General Summary of PositionDelivers proficient nursing care to patients and families whose needs range from uncomplicated to highly complex. Receives supervision from the Nurse Leader and functional supervision from the clinical coach/designee. May at times receive functional supervision from other registered nurses. Primary Duties and ResponsibilitiesCLINICAL: Identifies current and potential complex problems of a specific patient population, critically analyzes trends and changes in patient status, and plans appropriate interventions directly or indirectly through other nurses.CLINICAL: Collaborates with nurse leaders and colleagues to develop standards of care.CLINICAL: Develops and documents a plan of care that communicates to all caregivers the individualized needs of a patient with highly complex problems.CLINICAL: Identifies and evaluates long and short-range goals of nursing interventions.CLINICAL: Serves as a patient advocate by independently communicating clinical concerns in a timely manner to other members of the health care team.CLINICAL: Documents patient information in a manner that reflects the ability to integrate the nursing assessment data, pathophysiology of disease processes, and the therapeutic regimen into an appropriate evaluation of the patient status.CLINICAL: Coordinates and delivers care to patient (s) with complex nursing care needs to ensure the highest level of safety and quality while promoting a positive patient experience.CLINICAL: Utilizes approaches and strategies that support and optimize patient care outcomes that are based on the interdisciplinary plan of care and absolutes of IMOC and Contemporary Primary Nursing. Participates in the Contemporary Primary Nursing Model by acting as a primary nurse or associate nurse for selected patients. Collaborates with the multidisciplinary team on the patient plan of care using the Interdisciplinary Model of Care (IMOC).CLINICAL: Takes action to support the National Patient Safety Goals, nursing sensitive indicators, regulatory requirements (i.e., DC Health, TJC) and other identified quality metrics.EDUCATIONAL: Provides input to the orientation program for new staff.EDUCATIONAL: Conducts the individual orientation for new staff.EDUCATIONAL: Conducts and evaluates formal unit-based in-service education programs.EDUCATIONAL: Completes all mandatory competencies within the designated timeframe.ADMINISTRATIVE: Assumes formally designated resource role for colleagues in unit management.ADMINISTRATIVE: Acts as a consultant for nursing staff in the clinical management of patients.ADMINISTRATIVE: Provides input to the ongoing clinical evaluation of staff.ADMINISTRATIVE: Exhibits a demeanor that invites utilization by staff for problem solving.ADMINISTRATIVE: Participates in the formulation, implementation, maintenance and evaluation of departmental goals, objectives, policies and procedures.ADMINISTRATIVE: Participates in the implementation and evaluation of unit assessments and audits, including quality assurance and process improvement.ADMINISTRATIVE: Assesses patient care needs, establishes priorities and delegates tasks to peers and ancillary support staff as appropriate to scope of practice and unit requirements.ADMINISTRATIVE: Participates in unit-based committees and/or department of nursing committees, as applicable.ADMINISTRATIVE: Promotes the standards of Pathway to Excellence through daily practice. Minimum QualificationsEducationAssociate's degree in Nursing required Bachelor's degree in Nursing preferred If prepared at the associate degree in nursing level, required to enroll in a BSN program within 12 months of hire date and completion within 4 years of hire date. Experience Prior clinical nursing experience preferred Licenses and CertificationsRN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia required CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required Additional unit/specialty certifications may vary by department or business unit. C-EFM - Electronic Fetal Monitoring from the National Certification Corporation (NCC) is required for Perinatal nurses (labor and delivery, antepartum, antenatal testing) within 12 months from date of hire. New graduate nurses or new to specialty nurses (labor and delivery, antepartum, antenatal testing) will have 15 months from date of hire to obtain the EFM certification. This position has a hiring range of $39 - $85.597

