Clinical Document Improvement Specialist (CDIS) - Case Management

Full Time
Biddeford, ME 04005
Posted
Job description

For a limited time MaineHealth is offering sign on bonuses for Registered Nurses:

  • New Grad RNs with 0-1 year of experience: $5,000 (full time)
  • Registered Nurses with 1-3 years of experience: $10,000 (full time)
  • Registered Nurses with more than 3 years of experience: $20,000 (full time)

Eligible candidates are hired into a Full or Part time RN position. Bonus amount prorated for Part time hires, per diem hires are ineligible.

Current MaineHealth member employees are ineligible; former MaineHealth Members are ineligible until greater than 6 months separation from employment.


Previous CDIS experience is preferred.

Position Summary

This position reports to the Manager of Case Management, and is responsible for monitoring and facilitating the overall accuracy and completeness of the medical record. Works closely with the Health Information Management department, Coders, Quality Management staff, the interdisciplinary team and Medical Staff to ensure adequate processes are instituted for the support and facilitation of complete documentation. Monitor and sponsor Medical Staff with the documentation that will support the appropriate clinical picture, or level of severity of the patient while providing accurate and complete information to be utilized in the medical record abstraction and coding process. Firmly grasps the organization’s process improvement approach (PDSA) and is able to effectively communicate the process and educate others regarding its purpose and use.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

  • Education: Bachelor Degree or matriculation in a Bachelor's Degree program preferred.
  • License/Certifications: Current Registered Nurse Licensure from the Maine State Board of Nursing.
  • Experience: Five years of acute care clinical setting nursing experience. Interest and experience in project management, process improvement, and research through the review and use of evidence-based practice is preferred. Knowledge and experience in clinical documentation improvement, utilization management, discharge planning and case management preferred.
  • Is responsible for maintaining a current knowledge of the nursing practices contemporary to the legal framework of the Nurses Practice Act, and in accordance with regulatory requirements and ethical guidelines.

Additional Information

MaineHealth was ranked one of America’s Best Large Employers in 2022 by Forbes!

MaineHealth is a not-for-profit integrated health system whose vision is, “Working together so our communities are the healthiest in America.” MaineHealth consists of nine local health systems, a comprehensive behavioral health care network, diagnostic services, home health agencies, and 1,700 employed clinicians working together through the MaineHealth Medical Group. With approximately 22,000 care team members, MaineHealth provides preventive care, diagnosis and treatment to 1.1 million residents in Maine and New Hampshire. Learn more about our system at mainehealth.org

At MaineHealth, we offer benefits that support an individual's needs for today and flexibility to plan for tomorrow. Our packages include health and dental insurances, paid parental leave, retirement program, generous paid time off, and much more! Our comprehensive array of benefits are competitive, affordable, and include choices that meet specific, but ever changing, needs.

With a career at any of the MaineHealth locations, you’ll be working with health care professionals that truly value the people around them – both within the walls of the organization and the neighborhoods that surround it. We are deeply invested in the well-being of our communities and care team members. We believe in fostering a work environment of strong commitment, compassionate caring and continuous improvement. Join us, and your abilities will be challenged and enhanced as you take your career to a new level.


Location: MaineHealth · Case Management BMCD
Schedule: Full Time, Day/Evening, 40

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