RN Full-time
University of Utah Health

Nurse Specialist, Clinical Documentation Improvement

apartment University of Utah Health location_onSalt Lake City, UT, US
Apply Now

Overview

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA

 

This position is responsible for improving the overall quality and completeness of clinical documentation by communicating with and providing education to physicians, case managers, coders and other health team members to facilitate comprehensive medical record documentation that reflects clinical treatment, decisions, and diagnoses for patients. This position may be required to access and administer medications within their scope of practice and according to state law.

 

Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.

Responsibilities

  • Ensures documentation meets quality standards and an accurate reflection of the patient's status is entered in the medical record.
  • Provides education to staff and physicians on the importance of the Clinical Documentation Improvement Program (CDIP).
  • Facilitates modifications to clinical documentation through extensive concurrent interactions with physicians, nursing staff and coding to support that appropriate reimbursement and clinical severity is captured.
  • Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes.
  • Assists the assigned coder with concurrently reviewing the medical records of inpatients and subsequently discusses documentation opportunities with the various physician teams.
  • Acts as consultant to coders when additional information or documentation is needed to assign the correct DRG.
  • Participates in assigned hospital, and unit and departmental committees.
  • At the discretion of department operational and patient care needs, this position is required to work rotating schedules, which may include variable hours, weekends, nights, and holidays to meet the staffing and patient care demands of a 24/7 complex health system. Regular, reliable, and punctual attendance during assigned shifts is considered an essential function of the role.

Knowledge / Skills / Abilities

  • Demonstrated ability to perform the essential functions as outlined above.
  • Demonstrated availability to work variable and rotating shifts, including nights, weekends, and holidays, in a 24/7 patient care environment.
  • Ability to provide care to the population served.
  • Demonstrated knowledge of the principles of life span growth and development and the ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual.
  • Demonstrated human relations and effective communication skills.
  • Demonstrated ability to collaborate with coders, physician teams and hospital staff.
  • Demonstrated knowledge of state and federal regulations.
  • Ability to identify and monitor trends and opportunities for documentation improvement.

Qualifications

Qualifications

Required

  • Five years of clinical and critical nursing experience.
  • Bachelor's degree in Nursing or equivalency.

Licenses Required

  • Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire under the interstate compact if switching residency to State of Utah. Must maintain current Interstate Compact (multi-state) license if residency is not being changed to Utah.

* Additional license requirements as determined by the hiring department.

Qualifications (Preferred)

Preferred

  • Knowledge of ICD-9 and DRG.

Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.

  • This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push,pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements

Listening, Sitting, Speaking

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Full-time
Surgery Partners

Orthopedic OR RN Circulator

apartment Surgery Partners location_onPark City, UT
Position Summary The OR Circulator Nurse is responsible for providing safe, efficient, and high-quality perioperative nursing care to patients undergoing surgical procedures in our ambulatory orthopedic setting. This role requires a dynamic, detail-oriented nurse who can anticipate the needs of surgeons, ensure patient safety, and coordinate the surgical team for optimal workflow. Key Responsibilities Provide comprehensive nursing care to patients before, during, and after surgical procedures in an outpatient setting. Function as the patient advocate throughout the perioperative experience. Perform circulating duties during orthopedic surgical cases, ensuring all safety protocols and sterile techniques are maintained. Verify patient identity, surgical site, and consent before procedures. Prepare, position, and monitor patients intraoperatively in collaboration with the surgical and anesthesia teams. Ensure all required equipment, instruments, and implants are available, functioning, and properly documented. Collaborate with surgeons, anesthesia providers, and scrub techs to ensure efficient case flow and turnover. Maintain accurate and timely charting in the electronic health record (EHR). Adhere to infection control, regulatory, and accreditation standards. Participate in quality improvement initiatives and contribute to the development of best practices. Support teammates in maintaining a clean, safe, and organized OR environment. Qualifications Education: Graduate of an accredited School of Nursing Licensure: Current Registered Nurse (RN) license in Utah. Certification: Current BLS required; ACLS preferred. CNOR certification a plus. Experience: Minimum 2 years of perioperative nursing experience required; orthopedic and ambulatory surgery experience strongly preferred. Skills: Strong communication, teamwork, and critical-thinking abilities in a fast-paced environment. Benefits: Comprehensive health, dental, and vision insurance Health Savings Account with an employer contribution Life Insurance PTO 401(k) retirement plan with a company match And more! Equal Employment Opportunity & Work Force Diversity Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
RN School Other
Park City School District

SUBSTITUTE SCHOOL NURSE

apartment Park City School District location_onPark City, UT
The district also needs Substitute nurses on an as needed basis - locations to be determined based on needs. Responsibilities: To administer nursing care to school aged children during the school day, before and after school programs, and extracurricular activities Requirements: Bachelor's Degree AND Current Utah RN License Salary: $35 per hour Application Deadline: Open until Filled Start Date: When Filled
RN Per Diem
Surgery Partners

