Demo

Clinical Documentation Improvement Specialist (RN)

Casa Real
Santa, NM Full Time
POSTED ON 4/17/2026
AVAILABLE BEFORE 6/16/2026
Overview:
Genesis Healthcare is currently looking for a Clinical Documentation Improvement Specialist to join our team. You would support multiple centers in this role!

At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.
Responsibilities:

The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical documentation required for resident care, regulatory compliance, and reimbursement. We are looking for someone with strong clinical assessment and judgement skills.

  • Review resident charts, assessments, and care plans to complete required quality HNF documentation according to state guidelines based off of individual level of care
  • Ensure all forms are accurate, timely, and compliant with state and facility standards
  • Collaborate with nursing staff, therapy, social services, business office and providers to gather needed information
  • Monitor changes in condition and update documentation accordingly
  • Audit charts for missing or inconsistent information and follow up with staff
  • Educate staff on proper documentation practices related to HNF requirements
  • Effectively communicate and challenge appropriate acuity level(s) with Managed Care Organizations according to state regulations
Qualifications:
Must be a graduate of an accredited school of nursing, college or university with a current registered nurse licensure by the State Board of Nursing.
A minimum of three years full-time or equivalent clinical experience is required and a minimum of two years of clinical experience in long-term care nursing with one year in a management/administrative or supervisory capacity is preferred. BSN preferred.
Must maintain current BLS/CPR certification and RN license.
Benefits:
  • Variable compensation plans
  • Tuition, Travel, and Wireless Service Discounts
  • Employee Assistance Program to support mental health
  • Employee Foundation to financially assist through unforeseen hardships
  • Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
  • Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members
  • On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned

We also offer several voluntary insurances such as:
  • Pet Insurance
  • Term and Whole Life Insurance
  • Short-term Disability
  • Hospital Indemnity
  • Personal Accident
  • Critical Illness
  • Cancer Coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.
Posted Salary Range: USD $34.00 - USD $45.00 /Hr.

Salary : $34 - $45

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets
Employees: Get a Salary Increase
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Not the job you're looking for? Here are some other Clinical Documentation Improvement Specialist (RN) jobs in the Santa, NM area that may be a better fit.

  • Genesis Santa, NM
  • Overview Genesis Healthcare is currently looking for a Clinical Documentation Improvement Specialist to join our team. You would support multiple centers i... more
  • 3 Days Ago

  • Genesis Santa, NM
  • Overview Genesis Healthcare is currently looking for a Clinical Documentation Improvement Specialist to join our team. You would support multiple centers i... more
  • 3 Days Ago

AI Assistant is available now!

Feel free to start your new journey!