Top 61 Clinical documentation & utilization review nurses Jobs in Somerville, Ma

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
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
13d
Clinical Documentation Improvement Specialist
Beth Israel Lahey Health —Charlestown, MA
- $102,000 - $158,392 a year
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
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
Clinical Appeals RN
Optum —Boston, MA
- $28.94 - $51.83 an hour
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- AD&D insurance
- Employee stock purchase plan
Clinical Review Specialist
Mass General Brigham Community Physicians, Inc. —Somerville, MA
- $63,648.00 - $92,570.40 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Opportunities for advancement
Quick Apply
3d
Peer to Peer Utilization Management Nurse (32 Hours)
Mass General Brigham Incorporated —Somerville, MA
- $58,656.00 - $142,448.80 a year
- Part-time
- Remote
- Nursing
- RN License
- Bachelor of Science
- Opportunities for advancement
Quick Apply
7d
Clinical Quality Assurance Coordinator
MES Solutions —Norwood, MA
- $27 - $29 an hour
- Full-time
- Remote
- Nursing
- Anatomy knowledge
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Utilization Management Nurse, Out of Network
Mass General Brigham Health Plan Holding Company, Inc. —Somerville, MA
- $58,656.00 - $142,448.80 a year
- Full-time
- Remote
- Microsoft Word
- Nursing
- Microsoft Excel
- Health insurance
- Opportunities for advancement
Quick Apply
12h
MDS Nurse Coordinator RN LPN
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 Coordinator RN LPN
Bostonian Skilled Nursing Home & Rehabilitation —Boston, MA
- $46 - $54 an hour
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Paid holidays
- Health insurance
Quick Apply
MDS Coordinator (RN)
Melrose HealthCare —Melrose, MA
- Full-time
- RN License
- Mid-level
- 1 year
- Paid holidays
- Health insurance
10d
MDS Coordinator
Bear Hill Rehabilitation & Nursing Center —Stoneham, MA
- $50 - $60 an hour
- Full-time
- Skilled nursing facility
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
8h
MDS Coordinator
Webster Park Rehabilitation and Healthcare Center —Rockland, MA
- $35 - $60 an hour
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Dental insurance
- Tuition reimbursement
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
Case Mix MDS Coordinator- RN or LPN
Presentation Rehab & Skilled Care Center —Brighton, MA
- $50 - $55 an hour
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Free parking
- Loan repayment program
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 (RN)
The Elmhurst HealthCare —Melrose, MA
- Full-time
- RN License
- Mid-level
- 1 year
- Paid holidays
- Health insurance
1d
Utilization Management Nurse, Extended Care Facilities
Mass General Brigham Health Plan Holding Company, Inc. —Somerville, MA
- $58,656.00 - $142,448.80 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Opportunities for advancement
Quick Apply
12h
Clinical Policy Configuration Specialist
Cohere Health —Boston, MA
- $65,000 - $80,000 a year
- Remote
- Microsoft Word
- Nursing
- Microsoft Excel
- Paid parental leave
- Health savings account
Quick Apply

I want to receive the latest job alert for clinical documentation & utilization review nurses in somerville, ma

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

clinical documentation & utilization review nurses jobs near somerville, ma

Clinical Documentation Specialist II- RN- Remote

Beth Israel Lahey Health -
Charlestown, MA

Apply Now

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 somerville, ma

Clinical Documentation Specialist II- RN- Remote

Clinical Claim Review RN

Clinical Documentation Improvement Specialist

Clinical Analyst Appeals (Remote)

Clinical Appeals RN

Clinical Review Specialist

Peer to Peer Utilization Management Nurse (32 Hours)

Clinical Quality Assurance Coordinator

Utilization Management Nurse, Out of Network

MDS Nurse Coordinator RN LPN

MDS Nurse Coordinator RN LPN

MDS Coordinator (RN)

MDS Coordinator

MDS Coordinator

MDS Coordinator

Case Mix MDS Coordinator- RN or LPN

MDS Nurse - RN/LPN

MDS Coordinator (RN)

Utilization Management Nurse, Extended Care Facilities

Clinical Policy Configuration Specialist

I want to receive the latest job alert for clinical documentation & utilization review nurses in somerville, ma

Related Searches

Explore jobs in more locations

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

Job Seeker Tools

Employer Tools

Browse

Stay Connected