Qureos Mentor

Smilow Cancer Hospital

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 Overview
 
 
 
 To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
 
 
 Under the direction of the nurse manager, manages individualized, goal-directed nursing care through the use of the nursing process and the principles of primary nursing, in accordance with departmental and hospital policies and procedures. Contacts
 
 
 EEO/AA/Disability/Veteran
 
 
 
 Responsibilities
 
 
 
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 1. Essential Functions
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 1.1 Assesses the patient's physical and psychological condition on an ongoing basis throughout the continuum of care. Documents appropriately the information obtained from the ongoing assessment. Shares significant assessment data with the appropriate discipline.
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 2. Essential Functions ( continued)
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 2.1 Adheres to The Westerly Hospital policies and procedures
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 3. Staff/Self Development
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 3.1 Acts as a clinical resource and role model
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 4. Staff/Self Development (continued)
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 4.1 Actively participates in train and educational activities for other staff members
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 5. Customer Service
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 5.1 Demonstrate a high level of respect, dignity compassion and professionalism for all customers by utilizing the four tenets of Patient Family and Centered Partnership.
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 6. Employee Collaboration and Teamwork
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 6.1 Recognizes and values the contributions of fellow employees and displays cooperation and teamwork.
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 7. Resource Utilization
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 7.1 Reports to work on time, prepared to work and follow hospital policies for notice of lateness/absenteeism and time off requests.
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 8. List core competency
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 8.1 List duty/task determing competency
 
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 Qualifications
 
 
 
 EDUCATION
 
 
 Graduate of an accredited school of nursing required.
 
 
 
 Experience
 
 
 
 
 1-3 years of critical care nursing required.
 
 
 
 LICENSURE
 
 
 
 Current State Registration. BLS Required ACLS Required CCRN Preferred
 
 
 
 YNHHS Requisition ID
 
 
 178374
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Registered Nurse ICU

<div>
 
 Overview
 
 
 
 To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
 
 
 As a member of the Center for Population Health, the HCC Documentation Lead (RN), while incorporating the role of the HCC Documentation Specialist, is expected to demonstrate a higher level of comprehension and expertise in HCC Documentation integrity and is responsible for overall coordination of HCC Documentation specialists, provide procedural guidance, and assumes responsibility for achieving desired results in conjunction with leadership and program manager support. The HCC Documentation Lead will serve as a partner and subject matter expert on HCC coding and documentation for clinicians who are a part of our Clinically Integrated Network (CIN), Yale New Haven Health Clinical Affiliates. The position is responsible for leading the efforts related to clinician education regarding documentation opportunities through appropriate channels on an ongoing basis. Working with leadership and staff, the HCC Documentation Lead will contribute to content development and ongoing documentation; participates and organizes projects related to performance improvement.
 
 
 EEO/AA/Disability/Veteran
 
 
 
 Responsibilities
 
 
 
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 1. Pre Visit Support
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 1.1 Provide support to clinicians through patient record reviews in advance of patient visits, focused on recapture of HCCs and other potential chronic diagnoses, evaluating new HCC diagnosis capture opportunities based on appropriate clinical indicators and validation of data-driven suspect diagnoses.
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 1.2 Provides second-level reviews and assists with audits of documentation for quality and accuracy assurance, as needed. Serves as a resource for team to ensure efficient query response .
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 1.3 Organizes special projects. Acts as a resource to direct the project team. Involved in initiatives such as clinician engagement (i.e. response rate) and administration engagement (i.e. KPI and metric development)
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 1.4 Functions as a subject matter expert and actively participates in department meetings as a problem solver. Expert in workqueue and workflow management.
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 1.5 Ensures efficiency and productivity of the processes and workflows of team , participating in orientation of new hires, reporting issues to leadership, and getting involved in committees / projects.
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 1.6 Identifies opportunities for performance improvement through evaluation of trends and proposes potential solutions.
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 1.7 Partners with coding and billing teams to ensure completeness of supporting documentation, as appropriate.
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 2. Clinician Education
 
 
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 2.1 Interact with clinicians regarding questions about pre-visit documentation needs or suspect diagnoses
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 2.2 Educate clinicians and internal staff on HCC documentation and guidelines using a multi -model approach, including 1:1, group and pre-recorded sessions in coordination with other members of the Center for Population Health
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 2.3 Works with other members of the Center for Population Health to develop educational content.
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 2.4 Provide ongoing team learning opportunities through sharing of professional knowledge.
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 3. Staff oversight
 
 
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 3.1 Provide day to day guidance and support to HCC Documentation Specialists, clarifying priorities and role expectations.
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 3.2 Identify and assist in the development of skill sets through regular feedback channels for individual team members.
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 3.3 Participate in annual performance reviews
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 4. Performs other duties as assigned or directed.
 
 
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 4.1 Performs other duties as assigned that support the program to meet program and organizational goals.
 
