Top 108 Clinical documentation & utilization review nurses Jobs in Massachusetts

Clinical Documentation Specialist II- RN- Remote
Beth Israel Lahey Health —Charlestown, MA
- $102,000 - $158,392 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Utilization Management Nurse BWH
The Brigham and Women's Hospital, Inc. —Boston, MA
- $41.71 - $105.65 an hour
- Part-time
- Remote
- Nursing
- RN License
- Hospital
- Opportunities for advancement
Quick Apply
2d
Clinical Claim Review RN
Optum —Boston, MA
- $29 - $52 an hour
- 8 hour shift
- Remote
- 18 years or older
- RN License
- Customer service
- On-the-job training
5d
IRR Clinical Claim Review RN
Optum —Plymouth, MA
- $29 - $52 an hour
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- AD&D insurance
- Employee stock purchase plan
Clinical Analyst Appeals (Remote)
Beth Israel Lahey Health —Charlestown, MA
- $93,142 - $124,800 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
MDS Coordinator (RN)
Fall River HealthCare —Fall River, MA
- Up to $50 an hour
- Full-time
- RN License
- Mid-level
- 1 year
- Paid holidays
- Health insurance
MDS Coordinator (RN)
The Elmhurst HealthCare —Melrose, MA
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
MDS Coordinator (RN)
Melrose HealthCare —Melrose, MA
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
2d
MDS Coordinator (RN)
Wedgemere HealthCare —Taunton, MA
- Full-time
- RN License
- Mid-level
- 1 year
- Paid holidays
- Health insurance
1d
MDS NURSE - RN/LPN
Blaire House of Worcester —Worcester, MA
- $90,000 - $95,000 a year
- Full-time
- Background check
- Nursing
- Skilled nursing facility
- Health savings account
- Health insurance
Quick Apply
MDS Coordinator
Blueberry Hill Rehabilitation and Healthcare Center —Beverly, MA
- $30 - $60 an hour
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Dental insurance
- Tuition reimbursement
Quick Apply
MDS Nurse Coordinator RN LPN I $5,000 Sign On Bonus
Hancock Park Rehab & Nursing Center —Quincy, MA
- $46 - $54 an hour
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Paid holidays
- Health insurance
Quick Apply
MDS Nurse - RN/LPN
Blaire House of Tewksbury —Tewksbury, MA
- $90,000 - $95,000 a year
- Part-time
- Background check
- Nursing
- Skilled nursing facility
- Health savings account
- Health insurance
Quick Apply
MDS Coordinator
The Brentwood Rehabilitation and Healthcare Center —Danvers, MA
- $35 - $60 an hour
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Dental insurance
- Tuition reimbursement
Quick Apply
MDS Nurse - LPN or RN
Blaire House of Milford —Milford, MA
- $80,000 - $90,000 a year
- Full-time
- Background check
- Nursing
- Skilled nursing facility
- Health savings account
- Health insurance
Quick Apply
MDS Coordinator
Willow Brook Rehabilitation and Healthcare Center —Wilmington, MA
- $30 - $60 an hour
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Dental insurance
- Tuition reimbursement
Quick Apply
MDS Coordinator
Palm Springs Post Acute —Chelmsford, MA
- $30 - $60 an hour
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Dental insurance
- Tuition reimbursement
Quick Apply
Clinical Reimbursement Specialist
Northeast Division —Boston, MA
- $110,000 - $120,000 a year
- Full-time
- RN License
- Customer service
- Sanitation
Quick Apply
8d
CENTRAL ADMISSIONS NURSE
Essex Group Management Corporation —South Dartmouth, MA
- $70,000 - $80,000 a year
- Full-time
- Background check
- Nursing
- Mid-level
- Free parking
- Health savings account
Quick Apply
MDS Coordinator LPN/RN
RegalCare at Harwich —Harwich, MA
- $30 - $45 an hour
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
Quick Apply

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clinical documentation & utilization review nurses jobs near massachusetts