General Summary of PositionThe Clinical Documentation Physician Advisor will function within MedStar Health's Clinical Documentation Improvement Department to ensure that clinical documentation data capture practices are compliant, efficient, accurate and consistent. Accepts a commitment to the values expressed in the MedStar Health's mission statement "to serve our patients, those who care for them, and our communities". Demonstrates behavior consistent with the MedStar values and contributes to the expected positive climate within the healthcare system, working well with both physicians, executives, and subordinates. Performs his/her job function in a way that makes him/her a recognized expert for affiliated hospital, physicians, and other entities. Develops the trust and confidence of Clinical Documentation Improvement stakeholders and becomes the resource of choice for the coding compliance and hospital coder and clinical questions. Develops a trust and confidence of the COO, CFO and other market and divisional managers with accountability for coding within assigned geographic areas. Primary Duties and ResponsibilitiesProvides leadership and direction as needed to the CDI Director and staff on issues related to clinical documentation improvement, disease process, corporate compliance, projects and other initiatives. Analyzes the effectiveness and efficiency of clinical documentation processes and advises COO and CFO on mechanisms to improve efficiency and effectiveness. Serves as a resource for CDI staff. Performs regular/daily query clarification and escalation as assigned.Works with Clinical Documentation Improvement team to periodically analyze MS-DRG data, MDC and ICD-10 to identify variations and determine the cause and the appropriateness of such variation and presents such findings to COO, CFO and departmental directors. At the request of the COO, CFO, and other management, evaluates systems and processes related to or impacting coding and recommend system process improvements, which will enhance the organization's efficiency. Develops a trust and confidence of the COO, CFO and other market and divisional managers with accountability for coding within assigned geographic areas. At the request of the COO, CFO, and other management, evaluates systems and processes related to or impacting coding and recommend system process improvements, which will enhance the organization's efficiency. Ensures that data collection is performed in a manner consistent with relevant laws, regulations and standards. Participate in a Presents education programs on a regular basis designed to improve the accuracy and specificity of clinical documentation to clinical documentation specialists (CDSs), physicians, mid-levels and others.Is a reliable resource for CDSs and physicians who are involved in CDI/Quality work, providing advice on MS-DRG and APR-DRG assignment, as well as SOl/ROM, PSI90, MHACs, POA conditions, and other related topicsAssists with the implementation and adoption of a formal escalation policy, ensuring that it is understood and adopted by the organization's medical staff. Serves as the initial escalation step, per policy, if physician response is not met by a determined amount of time.Manages and coordinates with national CDI Directors on specific clinical documentation and coding compliance accountability issues. Minimum QualificationsEducationDoctoral degree Graduate from an accredited medical school listed in the World Directory of Medical Schools required Experience5-7 years Acute care Clinical Documentation Integrity experience required Licenses and CertificationsMD - Physician - State Licensure in Maryland and/or DC required CCDS - Certified Clinical Documentation Specialist preferred CDIP - Clinical Documentation Improvement Practitioner preferred CCS-Certified Coding Specialist preferred Knowledge, Skills, and AbilitiesStrong telephone communication skills. Ability to work independently.Must possess strong organizational skills. Ability to communicate clearly in a verbal and written manner.Ability to work independently and be self-motivated.Ability to solve and resolve complex problems.Basic computer skills.Managing one's own time and the time of others.Knowledgeable of medical electronic information registration and appointment scheduling systems. Demonstrated ability to work effectively in a team environmentComputer skills including Microsoft Office, Power Point, Excel, Word.Basic computer skills required.Excellent interpersonal and collaborative skills and the ability to develop and maintain positive working relationships are essential.Ability to work in a fast-paced environment.Ability to communicate clearly in a verbal and written manner.Ability to solve and resolve complex problems.Ability to work independently and be self-motivated.Managing one's own time and the time of others.Demonstrated ability to work effectively in a team environmentWorking knowledge of payer policies, HCFA policies, local and national regulatory and compliance policy, knowledge of all available coding resources.Adjusting actions in relation to others' actions.Strong interpersonal and physician leadership skills.Excellent oral/ written skills.Demonstrated ability to communicate and educate providers regarding principles of utilization management and quality assurance.Demonstrated ability to provide excellent customer service.Ability to toggle between specialty coding disciplines, including ancillary services, Anesthesia, Emergency Medicine, Radiology, Pathology and others.Ability to multitask and work cooperatively with others.Demonstrated ability to be organized and efficient in prioritizing and managing assignments within minimal oversight and direction.Demonstrated skills in clinical judgment.Ability to present information clearly and concisely. This position has a hiring range of $180,000 - $200,000