Experience:
5+ years of experience
Concerned about your lack of experience? Learn More...
Employment Type:
Full time
Posted:
3/13/2018
Job Category:
Nursing
Industry:
Health Care & Medicine
CDI RN Specialist
(This job is no longer available)
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Job Description

Qualifications

 Minimum Education
BSN



Minimum Work Experience
5 Year(s)

Specific Requirements and Preferences
At least 5 years experience with at least 3 years in clinical nursing. At least one year experience in Utilization Management with knowledge of utilization review criteria, preferred. Experience in one or more of the following areas - case management and/or designated/pediatric specialty.


Required Skills/Knowledge




Required Licenses and Certifications




Functional Accountabilities

Professional Practice/Research
  1. Participate in Shared Leadership.
  2. Contribute to the MAGNET Journey of Children's National.
  3. Ensure that nursing practice is based on evidence of best practices.
  4. Accountable to participate in the Nursing Division's Performance Improvement process (division or unit level).
  5. Participate in community activities.
Clinical Documentation
  1. Provide daily clinical evaluation of the medical record including physician and clinical documentation, lab results, diagnostic information, and treatment plans.
  2. Collaborate with Coder CDI Specialist in regard to interaction with physicians on documentation, and to resolve physician queries prior to patient discharge.
  3. Communicate with physicians (face-to-face or via clinical documentation inquiry forms) regarding missing, unclear, or conflicting medical record documentation; work with providers to ensure accurate and complete documentation is in the patient record.
  4. Apply nationally recognized criteria to support physician queries; address delays in closing of physician queries with the appropriate departmental and leadership individuals.
  5. Coordinate daily evaluation of documentation by the medical staff and/or healthcare team in accordance with Children's National policies and procedures.
Program Activities
  1. Target activities to specific payers, DRGs, and teams based on financial and clinical data analysis.
  2. Collect and analyze data on program efforts and outcomes; identify patterns, trend variances, and opportunities to improve documentation review and process.
  3. Assist in the development and reporting of performance measures to the medical staff and/or healthcare teams; prepare physician specific-data reports.
  4. Ability to follow-up on previous cases reviewed and prioritize work.
  5. Facilitate change process required to capture needed documentation such as template/forms design.
  6. Develop physician/provider education strategies to promote complete and accurate clinical documentation and correct negative trends.
Communicate
  1. Communicate verbally with physicians and/or healthcare team in a clear, timely, accurate, and professional manner.
  2. E-mail communication conveys clear, timely, accurate, and pertinent information in an organized professional format.
Performance Improvement
  1. Ensure all physician queries are in compliance with federal regulations.
  2. Identify opportunities for system-wide documentation improvement activities.
  3. Promote the development of accurate and complete clinical documentation with physicians and other members of the healthcare team.
  4. Active participation on departmental and/or hospital committees as assigned.
  5. Educate members of the patient care team regarding specific documentation needs; education team members about reporting and reimbursement issues identified through concurrent/ retrospective documents review and aggregate data analysis.
 

About Children's National Health System

Childrens National Medical Center is the only exclusive provider of pediatric care in the metropolitan Washington area and is the only freestanding childrens hospital between Philadelphia, Pittsburgh, Norfolk, and Atlanta. Serving the nations children for more than 130 years, Childrens National is a proven leader in the development and application of innovative new treatments for childhood illness and injury.

Childrens National is proudly ranked consistently among the best pediatric hospitals in America by US News & World Report.

Our Culture

Children's mission is to be preeminent in providing pediatric health care services that enhance the health and well-being of children regionally, nationally and internationally. Through leadership and innovation, Children's creates solutions to pediatric healthcare problems. Children's excels in Care, Advocacy, Research, and Education to meet the unique needs of children, adolescents and their families. Children's leadership realizes that our employees are the heart of our medical center and the soul of our mission. One of our greatest assets is the diversity of our workforce, which adds to the richness of our culture. Teamwork, dedication, and professionalism are essential values and characteristics that make our employees unique.

Childrens internationally recognized team of pediatric healthcare professionals care for more than 360,000 patients each year who come from throughout the region, nation and world. Our employees share a sense of pride and commitment to the patients and families we serve. We aspire to provide patients and their families with the highest quality of care and service in a family-centered environment. In essence, we are a team of "Great People Providing Great Care."

Nursing Students

As a nursing student, you might already be craving hands-on experience at a highly respected hospital. You may be thinking about where or with which population you want to work after graduation.

At Childrens, a world-class teaching hospital and internationally-recognized leader in pediatric health, we invite nursing students at all stages of learning to explore the real world of working in a hospital setting and experience first-hand the challenges and rewards of this career.

Internship Program

The internship program provides the novice nurse with the knowledge base and skill set needed to transition to competence in clinical nursing practice. While providing the needed skills to meet the organization goals and mission, the program provides nurses with the leadership skills to work collaboratively within a multidisciplinary team. The program bridges the gap between undergraduate education and real-life professional nursing practice, delivering state-of-the art pediatric care.

The program is offered to new graduate nurses from an accredited nursing program with a passion for children. All new graduates, with less than one-year acute care experience, are eligible to participate in the program after obtaining licensure.