Remote Clinical Documentation Specialist RN

Profession:

Clinical Documentation Specialist RN Shift:

Day 3x8-Hour (08:00

• 17:00)

Location:

Beaverton, OR 97005

Duration:

13 weeks Position type:

Fully Remote Pay:

Negotiable Duties

• Diffuses conflicts and negotiates solutions in potentially volatile or legally sensitive situations.
• Relates quality of care with cost effectiveness and develops medical management strategies to reach this objective.
• Researches, integrates and analyzes data from multiple sources, synthesizing problem statements and issues.
• Seeks input from providers and insurers as needed.
• Identifies need for and completes process of developing medical policies and related protocols and criteria, including obtaining final committee approval.
• Establishes and maintains a process for regular and timely updating of criteria, treatment protocols, and medical policies.
• Performs prospective review of requests for health services, utilizing existing policies and criteria.

Application Question(s): What is the best time to speak?

Education:

Associate (Preferred)

Experience:

Clinical Nursing:

6 years (Required) Recent RN utilization review or quality assurance: 3 years (Required)

Medical Case Management :

2 years (Preferred) managed care of in workers' compensation insurance: 2 years (Preferred)

License/Certification:

BLS from AHA (Required) Oregon's RN License (Required)

Work Location:

In person