Clinical Nursing Support Specialist
Facility: Valleywise Health Medical Center
Department: Nursing Administration
Schedule: Regular FT 40 Hours Per Week
Under the direction of the Nursing Manager and Assistant Chief Nursing Officer, the major role functions of this position include clinical nursing practice, education, consultation, performance improvement, supervision of staff and staff development. Works collaboratively with Nurse Managers, Care Management, Regulatory, and Coding staff. Provides education and feedback to the nursing staff one-on-one and in-group settings regarding documentation. The Clinical Nursing Support Specialist provides clinically based concurrent and retrospective review of medical records to evaluate the documentation and utilization of acute care services. Use advanced clinical skills in the assessment, diagnosis, treatment and evaluation of patients. This position is a leader and resource within the department for daily operations and demonstrates and promotes alliance with organizational goals and department leadership. In the absence of the Nurse Manager, the Clinical Nurse Specialist represents the Nurse Manager and assumes responsibility for the Nurse Manager, as delegated by the Nurse Manager
- Requires a Master's degree in Nursing or higher.
- Requires three (3) years of clinical experience in an acute care setting (ie Critical Care, Medical/Surgical, or Emergency department) that demonstrates an understanding of the required knowledge, skills, and abilities.
- Prior experience or training in clinical documentation improvement is preferred.
- Must possess a current, valid AZ RN license; temporary AZ RN license; or valid compact RN licensure for current state of practice. Must also be in good standing with the issuing Board of Nursing.
Knowledge, Skills & Abilities:
- Requires excellent critical thinking, communication, nursing clinical skills and practice.
- Requires an ability to analyze and interpret medical record documentation and formulate appropriate nursing queries; and ability to benchmark and analyze clinical documentation program performance.
- Must possess knowledge of a wide range of specialized disciplines, including education in anatomy and physiology, pathophysiology, and pharmacology; knowledge of official medical coding guidelines, CMS, and private payer regulations related to the Inpatient Prospective Payment System.
- Requires extensive knowledge of workup, treatment, prognosis, and hospital procedures/ strong critical care skills.
- Knowledge of severity based DRG's, DRG assurance, coding, revenue cycle, InterQual Criteria, and MIDAS advanced computer skills.
- Requires the ability to read, write and speak effectively in English.