Clinical Documentation Specialist Jobs in the United States
Twin County Regional Healthcare
Galax, VA
Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Clinical Documentation Improvement Specialists collaborate directly with physicians and interdisciplinary teams to ensure documentation reflects severity of illness, risk of mortality, and the full scope of patient care.
Haywood Regional Medical Center
Clyde, NC
Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. In addition to your base compensation, this position also offers: - Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more.
Jobot
$110000 - $160000
Altamonte Springs, FL
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Director of Clinical Documentation Integrity, Growing Healthcare Orlando, reply to https://apply.jobot.com/jobs/director-of-clinical-documentation-integrity-cdi/1387419774/?utm_source=CareerBuilder.
Jobot
$110000 - $130000
Altamonte Springs, FL
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We are a large, full-service hospital organization providing a wide range of medical services including emergency care, heart and cancer treatment, maternity with a Level II NICU, and advanced surgical procedures like robot-assisted surgery.
Carle Health
Urbana, IL
Certifications: Accredited Case Manager (ACM) within 3 years - American Case Management Association (ACMA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR), Education: Nursing, Work Experience: Act as a liaison working with patient/family and physician to determine next level of careConducts case review presentations to educate peers on unique or challenging cases and scope of practice issues. Ensures patients receive proactive initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a safe and timely transition from the acute care/hospital setting to an appropriate level of care outside the hospital.
Tufts Medical Center
$124800 - $155933.24
Boston, MA
Clinical Pharmacy Specialists work closely with other health practitioners to improve the health of patients by providing pharmaceutical care to individual patients and by serving as an expert resource to physicians, nurses, and other health professionals and caring for patients of the assigned service areas. Performs medication counseling and medication history taking when requires, expertly performs basic patient care services such as blood glucose testing, blood pressure monitoring, peak flow meters, BLS/ACLS (if required by care setting).
Intermountain Health
$32.02 - $49.44
Murray, UT
The Registered Dietitian Specialist facilitates the nutrition care process in specialty care areas or specialized populations with a moderate degree of autonomy, using experience-based knowledge, nutrition assessment, and diagnostic reasoning skills and competencies. Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
RWJBarnabas Health Corporate Services
North Arlington, NJ
Assisting in clarifying documentation regarding the patient’s diagnoses and/or procedures, co-morbid conditions, complications, and other reportable data elements including quality measures and severity of illness and risk of mortality (SOI/ROM). As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.
Sevita
$41600
Fort Walton Beach, FL
May transport individuals into the community; drive safely and according to local laws; assure proper use of safety equipment including seat belts, lifts, and wheelchair ties; report accidents and safety concerns to appropriate authorities, supervisor, or maintenance personnel immediately. Status: Full-timeHours: DaysLocation: Fort Walton Beach, 32547Rate of Pay: $41,600 Mentor Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities.
Comhar Inc.
$62000 - $65000
Philadelphia, PA
A Licensed Clinical Supervisor in COMHAR’s IBHS Department shall have a minimum of 1 year of full-time postgraduate experience in the provision of mental health direct service to children, youth or young adults and meet one of the following: Be licensed in this Commonwealth as a physician practicing psychiatry, psychologist, professional counselor, marriage and family therapist, certified registered nurse practitioner with a mental health certification or clinical social worker. With programs that include outpatient treatment, residential services, community-based recovery centers, supportive housing, and specialized services for children, families, and diverse populations, COMHAR delivers person-centered care rooted in dignity, respect, and community integration.
Pinewood Springs
Columbia, TN
The individual must demonstrate knowledge of the principles of growth and development over the appropriate life span; possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his or her age specific needs; and, have the ability to provide care needed by the pertinent patient group(s). At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.".
TriStar Centennial Medical Center
Lebanon, TN
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Our campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion.
Kettering Health Network
Kettering, OH
Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach. The delivery of nursing care within the Kettering Health Network reflects the missions, vision, values and philosophies, of the organization and nursing departments.
