Nurse Specialist

4 weeks ago


San Bernardino, California, United States St. Elizabeth's Medical Center Full time

Job Summary:

We are seeking a skilled Nurse Specialist to join our team at St. Elizabeth's Medical Center. As a key member of our Clinical Review team, you will be responsible for reviewing Client Development Evaluation Reports (CDER) of Diagnostic Elements and coding medical conditions. Your expertise will help us provide high-quality care to our patients.

Key Responsibilities:

  • Review CDERs and code up to six medical conditions as appropriate
  • Correct duplicate diagnoses in the system by working with case control
  • Update CDERs of clients seen via Clinical Review weekly
  • Review consumer medical records, including specialist reports
  • Identify chronic major medical diagnoses
  • Translate medical diagnostic terms into ICD codes and utilize insurance codes when necessary
  • Discuss challenging cases with IRC consulting physicians
  • Follow up with community physicians regarding risks related to procedures, consents, or other items needed to back up the Clinical Nurse
  • Keep daily logs of completed CDERs coded and submit monthly to the Clinical department's Consumer Support Technician (CST) for processing
  • Attend Clinical Review and provide input on medically related issues and consultation as part of the Clinical Team

Requirements:

  • Bachelor of Science Degree in Nursing
  • Five years of nursing experience
  • Current California Registered Board of Nursing License
  • A Public Health Nurse (PHN) Certification is preferred
  • Bilingual preferred

What We Offer:

  • A generous benefits package and employee perks
  • A sign-on bonus of $250 after 90 days of employment and $500 after 6 months

How to Apply:

Please submit your application, including your full name and a brief summary of your experience and qualifications. We look forward to hearing from you



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