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Reviews the medical record documentation to assure specificity of diagnoses, procedures, and appropriate/optimal reimbursement for hospital and/or professional charges and accurately codes and sequences the primary and secondary diagnoses and procedures using ICD-9 and CPT coding conventions. Typically requires a college degree in medical health records and CCS certification by the American Health Information Management Association or a Registered Health Information Technician (RHIT).: Coordinates and reviews the work of designated employees to ensure quality and quantity of work performed through regular audits. Assists with research and development and presentation of continuing education programs on areas of specialization. Abstracts and compiles data from medical records for optimal reimbursement for hospital and/or professional charges. Consults with and educates physicians on coding practices and conventions. Maintains reporting documentation for certain procedures in compliance with regulation. Performs medical record audits. Compiles medical care and census data for statistical reports on types of diseases treated, surgery performed, and use of hospital beds, in response to inquiries from law firms, insurance companies, and government agencies. Conducts special studies and research.

Registered Nurse

Provides general nursing care to patients in hospital, nursing home, infirmary, or similar health care facility. Administers prescribed medications and treatments in accordance with approved nursing techniques. Prepares equipment and aids physician during treatments and examinations of patients. Observes patient, records significant conditions and reactions, and notifies supervisor or physician of patient's condition and reaction to drugs, treatments, and significant incidents. Requires RN license.: Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from normal and determines progress of patient. May rotate among various clinical services of institution, such as obstetrics, surgery, orthopedics, outpatient and admitting, pediatrics, psychiatry, and tuberculosis. May prepare rooms, sterile instruments, equipment and supplies, and hand items to Surgeon, Obstetrician, or other medical practitioner. May make beds, bathe, and feed patients. May serve as leader for group of personnel rendering nursing care to number of patients.

Nurse Registered

Psychiatric Advanced Registered Nurse Practitioner

Under indirect supervision of a Psychiatrist, provides for the mental health care needs of patients through advanced assessment, identification of health states including abnormal conditions, diagnosing, treatment and evaluation.: A Psychiatric Advanced Nurse Practitioner is a registered nurse (RN) who has completed a nurse practitioner educational program and holds national certification as a nurse practitioner from a Board approved certifying body with a specialization in psychiatry. Provides direct clinical services for psychiatric patients according to established protocols and utilizes evidence-based clinical practice standards under the supervision of the supervising physician. Functions independently to perform individual assessments, diagnostic functions, specialized risk assessments, and make critical decisions regarding a wide variety of health situations, including high risk and crisis situations. Obtains patient health histories and completes examinations. Orders, performs and interprets lab and diagnostic imaging studies. Diagnoses and treats acute health problems. Provides health maintenance, screenings and referrals. Provides counseling to promote healthy lifestyles and arranges consultations and referrals. Collaborates with physicians and other health care professionals as needed. Documents examination results, noting pertinent normal and abnormal findings and ensures accuracy of notes on patient medical records. Explains the necessity, preparation, nature and anticipated effects of procedure(s) to patients, patient’s family, or staff. Performs approved therapeutic or diagnostic procedures based upon patient’s clinical status. Adjusts nursing care processes as indicated to ensure optimal patient care. Prescribes, manages, and supervises medication treatment for psychiatric conditions. Provides quality assurance review. Maintains established policies and procedures, safety, and infection control standards. This position typically requires a Master’s degree in nursing, licensure as a Registered Nurse, and graduation from an accredited Nurse Practitioner program. Post Master’s advanced training and certification in psychiatry is also required. May serve in a teaching capacity or may supervise clinical and support staff in patient care activities. May diagnose, manage treatment and monitor acute or chronic conditions.

Registered Representative

Sells financial products and services to clients for investment purposes, applying knowledge of securities, investment plans, market conditions, regulations, and financial situation of clients. Must be registered to sell securities.: Identifies potential clients, using advertising campaigns, mailing lists, and personal contacts. Solicits business from potential clients. Interviews clients to determine financial position, resources, assets available to invest, and financial goals. Provides clients with information and advice on purchase or sale of securities, financial services, and investment plans, based on review of professional publications and other financial literature and knowledge of securities market and financial services industry. May read status reports and perform calculations to monitor client accounts and verify transactions. May work for firm that offers discounted brokerage fees and does not offer advice to clients. May develop and implement financial plans, and sell insurance, real estate, or securities.

Supervisor Nursing Shift

Plans, organizes, and directs activities for the duration of one shift of hospital nursing unit. Observes techniques of, and services rendered by, nursing staff or provides nursing care for patients in unit. Demonstrates techniques for nursing students and/or new personnel to provide training and direction. Requires RN license.: Identifies problem areas in nursing unit, such as understaffing, absenteeism, and wastefulness, and takes corrective action. Monitors use of supplies and equipment to avoid abuses and requisitions supplies. Responds to various departments requesting emergency assistance and assigns staff accordingly during emergencies. Prepares work schedule and assigns duties to nursing staff in unit for efficient use of personnel.

Acute Dialysis Registered Nurse

Plans and provides acute dialysis patient care, related procedures, and treatments. Initiates, monitors, evaluates, and administers acute dialysis procedures and medications needed for the patient. Communicates and documents the necessary patient care plans.: Performs patient assessments, administers medications, and ensures the implementation of physician orders. Analyzes patient data including status of vascular accesses, lab work, and patient assessments and makes recommendations to the Physician. Develops short- and long-term treatment plans involving assessment, planning, implementation, evaluation, and education. Communicates with the Physician and other members of the healthcare team to interpret, adjust, and complete age-specific care for the dialysis patient to achieve treatment outcomes in keeping with established patient care standards. Collaborates with a team of Nurses to plan and deliver dialysis treatments to patients and provide patient education.

Nursing Shift Supervisor

Medical Nurse Shift Supervisor

Call Center Registered Nurse

Provides telephone triage to member of the health plan. Advises and instructs callers on proper health care after assessing the urgency of symptoms or complaints.: Answers telephone inquiries, assesses symptoms and provides assistance to members of the health plan in accordance with established policies, procedures and protocols. Provides clinical nursing evaluation and assessment and instructs callers to seek appropriate medical care. Notifies physician on call with pertinent medical information or if consultation is deemed necessary by nurse. Provides nursing referral to appropriate and available resources, including affiliated services, affiliated medical practice or community resource. Enters data into a computerized database and forwards facsimiles to appropriate health providers. Consults and facilitates after hours communication with physicians, nurses, hospital staff and outside agencies. Communicates with pharmacies and providers to refill medications or to clarify prescriptions. Typically requires graduation from an accredited School of Nursing as a Registered Nurse with two years of hospital or public health nursing experience. May provide health insurance eligibility, pharmacy benefits, provider information, and other information to callers.

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