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Clinical Information Specialist - On Site

Job Description - Clinical Information Specialist - On Site

Responsibilities and Duties:



  • Participate in the implementation and support of clinical systems.
    Ensure maximum use and efficiency of clinical systems.

  • Provide direct, hands-on education and support to staff in the use of technology in a manner which promotes patient safety and confidentiality.

  • Consistently strive to improve knowledge and skills in the development of clinical systems and processes.

  • Provide system support to all end-users including all shifts as needed.

  • Actively participate in testing and validation of departmental systems and components.

  • Serves as a super user/clinical expert in use of hospital technology.

  • Use audit tools and assist in the development of mechanisms to identify and address user adoption issues.

  • Provide direct hands-on training for department staff in the use of computer hardware, software, and related processes, including adherence to HIPAA and privacy policies.

  • Serve as a liaison between the department, Crouse or Programmer, and IT in order to resolve system/interface problems.

  • Conduct audits and report out audit findings to Corporate Compliance Coordinator/Clinical IT Manager

  • Other duties as assigned by their supervisor, manager or director.

  • Facilitates appropriate clinical documentation to support the severity of illness and complexity of care rendered to patients.

  • Concurrently reviews records to identify unclear, ambiguous or inconsistent documentation. Initiates verbal and/or written physician queries and conducts all necessary follow up.

  • Advises clinicians on the value of reliable, precise, complete, consistent, clear and timely documentation.

  • Identifies improvement opportunities for system functionality; creates efficiencies and communicates opportunities for improvement

  • Assures record consistency among admission order, record description of medical necessity and patient status

  • Functions as an expert source for information regarding the impact of documentation on patient care and severity of illness


Qualifications:



  • Current New York State licensure as a Registered Nurse, or a Licensed Practical Nurse.

  • Minimum 3 years of clinical experience.

  • Strong Computer Skills. Proficient with Windows applications.

  • Excellent organizational and presentation communication skills

  • Ability to work effectively individually and as part of a collaborative team.

  • Ability to work on several complex issues at the same time.

  • Professionalism and an ability to manage stressful situations in a manner that is conducive to finding resolution.

  • Excellent customer service skills

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