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Clinical Documentation Specialist
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Clinical Documentation Specialist
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Clinical Nurse Specialist
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Clinical Nurse Specialist
2 months ago
Position Overview:
The Registered Nurse is accountable for delivering exceptional patient care through a systematic nursing process that includes assessment, diagnosis, planning, implementation, and evaluation. This role involves directing and coordinating comprehensive nursing care for patients, adhering to established clinical standards of practice.
Key Responsibilities:
1. Collaborate with multidisciplinary teams to ensure optimal patient care delivery and achieve desired health outcomes.
2. Integrate knowledge of patients' age and cultural backgrounds into the care provided.
3. Engage in performance improvement initiatives to enhance the quality of nursing care and patient outcomes.
Essential Qualifications:
Skills:
1. Strong critical thinking and problem-solving abilities.
2. Excellent verbal and written communication skills.
3. Effective interpersonal skills for building relationships with patients and colleagues.
4. Proficient in using computer systems for documentation.
5. Technical competence in nursing tasks as per the Registered Nurse scope of practice.
6. Bilingual proficiency in English and Spanish is preferred.
7. Ability to read and understand English to follow instructions and safety protocols.
Experience Requirements:
A. Professional Experience
Previous experience as a Registered Nurse is preferred.
B. Licensure and Certifications
1. Must hold a current Texas or compact RN license.
2. Current CPR certification is mandatory.
3. ACLS certification required within one year for critical care areas, Labor and Delivery, and Antepartum units.
4. NPR training must be completed within one year for designated areas including Mother/Baby and Labor and Delivery.
5. PALS training is required within one year for specific areas such as Emergency and Operating Room.
C. Educational Background
A Bachelor’s degree in Nursing is required; candidates with an ADN may be considered if they commit to obtaining a BSN within three years of hire.
