Clinical Documentation Improvement Specialist (LPN)

Genesis Administrative Services LLC; Albuquerque (NM); Sur place; USD 39 000 - 50 000; Plein temps

Avantages offerts par ce poste

Variable compensation plans

Tuition, Travel, and Wireless Service 

Employee Assistance Program

Employee Foundation

Health, Dental, Vision, Company-paid 1

401K

Paid Time Off

On-Demand Pay

Résumé du poste

PowerBack Rehabilitation is seeking a Full-Time, on-site Clinical Documentation Improvement Specialist to support multiple centers in Albuquerque. The role focuses on overseeing HNF documentation for resident care, regulatory compliance and reimbursement.

You will review charts, collaborate with nursing and therapy teams, and educate staff on proper documentation practices while ensuring timely and accurate records per state guidelines.

Qualifications

• Must be a graduate of an approved school for practical or vocational nursing.
• Must be currently licensed by the State Board of Nursing or pending licensed practical nurse licensure.
• Must maintain current BLS/CPR certification (All SNFs and Behavioral Centers; ALFs/ILFs as required by State).

Responsabilités

• Oversee clinical documentation for HNF and related resident care documentation.
• Review charts, assessments and care plans to ensure accuracy and compliance.
• Collaborate with nursing, therapy, social services and providers to gather information.
• Monitor changes in condition and update documentation accordingly.
• Audit charts for missing or inconsistent information and follow up with staff.
• Educate staff on proper documentation practices for HNF requirements.
• Communicate acuity levels with Managed Care Organizations per state regulations.

Connaissances

Clinical assessment

Documentation accuracy

Regulatory knowledge

Communication with MCOs

Formation

Licensed Practical Nurse (LPN)

Outils

EHR systems

Description du poste

Overview

We are currently looking for a Full-Time, On-Site Clinical Documentation Improvement Specialist to join our team. You would support multiple centers in this role!

We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.

Responsibilities

The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical documentation required for resident care, regulatory compliance, and reimbursement. We are looking for someone with strong clinical assessment and judgement skills.

• Review resident charts, assessments, and care plans to complete required quality HNF documentation according to state guidelines based off of individual level of care
• Ensure all forms are accurate, timely, and compliant with state and facility standards
• Collaborate with nursing staff, therapy, social services, business office and providers to gather needed information
• Monitor changes in condition and update documentation accordingly
• Audit charts for missing or inconsistent information and follow up with staff
• Educate staff on proper documentation practices related to HNF requirements
• Effectively communicate and challenge appropriate acuity level(s) with Managed Care Organizations according to state regulations

Qualifications

• *Must be a graduate of an approved school for practical or vocational nursing.
• *Must be currently licensed by the State Board of Nursing or pending licensed practical nurse licensure.
• *Must maintain current BLS/CPR certification (All SNFs and Behavioral Centers; ALFs/ILFs as required by State).

Benefits

• *Variable compensation plans
• *Tuition, Travel, and Wireless Service Discounts
• *Employee Assistance Program to support mental health
• *Employee Foundation to financially assist through unforeseen hardships
• *Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
• *Free 24/7virtual health careprovided by licensed doctorsforall Anthemmedically-enrolled employees and theirimmediate family members
• *On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned

We also offer several voluntary insurances such as:

• *Pet Insurance
• *Term and Whole Life Insurance
• *Short-term Disability
• *Hospital Indemnity
• *Personal Accident
• *Critical Illness
• *Cancer Coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range

USD $28.00 - USD $36.00 /Hr.