ForTec Medical
$25 - $28
San Francisco, CA
Meet customer needs, provide exceptional customer service, and foster strong, professional relationships with both ForTec team members and healthcare partners. If you have prior medical, EMT, Surgical Technologist, or military experience, your background can provide a smooth transition into the clinical technology specialist role.
Greenlife Healthcare Staffing
Jericho, NY
Ideal for nurses experienced with payer interactions and billing processes. Impactful Work: Ensure appropriate reimbursement through clinical documentation integrity.
Presbyterian Healthcare Services
$83366.4 - $127275.2
Mesa, AZ
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more. Responsibilities of a Clinical Professional Development Specialist include: Design and Implement Educational Programs: Develop and evaluate training programs tailored to the needs of clinical staff.
Providence Health and Services
Del Aire, CA
Functions as the medication expert for the care team in areas that include cost effective, evidence based, appropriate use of medications, clinical pharmacology, pharmacokinetics, and medication therapy management while adhering to all clinical practices approved by P&T, as appropriate for practice setting. See Providence Health and Services Terms & Conditions at https://www.providence.org/utility-pages/privacy-policy#terms-of-use and Privacy Policy at https://www.providence.org/utility-pages/privacy-policy#privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Carle Health
Urbana, OH
Certifications: Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)Illinois Department of Financial and Professional Regulation (IDFPR); Accredited Case Manager (ACM) within 3 years - American Case Management Association (ACMA)American Case Management Association (ACMA); Basic Life Support (BLS) within 30 days - American Heart Association (AHA)American Heart Association (AHA), Education: College Diploma: Nursing (Required), Work Experience: None . Ensures patients receive proactive initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a safe and timely transition from the acute care/hospital setting to an appropriate level of care outside the hospital.
Carle Health
Urbana, IL
Certifications: Accredited Case Manager (ACM) within 3 years - American Case Management Association (ACMA); Basic Life Support (BLS) within 30 days - American Heart Association (AHA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR), Education: College Diploma: Nursing, Work Experience: Responsibilities . Ensures patients receive proactive initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a safe and timely transition from the acute care/hospital setting to an appropriate level of care outside the hospital.
Carle Health
Normal, IL
Act as a liaison working with patient/family and physician to determine next level of care and manage LOS.Coordinates the transition from inpatient care to post-hospital care, collaborating with physicians, consultants, internal and external referrals to facilitate appropriate next level of care to meet patient goals and outcomes. Participates in multidisciplinary rounds and initiates timely referrals to other internal healthcare team members (quality improvement, risk manager, social workers, pharmacy, therapy services, etc.)Performs case management activities of assessment, coordination, planning, monitoring, implementation, and evaluation.
A-Line Staffing Solutions LLC
$33.32 - $33.33
Irvine, CA
Ensure compliance with regulations and manage the lifecycle of devices, while closely partnering with other internal key stakeholders ( e.g., clinical study teams, Manufacturing Operations, Finance, Supply Chain, Quality, and Compliance groups) to develop and lead the execution of the device process, and ensuring continuous process improvement of efficiency and accuracy of processes and procedures. • Identify, develop, recommend, and implement, moderately complex process development and process improvement solutions to optimize global trial workflow timelines, (e.g., device return aging issues, status of open device issues/queries, etc.) .
University of Kansas Health System
Kansas City, KS
Our staff takes pride in balancing bedside nursing skills (i.e. feeding tubes, drains, tracheostomies, wounds, altered mobility, pain management, etc.), interpersonal communication with teams and families, and compassionate care all while effectively managing their time in a fast paced work environment. Our patients' communication, movement, and normal daily living activities are greatly affected by our patient population's diagnoses (i.e. throat cancer/trach/laryngectomies, strokes, ALS, seizures, etc.).
Duke Health
Durham, NC
With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. Plan and provide advanced and/or specialized nursing care for patients in accordance with guidelines established within the Discipline of Nursing Clinical Ladder Program and the North Carolina Board of Nursing.
