• Clinical Doc Improvement Specialist - CareResource…

    Queen's Health System (Honolulu, HI)


    RESPONSIBILITIES

    Effective Date: 12/23

    I. JOB SUMMARY/RESPONSIBILITIES:

    • Under the general supervision of the Quality & Patient Safety Manager, is responsible for competency in coordinating and performing day-to-day operations, providing concurrent and/or retrospective review, and improving documentation of all disciplines, conditions, treatments, and care plans to ensure highest quality of care is provided to the patient.

    II. TYPICAL PHYSICAL DEMANDS:

    • Sitting, finger dexterity, seeing, hearing, speaking.

    • Constant: reaching above, at and below shoulders; repetitive arm/hand motion.

    • Frequent: standing, walking, stooping/bending, gripping of objects, and twisting body.

    • Infrequent: lifting and carrying items up to usual weight of 10 pounds.

    III. TYPICAL WORKING CONDITIONS:

    • Not substantially subjected to adverse environmental conditions.

    IV. MINIMUM QUALIFICATIONS:

    A. EDUCATION/CERTIFICATION AND LICENSURE:

    • Current Hawaii State license as a Registered Nurse.

    • Associate degree in nursing or higher.

    • Valid U.S. driver’s license, vehicle and vehicle insurance as required by Hawaii State law.

    • Driver’s abstract or evidence of good driving record.

    • Current BLS certification.

    B. EXPERIENCE:

    • Minimum one (1) year experience in health care as a clinician (RN).

    • One (1) year experience in a Medicare Certified home health agency.

    • Working knowledge of OASIS; certification preferred. (COS-C or COQS)

    • Working knowledge of Medicare Certified Home Health financial system.

    • Experience to demonstrate:

    o Ability to apply decision making and problem-solving techniques to the case management process.

    o Ability to interpret clinical information and assess implications for treatment.

    o Ability to interpret federal, state, and other regulatory/credentialing agency requirements.

    o Ability to maintain effective working relationships with clients, co-workers, and public through constructive feedback and problem-solving skills.

    o Excellent time management and organizational skills.

    o Ability to adapt to changing organizational needs.

    o Demonstrated ability to motivate and educate others.

    o Detail oriented and able to work independently to meet deadlines.

    o Working knowledge of computer systems including MS Office, Outlook, Word, and Excel.

     

    Equal Opportunity Employer/Disability/Vet