Clinical Documentation Specialist II- RN- Remote

Beth Israel Lahey Health -
Charlestown, MA

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Job Details

Full-time
$102,000 - $158,392 a year

Qualifications

Medical writing
Inpatient experience
RN License
Bachelor's degree
Medical-surgical
Desktop applications
Bachelor's degree in nursing
Manual chart audits
Clinical documentation improvement
Surgical nursing expertise

Full Job Description

Charlestown, MA • Beth Israel Lahey Health • Full-time • Day

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

**This position is remote. Candidates must be local to New England States for consideration**

The Clinical Documentation Improvement (CDI) Specialist II assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient’s hospital stay and care provided including Severity of Illness (SOI), Risk of Mortality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward quality physician documentation within the body of the medical record. The CDI Specialist II works under the direction of the Manager of CDI and collaborates with coding, clinicians, medical staff, and physician advisors to improve documentation and the importance of complete and accurate documentation.

Job Description:

Concurrently reviews inpatient records to ensure completeness, accuracy, and clinical validation.
Evaluates documentation for assignment of working and possible DRG.
Recognizes opportunities for documentation improvement, including severity of illness, risk of mortality, core measures, and patient safety/quality.
Identify opportunities to query physicians regarding missing, unclear, or conflicting documentation.
Interacts directly with physicians to request and obtain additional documentation when needed.
Timely follow-up on all unanswered queries based on the query escalation policy.
Facilitates modifications to physician documentation to reflect the complexity of care of the patient and appropriate reimbursement.
Maintains a collaborative working relationship with the Health Information Coding staff and serves as a clinical resource.
Collaborates with and educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing, and case management.
Performs mortality reviews and optimizes the risk of mortality.
Maintains review worksheet on all records using CDI software.
Ensures the accuracy of clinical information used for measuring and reporting physician and hospital quality outcomes.
Reviews, evaluates, analyzes, and interprets data related to documentation on an ongoing basis. Identifies trends or potential problems and assists in developing action plans to address.
Participates in additional projects such as developing physician education materials, CDI week advertisements, etc.
Adheres to ethical and professional business practices.
All other duties as assigned.
It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.

Minimum Qualifications:

Education:

Bachelor’s in Nursing, required

Licensure, Certification & Registration:

RN License
Clinical Documentation Specialist Certification via ACDIS or AHIMA

Experience:

2-5 years of medical/surgical nursing experience in the acute hospital setting.
Experienced Clinical Documentation Specialist with minimum of 2 years recent experience in CDI role
Critical Care and/or Emergency Nursing experience required

Skills, Knowledge & Abilities:

Proficient skill in query writing to physicians
Knowledge to accurately complete chart audits
Organizational and critical thinking skills required
Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint, or Access

Pay Range:

$102,000.00 USD – $158,392.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

Job details

Employment: Full-time
Hours/Week: 40
Shift: Day
Category: Clinical Documentation Improvement (CDI)
Pay Range: $102,000.00 USD - $158,392.00 USD
FLSA: Exempt
Req ID: JR84553

Apply Now

Refine Your Search

clinical documentation & utilization review nurses jobs in massachusetts

Clinical Documentation Specialist II- RN- Remote

Utilization Management Nurse BWH

Clinical Claim Review RN

IRR Clinical Claim Review RN

Clinical Analyst Appeals (Remote)

MDS Coordinator (RN)

MDS Coordinator (RN)

MDS Coordinator (RN)

MDS Coordinator (RN)

MDS NURSE - RN/LPN

MDS Coordinator

MDS Nurse Coordinator RN LPN I $5,000 Sign On Bonus

MDS Nurse - RN/LPN

MDS Coordinator

MDS Nurse - LPN or RN

MDS Coordinator

MDS Coordinator

Clinical Reimbursement Specialist

CENTRAL ADMISSIONS NURSE

MDS Coordinator LPN/RN

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As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

Job details

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