Cedars-Sinai Registered Nurse -Clinical Documentation Specialist in Los Angeles, California
Make a difference every single day
When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of happiness, passion and dedication pulses through Cedars-Sinai, and it’s just one of the many reasons we’ve achieved our fifth-consecutive Magnet designation for nursing excellence. From working with a team of dedicated healthcare professionals to using state-of-the-art facilities, you’ll have everything you need to do something incredible—for yourself, and for others. Join us, and discover why U.S. News & World Report has named us one of America’s Best Hospitals.
Would you like to make a difference as a Nurse or other Licensed professional!
The Health Information Department (HID) is committed to efficiently managing the collection, organization, classification, storage, retrieval, and release of health information for patients of the Medical Center.
Under general direction of the HID CDI/Core Measures Supervisor or Manager you will be is responsible for:
Improving the overall quality and completeness of clinical documentation.
Facilitate modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers.
Facilitate clarity of clinical information used for measuring and reporting physician and medical center outcomes which incorporates current DRG methodologies (e.g. MS-DRG) by CMS and/or other regulating/quality reporting bodies (e.g. APR-DRG)
And, educate all members of the patient care team on an ongoing basis.
Degree in Nursing or Health Information Management; Foreign medical degree may be considered
Current RN license (not limited to State of California) or higher clinical degree (i.e. MD),
Health Info Admin. (RHIA), or Registered Health Info Tech. (RHIT) or Certified Clinical Documentation Specialist.
Minimum of 5 years Acute Care experience in Clinical Care, Utilization Review, Coding, or Case Management. Working knowledge of TJC standards and regulatory requirements.
A high level of clinical knowledge required to participate collaboratively with all members of the care team.
Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes
Strong critical thinking skills and exceptional ability to integrate knowledge
Excellent observation, communication and decision making abilities and the ability to assess, analyze, and evaluate data
The department will consider training an Internal applicant with strong Critical Care, PACU or ED experience.
Ability to sit or stand for prolonged periods of time in conjunction with assignments (up to 95% of scheduled work shift)
Ability to walk for extended periods of time (from 35%-65% of the scheduled work shift)
Bending, stooping, turning or reaching with arms (less than 35% of the scheduled work shift)
Lifts, carries, moves and pushes/pulls equipment (laptop computer, rolling bag, books, and paperwork) and materials related to assigned work demanding ability to lift up to 30 pounds.
Ability to use a computer keyboard, perform data entry, and look at a computer monitor for extended periods of time.
Talking, seeing, hearing required for more than 65% of the time
May include travel by shuttle or car for offsite work locations
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.
At Cedars-Sinai, we are dedicated to the safety, health and well-being of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through March each year) as a condition of employment, and annually thereafter as a condition of continued employment.
High School Diploma/GED Required.
Bachelor's Degree in Nursing or Health Information Management Preferred
Foreign Medical Degree may be considered
Licenses: RN State License -Current RN license (not limited to State of California) or higher clinical degree (i.e. MD), or Registered Health Info Admin, or Registered Health Info Tech Required;
Clinical Documentation Improvement Professional - or Certified Clinical Documentation Specialist Preferred
Experience: Acute Care Experience - 3 Years Required
Utilization Review, Coding, or Case Management experience – Preferred
Physical Demands: Sit at a desk or table with some walking, standing, bending, stooping, or carrying of light objects - Frequently
Perform continuous operation of a personal computer for four hours or more. - Constantly
Use hands and fingers to handle and manipulate objects and/or operate equipment. -Constantly
Bend, crouch, stoop, stretch, or crawl. Bend upper torso and reach up and out with hands and arms. – Rarely
Working Title: Registered Nurse -Clinical Documentation Specialist
Department: HI CDI/CORE Measures
Business Entity: Corporate Services
Job Category: Patient Financial Services
Job Specialty: Revenue Integrity
Position Type: Full-time
Shift Length: 8 hour shift
Shift Type: Day
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.