New York, New York
Jobs for Humanity
Job Description
Job Opportunity: Clinical Documentation Specialist
About Us:
We are looking for a compassionate and dedicated individual to join our team as a Clinical Documentation Specialist. In this role, you will oversee the completion and approval of all clinical utilization documentation to ensure positive clinical outcomes and efficient use of resources. We value diversity and strive to create an inclusive environment for all individuals, including the elderly, refugees, people with visible and invisible disabilities, LGBTQIA+ individuals, and veterans.
Responsibilities:
• Review and approve evaluation documentation, ensuring consistency with the patient’s comprehensive assessment and plan of care.
• Verify the accuracy of service utilization and alignment with assessment data to support effective outcomes.
• Process OASIS and Patient Plan of Care, identifying and addressing any deficiencies with the clinician.
• Ensure appropriate care types are selected based on the client’s medical condition and assessment data.
• Review and process ROC and Discharge Assessment Data to ensure accuracy.
• Collaborate with healthcare professionals to reassess and update the patient’s plan of care when there is a significant health status change.
• Educate clinicians on best practices in documentation and OASIS completion.
• Develop and assign training activities based on individual clinicians’ learning needs.
• Provide coaching, education, performance evaluation assessments, and support to clinicians regarding job performance.
• Collaborate with internal teams to ensure timely and appropriate processing of patient care.
• Identify and resolve issues to improve outcomes and efficiency in patient care and organizational processes.
• Participate in special projects and perform other assigned duties.
Qualifications:
• License and current registration to practice as a Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist in New York State.
• OASIS certification required within one year of job entry date.
• Bachelor’s or Master’s degree in a related field.
• Minimum of three years clinical experience in community health care.
• Prior clinical management, utilization management, or care management experience preferred.
• Proficiency in Microsoft Office applications.
• Demonstrated analytical skills.
If you are passionate about providing quality care, promoting patient-centeredness, and enhancing employee engagement, we encourage you to apply for this position. Please submit your application through our online portal or contact us for more information.
Thank you for your interest in joining our team. We value diversity and inclusion, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, veteran status, or any other characteristic protected by law.
Best Regards,
Your Name
Your Contact Information
Response:
Dear Hiring Manager ,
I am writing to express my interest in the Clinical Documentation Specialist position at your organization. I am passionate about providing quality care and promoting patient-centeredness. I have relevant experience and qualifications that make me a strong fit for this role.
I am a licensed Registered Nurse/Physical Therapist/Occupational Therapist/Speech Language Pathologist in the state of New York. I have a Bachelor’s/Master’s degree in relevant field . I have over three years of clinical experience in community health care. I am proficient in Microsoft Office applications and have demonstrated analytical skills.
In my previous roles, I have gained experience in reviewing and approving documentation, ensuring accuracy and consistency with the patient’s plan of care. I have also provided education and support to clinicians in following best practices in documentation and completing OASIS assessments. I have a proven track record of collaborating with healthcare professionals to deliver efficient and effective patient care.
I am confident that my skills and experience make me a valuable addition to your team. I am committed to creating an inclusive environment where individuals from all walks of life feel welcome and supported. I am excited about the opportunity to contribute to your organization’s mission of providing quality care to diverse populations.
Thank you for considering my application. I look forward to the opportunity to discuss how my skills and experience align with your organization’s needs.
Sincerely,
Your Name
Bullet Points:
– Experienced and licensed Registered Nurse/Physical Therapist/Occupational Therapist/Speech Language Pathologist in the state of New York
– Bachelor’s/Master’s degree in a relevant field
– Over three years of clinical experience in community health care
– Proficient in Microsoft Office applications
– Demonstrated analytical skills
– Strong ability to review and approve documentation for accuracy and consistency
– Experienced in providing education and support to clinicians in best practices for documentation and OASIS completion
– Collaborative and team-oriented approach to delivering efficient and effective patient care
– Committed to creating an inclusive environment for individuals from diverse backgrounds