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Full Time Rn Medical Record Review Jobs in Arizona

... medical records and educates clients and their families about various physical and behavioral ... transcribes and reviews provider's orders ensuring all required elements are present and ...

Medical, Direct Care Division/Section: Operations Reports To: Nursing Director Mission Statement It ... Maintain client files with necessary paperwork and perform chart reviews as needed to ensure Joint ...

Registered Nurse (Med-Surg)

Show Low, AZ ยท On-site

$31 - $47/hr

Maintain accurate and timely records within the electronic medical record system to ensure ... Work Type: Full-Time | Direct Hire * Schedule: 12-Hour Shifts | Day or night shifts * Sign-on Bonus ...

Maintaining accurate medical records, documenting treatment plans, and reporting any relevant ... Two years of full time RN Leadership experience with knowledge of nursing practice principles and ...

RN Med Surg

Tucson, AZ ยท On-site

10,000 sign on bonus for eligible, experienced RN's! This is a full time position working day shift ... Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of ...

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Full Time Rn Medical Record Review information

What does a full time RN medical record review do?

A Full Time RN Medical Record Review is a registered nurse who specializes in reviewing patient medical records to ensure accuracy, compliance, and quality of care. Their responsibilities often include examining documentation for completeness, verifying that treatments and diagnoses are properly recorded, and making recommendations for improvements. They may also work with healthcare providers to clarify documentation and help ensure the facility meets regulatory standards. This role is crucial in supporting healthcare quality assurance, risk management, and reimbursement processes. The position typically requires an active RN license and experience in clinical nursing or health information management.

What are the key skills and qualifications needed to thrive as a full time RN medical record review, and why are they important?

To thrive as a Full Time RN Medical Record Review, you need a current RN license, strong clinical knowledge, and thorough understanding of medical documentation and healthcare regulations. Familiarity with electronic health record (EHR) systems, coding standards (such as ICD-10 and CPT), and relevant compliance certifications like HIPAA is typically required. Attention to detail, analytical thinking, and effective written communication are crucial soft skills for accurately reviewing records and providing clear reports. These competencies ensure that patient records are accurate, regulatory standards are met, and quality of care is consistently monitored.

What are some common challenges full time RNs face when conducting medical record reviews, and how can they overcome them?

Full Time RNs in medical record review often encounter challenges such as incomplete or inconsistent documentation, navigating different electronic health record (EHR) systems, and balancing accuracy with productivity requirements. To overcome these obstacles, it's important to develop strong attention to detail, stay updated on documentation standards, and communicate effectively with clinical staff to clarify ambiguities. Additionally, collaborating with team members and participating in ongoing training can help RNs adapt to evolving compliance regulations and streamline the review process.

What is the difference between Full Time Rn Medical Record Review vs Full Time Rn Case Manager?

AspectFull Time Rn Medical Record ReviewFull Time Rn Case Manager
CertificationsRN license, possibly specialized certificationsRN license, case management certification often preferred
Work EnvironmentReviewing medical records, often remote or office-basedCoordinating patient care, often in clinical or office settings
Employer & IndustryInsurance companies, healthcare providers, legal firmsHospitals, insurance companies, healthcare organizations

Full Time Rn Medical Record Review involves analyzing medical records for accuracy, compliance, or legal purposes, primarily working with documentation. Full Time Rn Case Managers focus on coordinating patient care, discharge planning, and communication with healthcare providers. While both roles require RN licensure, their daily tasks and work environments differ significantly.

What cities in Arizona are hiring for Full Time Rn Medical Record Review jobs?

Cities in Arizona with the most Full Time Rn Medical Record Review job openings:

Registered Nurse - Medical Surgical

Talented Medical Solutions

Tucson, AZ โ€ข On-site

$45 - $54/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago


Job description

Registered Nurse - PRN shifts available

Talented Medical Solutions

Temporary, Part-time, or full time

In-Office | Tuscaloosa, AL, United States Email resume: KLaura@talentedmedicalsolutions

Phone: 513-393-8393 Text: by appointment, 513-393-8393

Registered Nurse (RN) – Medical Surgical/Telemetry (PRN, Part-Time, Full-Time) Tuscaloosa, AlabamaPosition Summary

We are seeking a compassionate, skilled, and patient-focused Registered Nurse (RN) to join our Medical Surgical/Telemetry team. Opportunities are available on a PRN, part-time, or full-time basis in both an acute care hospital and an acute inpatient rehabilitation hospital setting. The RN is responsible for delivering high-quality, evidence-based nursing care to adult patients with acute and chronic medical conditions requiring medical-surgical and telemetry monitoring.

The ideal candidate demonstrates strong clinical judgment, excellent communication skills, and the ability to collaborate effectively with an interdisciplinary healthcare team to promote optimal patient outcomes.

Essential Duties and Responsibilities
  • Assess, plan, implement, and evaluate individualized nursing care for medical-surgical and telemetry patients.

  • Monitor and interpret cardiac telemetry rhythms, reporting significant changes promptly.

  • Administer medications, treatments, and IV therapies safely and accurately.

  • Perform comprehensive patient assessments and document findings in the electronic medical record (EMR).

  • Collaborate with physicians, therapists, case managers, and other healthcare professionals to coordinate patient care.

  • Respond appropriately to changes in patient condition and initiate emergency interventions when necessary.

  • Educate patients and families regarding diagnoses, medications, treatment plans, rehabilitation goals, and discharge instructions.

  • Maintain accurate and timely clinical documentation in accordance with hospital policies and regulatory standards.

  • Promote patient safety by adhering to infection prevention, fall prevention, and quality improvement initiatives.

  • Participate in interdisciplinary rounds and patient care conferences.

  • Supervise and delegate appropriate responsibilities to Licensed Practical Nurses (LPNs), nursing assistants, and other support staff.

  • Maintain patient confidentiality and comply with HIPAA regulations.

  • Support a positive, respectful, and collaborative work environment.

QualificationsRequired
  • Graduate of an accredited School of Nursing.

  • Current Registered Nurse (RN) license in the applicable state.

  • Current Basic Life Support (BLS) certification through the American Heart Association.

  • Ability to work independently and as part of a multidisciplinary healthcare team.

  • Strong assessment, critical thinking, communication, and organizational skills.

Preferred
  • Advanced Cardiovascular Life Support (ACLS) certification.

  • One (1) year or more of recent Medical-Surgical, Telemetry, Acute Care, or Rehabilitation nursing experience.

  • Experience with electronic medical records (EMR/EHR).

  • NIH Stroke Scale Certification (preferred depending on unit).

Schedule
  • PRN

  • Part-Time

  • Full-Time

  • Day, Evening, Night, Weekend, and Holiday shifts available.

  • Flexible scheduling opportunities based on departmental needs.

Physical Requirements
  • Ability to stand, walk, bend, lift, push, and pull throughout the work shift.

  • Ability to lift and transfer patients with appropriate equipment and assistance.

  • Manual dexterity sufficient to perform clinical procedures.

  • Ability to respond quickly during emergency situations.

Benefits (Part-Time & Full-Time Eligible)
  • Competitive compensation

  • Shift differentials

  • Health, dental, and vision insurance

  • Retirement savings plan with employer match

  • Paid time off and holiday pay

  • Continuing education assistance

  • Tuition reimbursement

  • Employee wellness programs

  • Professional development and career advancement opportunities

Email resume: KLaura@talentedmedicalsolutions

Phone: 513-393-8393

Text: by appointment, 513-393-8393