[Hiring] RN – Case Management / Clinical Documentation Specialist @NavitasPartners
Role Description
- Review inpatient medical records for documentation accuracy and completeness.
- Identify opportunities for Clinical Documentation Improvement (CDI).
- Formulate and communicate clinically appropriate physician queries.
- Collaborate with physicians, HIM professionals, and nursing staff.
- Ensure accurate representation of severity of illness and risk adjustment.
- Follow up on documentation queries and discrepancies.
- Participate in CDI education initiatives and meetings.
- Support accurate DRG assignment and documentation practices.
- Maintain timely and accurate documentation in Epic EMR.
- Manage multiple priorities in a remote work environment.
- Support regulatory compliance and documentation integrity initiatives.
- Provide professional communication and support across departments.
Qualifications
- Bachelor of Science in Nursing (BSN).
- Certified Clinical Documentation Specialist (CCDS).
- CDI Competency Exam completion.
- Management or supervisory experience.
- Familiarity with healthcare regulatory environments.
- Strong physician communication and collaboration skills.
Requirements
- Active Massachusetts Registered Nurse (RN) License.
- Recent acute care experience (ICU, CCU, or Medical/Surgical) OR 4 years of recent Case Management experience.
- Epic EMR experience required.
- Prior fully remote work experience required.
- Strong understanding of pathophysiology and disease processes.
- Knowledge of Medicare Part A and Part B guidelines.
- Strong analytical, critical thinking, and communication skills.
- Graduate of an accredited nursing program.
- Ability to manage multiple priorities independently.
- Ability to work rotating weekends and occasional holidays.
Company Description
Navitas Healthcare, LLC is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.