Genesis is seeking a Clinical Documentation Improvement Specialist to ensure quality documentation and compliance across multiple centers in Santa Fe, New Mexico. The role involves reviewing resident charts and collaborating with nursing and other staff to maintain documentation standards. Candidates must be licensed practical nurses, with current BLS/CPR certification. Genesis offers a supportive work environment along with competitive benefits including health insurance, 401K, and employee assistance programs.
Qualifications
Graduate of an approved school for practical or vocational nursing.
Currently licensed or pending nurse licensure.
Must maintain current BLS/CPR certification.
Responsibilities
Review resident charts and care plans for quality documentation.
Ensure forms are accurate and comply with state and facility standards.
Collaborate with staff to gather required information.
Monitor changes in condition and update documentation.
Audit charts for missing or inconsistent information.
Educate staff on documentation practices.
Skills
Attention to detail
Effective communication
Collaboration
Education
Graduate of an approved school for practical or vocational nursing
Licensed by the State Board of Nursing
Current BLS/CPR certification
Job description
Genesis is seeking a Clinical Documentation Improvement Specialist to ensure quality documentation and compliance across multiple centers in Santa Fe, New Mexico. The role involves reviewing resident charts and collaborating with nursing and other staff to maintain documentation standards. Candidates must be licensed practical nurses, with current BLS/CPR certification. Genesis offers a supportive work environment along with competitive benefits including health insurance, 401K, and employee assistance programs.