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 Qualifications
 
 
 
 EDUCATION
 
 
 Registered Nurse with active RN required, BSN preferred. CCS-P, CPC, CRC, or other coding credential required.
 
 
 
 Experience
 
 
 
 Experienced HCC Documentation Specialist with minimum of three (3) years experience in role. At least three (3) years of recent acute care nursing experience required; ICU experience preferred. Previous clinical leadership experience preferred.
 
 
 LICENSURE
 
 
 RN license required. CCS-P, CPC, CRC, or other coding credential required.
 
 
 
 Special Skills
 
 
 
 Excellent communication and organizational skills. Adaptability to a wide variety of interpersonal encounters with the care team. Comprehensive understanding in use of medical record to extract data. Computer PC literacy required. Must be able to work collaboratively and independently. Must be flexible with responsibilities in order to meet departmental needs. Must have keen eye to detail. Ability to develop and maintain supportive, collaborative relationships with physicians and other clinical professionals. Ability to track activities and communications across multiple physician services and forums.
 
 
 PHYSICAL DEMAND
 
 
 Ability to communicate clearly and confidently to clinicians the program goals and documentation opportunities using email, in personal communication, telephone or other written and electronic forms of communication. Primarily remote position, however occasional on site participation in meetings, trainings and conducting education sessions may be required on ad hoc basis.
 
 
 YNHHS Requisition ID
 
 
 160356
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HCC Clinical Documentation Lead (RN)

<div>
 
 Overview
 
 
 
 To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
 
 
 Practice Administrative Associate serves to coordinate patient care and physician activity by greeting all patients/visitors, answering telephone calls, scheduling appointments, maintaining patient medical records. The position requires an individual with knowledge of front desk medical office operations. Essential duties and responsibilities include the following. Other duties may be assigned.
 
 
 EEO/AA/Disability/Veteran
 
 
 
 Responsibilities
 
 
 
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 1. Maintain appointment schedule template (alterations, deletions, additions).
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 1.1 Responsible for communicating schedule changes to the appropriate staff members and physicians/providers.
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 2. Coordinate the ongoing operation of the check-in process and front desk to ensure that quality services provided are cost effective and efficient.
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 2.1 Receive patient at arrival and verify and obtain all necessary information and signatures in accordance with NEMG policies and procedures
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 3. Answer telephone calls to office, assists callers in a pleasant manner, takes accurate and complete messages and refer callers to appropriate personnel when necessary.
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 3.1 Maintain proper telephone etiquette when speaking with patients/companies and healthcare team.
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 4. When necessary, executes all necessary pre-authorizations as required by insurance companies for upcoming diagnostic tests and procedures.
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 4.1 Track referrals coming into the practice.
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 5. Maintain electronic medical records and/or paper medical charts in accordance with NEMG policies and procedures.
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 6. Responsible for daily activities including but not limited to message retrieval from answering service, voicemail, retrieval and distribution of faxes, filing, photocopying, opening and sorting mail.
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 6.1 Forwards phones to answering service and notifies answering service about the physicians on-call status.
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 7. Collect and reconcile co-pay collections/cash drawers (cash, checks, credit card payments) within Epic in accordance with NEMG policy and procedures.
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 8. Collaborate in the development of and contributes to individual team, and department quality improvement and evaluation activities.
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 8.1 Attend and actively participate in staff meetings
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 9. Utilize appropriate methods for interacting effectively and professionally with persons of all ages and from diverse cultural, socioeconomic, educational, racial and ethnic backgrounds, sexual orientations, lifestyles and physical abilities.
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 9.1 Coordinate efforts to gain patient and family feedback regarding their experiences of healthcare (focus groups, surveys and other means) and participate in interventions which address articulated needs.
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 10. Performs all other related/additional tasks as requested by physicians and/or management.
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 10.1 Provide cross coverage as needed
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 11. May assist and/or perform chaperone duties for patient medical procedures as needed.
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 12. May assist and/or perform chaperone duties for patient medical procedures as needed.
 
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 Qualifications
 
 
 
 EDUCATION
 
 
 High School degree or equivalent required.
 
 
 
 Experience
 
 
 
 1 year of administrative healthcare experience or 2 years of administrative office experience required.
 
 
 
 Special Skills
 
 
 
 Excellent, organizational, communication, customer service and teamwork skills required. Ability to multi-task is essential. EMR experience preferred and working knowledge of Microsoft office applications required. Core philosophy or values consistent with a patient-centered approach to care. Demonstrates professional, appropriate, effective and tactful written, verbal and nonverbal communication with patients, families, medical staff, colleagues, vendors, and other departments throughout the continuum of care to promote continuity of care and services and enhance clinical image.
 
 
 
 YNHHS Requisition ID
 
 
 
 172344
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Join Smilow Cancer Hospital and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Smilow Cancer Hospital

About Company

Registered Nurse ICU

HCC Clinical Documentation Lead (RN)

PAA