Clinical Documentation

3 weeks ago


North Shore, Australia Ramsay Health Care Full time

**Clinical Documentation Specialist**

**Permanent Part-Time Opportunity**

An exciting opportunity is available for nurses who are seeking a new challenge or wishing to build on their existing knowledge of clinical documentation improvement.

Looking for a change in career pathway but want to continue making a difference in patient care? Become a CDS.

**About the Role**

As the Clinical Documentation Specialist, you will be engaging with doctors, nurses, and Allied Health staff to ensure all clinical documentation is complete and accurately reflects the complexity of each patient. This dynamic role involves undertaking clinical documentation reviews, hospital-wide education and assists with quality improvement projects. The CDS works in alignment with the health information team as well as liaising with other leaders within the hospital.

**About You**

To succeed in this role, you will be able to report on all outcomes in a standardised, efficient, and timely manner.

You will be a self-motivated, ambitious individual who can work effectively in a team environment, but also autonomously and have a proven ability to engage with clinicians and other key stakeholders. A passion for quality improvement and promoting culture change desirable.

You will also have the following:

- Current registration with AHPRA as a Registered Nurse
- Extensive experience in an acute care hospital setting
- Demonstrated ability to develop and maintain good clinician relationships
- Excellent critical thinking skills and attention to detail
- Proficient in the use of Microsoft Office suite of programs
- Knowledge of the DRG classification system and private healthcare funding models desirable

**About Us**

North Shore Private Hospital is owned and operated by Ramsay Healthcare a modern, acute care hospital in Sydney with a longstanding reputation for excellence in patient care. With 312 licenced beds, North Shore Private is one of NSW’s largest Private Hospitals. The hospital performs most surgical specialties including cardiothoracic, neurosurgery, orthopaedics, advanced general and colorectal, urology, spinal surgery, ENT, vascular, paediatrics, oncology and medical care.

North Shore Private Hospital is approx. 5 mins from the local railway station, provides a wide range of hospital services and regular subsidised social activities. North Shore's culture is also built upon a wonderful supportive working environment, you can grow and develop your skills with Ramsay Health Care.

**What’s in it for you?**

**Professional Advancement**: Recognition, Rewards, Professional Development, and Employee referral programs. Free access to LinkedIn Learning, education scholarships and the Ramsay Leadership Academy to support career progression.

**Discounts**: Ramsay Rewards - Access great deals at over 100+ major retailers. Hospital, Allied Health & Pharmacy discounts - you’ll pay less for hospital cover and receive higher extras limits for things like General and Major Dental.

**Health and Wellbeing**: Flexible work opportunities with the ability to have a say in your roster, Flexible Leave Program, and a **free Employee Assistance Program** offering access to confidential counselling, coaching and support 24/7.

**Leisure/Social/Financial**: Discounts for leisure travel with selected Hotels, salary sacrifice opportunities e.g., airport lounge membership, self-education expenses, novated leasing and more.

**Requirements**:

- _Must provide a _**National Police** check conducted within the previous 12 months
- According to the role, Ramsay may require a **Working-With-Children** check and **proof of immunisation** against infectious diseases, which may include Covid-19.

**To Apply



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