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