UF Health
$65802 - $118444
Jacksonville, FL
Proven knowledge and experience integrating and implementing adult teaching principles Required Licensure/Certifications: -Licensed to practice nursing in the state of Florida -BLS required -Professional certifications required within one year of hire -Certification as required for assigned units Preferred Licensure/Certifications: NRP, PALS, BLS/ACLS Instructor preferred per clinical area Required Experience: 1-2 years Formal or informal teaching experience 3-5 years Clinical specialty Preferred Experience: N/A Supervision: Number of Employees Supervised: 1-5 Leads and provides support to direct reports, which includes the Laser Safety Nurse, Division Nurse Educators, Perioperative Informatics Nurse, and Clinical Quality Nurse Leaders.
Winds of Change
Missoula, MT
You won’t be sitting behind a desk—you’ll be meeting people where they are, supporting them in real-life situations, helping them navigate systems, and celebrating progress along the way. Symptom Management: Implement effective skills and strategies to help clients manage their symptoms.
TriStar Skyline Medical Center
Murfreesboro, TN
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Daily responsibilities of the Registered nurse include but are not limited to: assessments and reassessments, developing individualized plans of care, medication administration, documentation, education, proper maintenance of equipment, and communication of patient needs.
Intermountain Health
$38.37 - $52.25
Billings, MT
Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.- and -Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.- and -Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. A Registered Nurse with an ASN/ADN degree must complete a BSN degree within four (4) years from the Registered Nurse’s date of hire unless the Registered Nurse has a minimum of fifteen (15) years of proven continuous Registered Nurse experience in an acute care setting.
SSM Health
Saint Louis, MO
Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's scope of service. Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Inizio Engage
Miami, FL
Our passionate, global workforce augments local expertise and diverse mix of skills with data, science, and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers, people and providers to improve treatment outcomes. We are seeking a Clinical Educator to deliver educational support to identified Healthcare Professionals and office staff within primary care and specialist facilities in the field of a designated disease state.
SSM Health
Dupo, IL
Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's scope of service. Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
U.S. Renal Care
$111116 - $166673
North Hollywood, CA
The CS reports directly to the next level of clinical management which may be the Director of Clinical Operations or Vice President of Clinical Operations/Services, depending on the region/demographics or responsibilities. Assure that assigned clinics are in compliance with all applicable federal, state, and local laws and regulations and receive continuing certification from all statutory and regulatory agencies by conducting internal clinical reviews.
CenterWell Senior Primary Care
$71100 - $97800
Winston Salem, NC
Proactively identify recently discharged inpatient, observation and emergency department patients and coordinate timely post-discharge follow-up in alignment with TOC and Transitional Care Management (TCM) requirements, with the aim of addressing root causes of utilization and supporting patients to prevent avoidable readmissions or return visits. Duties and Responsibilities: Analyze clinical data and trends from platforms such as Athena EMR and DataHub to identify gaps in care related to Stars and HEDIS measures and Transitions of Care and post-hospitalization needs, prioritizing high-impact opportunities.
Intermountain Health
$36.71 - $56.17
Grand Junction, CO
Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.- and -Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.- and -Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. Assess, recognize and address patients psychological and physical needs- Foster quality of care with the best interests of patients and their families in mind- Communicate compassionately and effectively- Assist in developing individualized treatment plans- Comply with evaluation, treatment and documentation guidelines- Oversee care delivered by LPNs and/or CNAs- Participate in clinical team conferences- Follow hospital, regulatory and professional guidelines, policies and procedures.
Avera Health
$260000
Aberdeen, SD
To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, obstetrical, diagnostic, therapeutic, and pain management.
Avera Health
$260000
Fargo, ND
To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, obstetrical, diagnostic, therapeutic, and pain management.
Avera Health
$270004.8
Blunt, SD
To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, obstetrical, diagnostic, therapeutic, and pain management.
Intermountain Health
$36.71 - $56.17
Grand Junction, CO
Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.- and -Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.- and -Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. Assess, recognize and address patients psychological and physical needs- Foster quality of care with the best interests of patients and their families in mind- Communicate compassionately and effectively- Assist in developing individualized treatment plans- Comply with evaluation, treatment and documentation guidelines- Oversee care delivered by LPNs and/or CNAs- Participate in clinical team conferences- Follow hospital, regulatory and professional guidelines, policies and procedures.
