner
LR
Jul 05, 2026
Full Time
Registered Nurse (RN) Nursing Supervisor
Lancaster Rehabilitation Hospital Neffsville, PA
Registered Nurse (RN) Charge Nurse Job Type: Full Time | Nights Schedule: 3x, Nights (6:30p-7a) Sign On Bonus Based on Eligibility   Your experience matters Landcaster Rehabilitation Hospital is part of  Lifepoint Health , a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Registered Nurse (RN) Charge Nurse  joining our team, you're embracing a vital mission dedicated to making communities healthier  ® . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. More about our team You will work within a modern inpatient rehabilitation environment, supported by strong leadership and a collaborative interdisciplinary care model. Our nurse-to-patient ratios promote individualized attention and patient safety. We...
Nursing
CH
Jul 03, 2026
RN - Emergency - Methodist
Carle Health IL
Overview As a member of the interdisciplinary team, contributes professional nursing knowledge and skills in the provision and management of care to patients through the application of the nursing process. Qualifications Certifications: Emergency Nursing Pediatric Course (ENPC) within 1 year - Emergency Nurses Association (ENA); Basic Life Support (BLS) within 30 days - American Heart Association (AHA); Trauma Nurse Specialist (TNS) within 1 year - Illinois Department of Public Health (IDPH); Pediatric Advanced Life Support (PALS) within 1 year - American Heart Association (AHA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR); Trauma Nursing Core Course (TNCC) within 1 year - Emergency Nurses Association (ENA); Crisis Prevention Institute (CPI) Training within 3 months - Crisis Prevention Institute (CPI); Advanced Cardiac Life Support (ACLS) within 1 year - American Heart Association (AHA), Education: College...
Nursing
CH
Jul 03, 2026
Full Time
RN - Emergency - Methodist
Carle Health Peoria, IL
Overview As a member of the interdisciplinary team, contributes professional nursing knowledge and skills in the provision and management of care to patients through the application of the nursing process. Qualifications Certifications: Emergency Nursing Pediatric Course (ENPC) within 1 year - Emergency Nurses Association (ENA); Basic Life Support (BLS) within 30 days - American Heart Association (AHA); Trauma Nurse Specialist (TNS) within 1 year - Illinois Department of Public Health (IDPH); Pediatric Advanced Life Support (PALS) within 1 year - American Heart Association (AHA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR); Trauma Nursing Core Course (TNCC) within 1 year - Emergency Nurses Association (ENA); Crisis Prevention Institute (CPI) Training within 3 months - Crisis Prevention Institute (CPI); Advanced Cardiac Life Support (ACLS) within 1 year - American Heart Association (AHA), Education: College...
Nursing
Jo
Jul 03, 2026
Hospice Nurse Practitioner for Pediatric patients (15K New Hire Bonus and PENSION)
Jobot New York, NY
APRN role with PENSION, 403B retirement plan, 15K new hire bonus and 4 weeks vacation This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $130,000 - $150,000 per year A bit about us: A Highly respected Health Services Management company with over 50 years of success in the NYC metro area. Why join us? Benefits: $15,000 Sign on Bonus 4 weeks Vacation 8 company paid holidays PENSION plan – Employer paid 100% at 5.75% of salary per year Employee Vesting at 5 year work anniversary 403B Retirement plan thru Lincoln Financial Medical, Dental and Vision coverage start 60 days after start date Medical Coverage thru CIGNA Dental Coverage thru choice of Cigna PPO plan or AETNA DMO plan Vision coverage thru United Healthcare FREE Online RN to BSN and MSN degree programs Dependent Tuition Reimbursement for clinical staff Annual Tuition reimbursement $4,500 529...
Home Health Nursing Nurse Practitioner
Sanford Health
Jul 02, 2026
RN Home Health - Weekend Status
Sanford Health ND
Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility: Fargo Equip Location: Fargo, ND Address: nd Ave S, Fargo, ND 58103, USA Shift: 8 Hours - Day Shifts Job Schedule: Part time Weekly Hours: 24.00 Salary Range: $32 - $48 Department Details We are seeking a compassionate and skilled Registered Nurse (RN) to join our home health team. In this role, you will deliver one-on-one patient care, ensuring the highest standards of health and well-being for our clients. Our flexible scheduling allows for a balanced work-life environment while maintaining the quality care that is the hallmark of Sanford Home Health. -Weekend differentials offered -Licensure reimbursement Job Summary The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment,...
Home Health Nursing
Sanford Health
Jul 02, 2026
RN Home Health - Weekend Status
Sanford Health ND
Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility: Fargo Equip Location: Fargo, ND Address: nd Ave S, Fargo, ND 58103, USA Shift: 8 Hours - Day Shifts Job Schedule: Part time Weekly Hours: 24.00 Salary Range: $32 - $48 Department Details We are seeking a compassionate and skilled Registered Nurse (RN) to join our home health team. In this role, you will deliver one-on-one patient care, ensuring the highest standards of health and well-being for our clients. Our flexible scheduling allows for a balanced work-life environment while maintaining the quality care that is the hallmark of Sanford Home Health. -Weekend differentials offered -Licensure reimbursement Job Summary The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment,...
Home Health Nursing
2H
Jul 02, 2026
Psychiatry Nurse Practitioner
22nd Health Care LLC OH
Correctional Psychiatric-Mental Health Advanced Practice Nurse (PMHNP / CNS) Location: Grafton, OH Shift: Day Shift (Flexible start/end times) Duration: 3 Months (May be extended) Hours: 40 hours per week Job Summary Seeking an experienced Psychiatric-Mental Health Nurse Practitioner (PMHNP) or Clinical Nurse Specialist (CNS) licensed in Ohio to provide on-site mental health services in a correctional facility. The role involves providing comprehensive psychiatric care to an adult male population, including assessment, diagnosis, medication management, and treatment planning. No night, weekend, or holiday coverage is required. An on-site interview is required. Key Responsibilities • Provide direct psychiatric and mental health care (in-person or via telehealth when needed) • Conduct psychiatric evaluations and mental health assessments • Diagnose mental health conditions and determine need for psychotropic medications • Prescribe and manage psychotropic...
Nursing Nurse Practitioner
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