Orthopedic OR RN Circulator - PRN

apartment Surgery Partners location_onPark City, UT
Position Summary The OR Circulator Nurse is responsible for providing safe, efficient, and high-quality perioperative nursing care to patients undergoing surgical procedures in our ambulatory orthopedic setting. This role requires a dynamic, detail-oriented nurse who can anticipate the needs of surgeons, ensure patient safety, and coordinate the surgical team for optimal workflow. Key Responsibilities Provide comprehensive nursing care to patients before, during, and after surgical procedures in an outpatient setting. Function as the patient advocate throughout the perioperative experience. Perform circulating duties during orthopedic surgical cases, ensuring all safety protocols and sterile techniques are maintained. Verify patient identity, surgical site, and consent before procedures. Prepare, position, and monitor patients intraoperatively in collaboration with the surgical and anesthesia teams. Ensure all required equipment, instruments, and implants are available, functioning, and properly documented. Collaborate with surgeons, anesthesia providers, and scrub techs to ensure efficient case flow and turnover. Maintain accurate and timely charting in the electronic health record (EHR). Adhere to infection control, regulatory, and accreditation standards. Participate in quality improvement initiatives and contribute to the development of best practices. Support teammates in maintaining a clean, safe, and organized OR environment. Qualifications Education: Graduate of an accredited School of Nursing Licensure: Current Registered Nurse (RN) license in Utah. Certification: Current BLS required; ACLS preferred. CNOR certification a plus. Experience: Minimum 2 years of perioperative nursing experience required; orthopedic and ambulatory surgery experience strongly preferred. Skills: Strong communication, teamwork, and critical-thinking abilities in a fast-paced environment. Equal Employment Opportunity & Work Force Diversity Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
RN Full-time
Takeda

Plasma Center Nurse- RN

apartment Takeda location_onLayton, UT
By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description Please take this virtual tour to get a sneak peek of one of our Plasma Donation Centers. About BioLife Plasma Services Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to support plasma center operations. BioLife Plasma Services is a subsidiary of Takeda Pharmaceutical Company Ltd. About the role: Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with regulations of the plasma collection industry or a manufacturing environment. The Medical Support Specialist follows guidance provided by BioLife Medical Affairs and provides center level support of environmental, health and safety (EHS). How you will contribute You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE). You will evaluate donor reaction(s), which occurs at the facility as outlined in the SOPs. Follow applicable SOPs for medical emergencies including the development of Center Physician's standing orders and donor transport to emergency care facilities. You will refer to the Center Physician or Medical Affairs (as applicable) when in need of providing unacceptable findings to donors, or guidance concerning medical or technical issues, including donor safety and eligibility. You will support the Hepatitis B and Seasonal Flu vaccination programs for employees as applicable. You will manage employee incidents and determine whether further evaluation is required by occupational health/ER. Refer to EHS guidance regarding employee incidents. You can be a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community as indicated by EHS or Medical Affairs. What you bring to Takeda: High school diploma or equivalent to including graduate equivalent of a recognized educational nursing program with state requirements Currently licensed or certified in the state where responsibilities will be assigned: Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA) Current Cardiopulmonary Resuscitation (CPR) and AED certification Fulfill state requirements (in state of licensure) for basic IV therapy Satisfactorily complete the FDA approved training requirements for BioLife Medical Support Specialist Two years in a clinical or hospital setting What Takeda can offer you: Every day at Takeda, we feel good knowing that what we do helps improve the lives of patients with rare diseases. At BioLife, while you focus on our donors, we will support you. We offer a purpose you can believe in, a team you can count on, opportunities for career growth, and a comprehensive benefits program to include medical/dental, paid time off and retirement benefits, all in a fast-paced, friendly environment. More about us: At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work. Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to bring Better Health and a Brighter Future to people around the world. BioLife Compensation and Benefits Summary We understand compensation is an important factor as you consider the next step in your career. W e are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. For Location: USA - UT - Layton U.S. Hourly Wage Range: $31.92 - $43.89 The estimated hourly wage range reflects an anticipated range for this position. The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual hourly wage offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based employees may be eligible for short-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. EEO Statement Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law. Locations USA - UT - Layton Worker Type Employee Worker Sub-Type Regular Time Type Full time Job Exempt No
RN Utilization Review Full-time
Molina Healthcare

Care Review Clinician (RN)

apartment Molina Healthcare location_onLayton, UT
$26.41 - $61.79 / HOUR
For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high speed required Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. • Requests additional information from members or providers as needed. • Makes appropriate referrals to other clinical programs. • Collaborates with multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required Qualifications • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Ability to prioritize and manage multiple deadlines. • Excellent organizational, problem-solving and critical-thinking skills. • Strong written and verbal communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Certified Professional in Healthcare Management (CPHM). • Recent hospital experience in an intensive care unit (ICU) or emergency room. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.