Rehabilitation Hospital of Kingsport, a joint venture of Ballad Health and Encompass Health
Kingsport, TN
Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
Avera Health
$24.5 - $48.5
Groton, SD
Delivers nursing care by developing a nursing diagnosis; establishing nursing care objectives; defining nursing interventions; providing physical, emotional, psychological, and spiritual support to residents, families, and friends to understand residents conditions, medications, and self-care skills; noting changing conditions and needs; re-evaluating care objectives. Provides resident care by reviewing physician prescriptions; communicating the nursing care plan and all pertinent information to other members of the health care team; coordinating with other healthcare providers; providing physical, emotional, psychological, and spiritual support to residents, families, and friends; conferring with physicians.
Vaco LLC
$33 - $35
Los Angeles, CA
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure.
SSM Health
Fenton, MO
Applies the existing body of evidence-based practice and scientific knowledge in health care to critical care nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's Scope of Service. Provides direct nursing care in settings where patients require complex assessments and intervention, in accordance with established policies, procedures and protocols of the healthcare organization.
Saline Health System
Benton, AR
Join our team in a outpatient Endoscopy unit where you will provide compassionate care to patients alongside a dedicated team of Registered Nurses (RNs). Saline Memorial Hospital is a 177-bed acute care hospital that has been offering exceptional care to the Benton, Arkansas community for over 70 years.
UF Health
$56243.2 - $98675.2
Gainesville, FL
Educate and coordinate care for inpatients and outpatients, assisting with patient phone calls and messages, prescription refills, and obtaining insurance authorization for procedures and medications. Overview: The division of Pediatric Hematology/Oncology at the College of Medicine at the University of Florida is part of the UF Health Shands Children’s Hospital and provides for the care of children with cancer and blood disorders.
Encompass Health Deaconess Rehabilitation Hospital
Elberfeld, IN
As a Full-Time RN, you will play an integral role in delivering high-quality patient care, collaborating with interdisciplinary teams, and making a lasting difference in the lives of patients and communities we serve. Whether you're seeking temporary work to accommodate personal commitments, explore different healthcare settings, or gain diverse experience, we have flexible 16-week contract positions available.
US Tech Solutions, Inc.
$23 - $23.75
Woonsocket, RI
In addition to traditional scribing responsibilities, this position plays a key role in improving clinical documentation accuracy, supporting value-based care initiatives, and assisting in identifying and closing care gaps. supports primary care providers by handling real-time clinical documentation, enabling providers to focus on delivering high-quality patient care.
Intermountain Health
$34.11 - $51.73
Miles City, MT
Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.- and -Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.- and -Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. Nurses who possess a minimum of ten (10) years of proven Registered Nurse experience in an acute care or long-term care setting or nurses who are hired before July 1,2020 will be exempt and will not be subject to any requirement to obtain a BSN as a condition of employment at Holy Rosary Healthcare.
Intermountain Health
$34.11 - $51.73
Miles City, MT
Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.- and -Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.- and -Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. Nurses who possess a minimum of ten (10) years of proven Registered Nurse experience in an acute care or long-term care setting or nurses who are hired before July 1,2020 will be exempt and will not be subject to any requirement to obtain a BSN as a condition of employment at Holy Rosary Healthcare.
SSM Health
Bridgeton, MO
Uses the nursing process to develop and implement the plan of care, collect assessment data for each patient, determine appropriate nursing diagnoses, identify expected patient outcomes, determine the plan of care, implement interventions, and evaluate patient outcomes. Applies the existing body of evidence-based practice and scientific knowledge in health care to medical-surgical nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's Scope of Service.
SSM Health
Saint Louis, MO
Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's Scope of Service. Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
SSM Health
Fenton, MO
Uses the nursing process to develop and implement the plan of care, collect assessment data for each patient, determine appropriate nursing diagnoses, identify expected patient outcomes, determine the plan of care, implement interventions, and evaluate patient outcomes. Applies the existing body of evidence-based practice and scientific knowledge in health care to medical-surgical nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's Scope of Service.