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Full Time Rn Medical Record Review Jobs in Arizona

Acadia Healthcare

Medical Record Supervisor

Tucson, AZ · On-site

... review, readmissions, HBIPS processing and route to appropriate area or department. • Ensure ... medical records. • Maintain chart control, access and storage in accordance with established ...

Summit BHC

Full Time RN - Day Shift

Mesa, AZ · On-site

... 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 ...

ANASAZI Foundation

Full Time RN - Field Nurse

Mesa, AZ · On-site

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 ...

(unknown company)

RN CVICU FT Nights

Tucson, AZ · On-site

Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of ... Documents patient care and education thoroughly and promptly in the medical record. * Engages in ...

NaphCare

RN Supervisor - Full Time Days

Tucson, AZ

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 ...

TEEMA Group

Registered Nurse (Med-Surg)

Show Low, AZ · 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 ...

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Full Time Rn Medical Record Review information

How to become a full time RN medical record reviewer?

To become a full-time RN medical record reviewer, you typically need a valid registered nurse license and experience in clinical settings or medical documentation. Familiarity with medical coding, chart review processes, and relevant software is also important; some positions may require certification in health information management or coding. Strong attention to detail and knowledge of healthcare regulations are essential for this role.

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 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 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 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 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:

Full Time Rn Medical Record Review jobs near you

Registered Nurse (RN) - Medical-Surgical (MS2)

Next Move Healthcare

Show Low, AZ

$31 - $47/hr

Full-time, Other

Medical, Retirement, PTO

Posted 6 days ago

Job description

Job Title: Registered Nurse (RN) – Medical-Surgical (MS2)
Location: Show Low, Arizona
Schedule: Full-Time | Day Shift or Night Shift| Three 12-Hour Shifts per Week
Pay Range: $31.00–$47.00 per hour
Openings: 5

Job Overview

A healthcare organization in Show Low, Arizona, is seeking experienced Registered Nurse (RN) – Medical-Surgical (MS2).

The RN will provide comprehensive care on a 24-bed Medical-Surgical unit with telemetry capability in every room. The unit primarily serves adult patients with a broad range of acute medical conditions and requires nurses with particularly strong neurological and cardiac assessment skills.

This position is ideal for an experienced acute-care RN who is comfortable managing a varied patient population, interpreting telemetry, responding to changing clinical conditions, and collaborating closely with an interdisciplinary care team.

Responsibilities

  • Provide direct nursing care to Medical-Surgical and telemetry patients
  • Perform comprehensive patient assessments and ongoing reassessments
  • Develop, implement, and update individualized nursing plans of care
  • Monitor patients for neurological, cardiac, respiratory, and other clinical changes
  • Interpret telemetry and collaborate with monitor technicians regarding rhythm changes
  • Perform focused neurological assessments and identify signs of acute deterioration
  • Provide care to patients with cardiac and neurological conditions
  • Administer medications, IV therapies, and treatments according to physician orders
  • Start and manage IV access as needed, as there is no dedicated IV team
  • Recognize changes in patient condition and initiate appropriate nursing interventions
  • Collaborate with hospitalists, Charge Nurses, respiratory therapists, pharmacy, PCTs, HUCs, and other interdisciplinary team members
  • Educate patients and families regarding diagnoses, medications, treatment plans, and discharge instructions
  • Maintain accurate and timely documentation in the electronic medical record
  • Follow infection-control, patient-safety, and nursing practice standards
  • Provide age-appropriate care based on patient needs and clinical competency
  • Float to other Medical-Surgical units as needed
  • May float to ICU to care for Medical-Surgical overflow patients
  • Perform other nursing duties within scope of practice as assigned

Qualifications

Required

  • Current Registered Nurse license or eligibility for Arizona licensure
  • Minimum of two years of acute-care Medical-Surgical nursing experience
  • Strong neurological assessment skills
  • Strong cardiac and telemetry skills
  • Current Basic Life Support certification
  • Current Advanced Cardiovascular Life Support certification
  • Current NIH Stroke Scale certification
  • Strong clinical assessment, prioritization, and decision-making abilities
  • Ability to recognize and respond appropriately to changes in patient condition
  • Willingness to float to other Medical-Surgical units and care for Med-Surg overflow patients in ICU when needed

Preferred

  • Pediatric Advanced Life Support certification
  • Previous telemetry experience
  • Experience caring for neurological or stroke patients
  • Experience caring for cardiac patients
  • Previous experience with Sunrise Allscripts
  • Experience caring for both adult and pediatric populations

Pediatric assignments are based on appropriate training, competency, and certification.

Department Information

  • 24 Medical-Surgical beds
  • Telemetry capability in all patient rooms
  • Adult and pediatric patient population
  • Typical RN ratio of approximately 1:5, adjusted based on patient acuity
  • Pediatric assignments may be approximately 1:4
  • Telemetry technicians available
  • Charge Nurse support
  • Patient Care Technicians and Health Unit Coordinators
  • Hospitalist available in-house 24/7
  • Respiratory Therapy available 24/7
  • Pharmacy available 24/7
  • No dedicated IV team
  • Sunrise Allscripts electronic medical record

Schedule

  • Three 12-hour shifts per week
  • Approximately 36 hours per week
  • Floating may occur to other Medical-Surgical units
  • ICU floating is limited to caring for appropriate Medical-Surgical overflow patients

Dress Code

  • Scrubs may be any color except all black
  • Scrubs are not provided

Benefits

Benefits and additional employment incentives will be reviewed during the hiring process and may include health coverage, retirement programs, paid time off, and professional-development opportunities.

If you are an experienced Medical-Surgical RN with strong cardiac and neurological skills we would love to hear from you.