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UW HEALTH JOB DESCRIPTION RN, MANAGER CLINICAL DOCUMENTATION INTEGRITY Job Code: 301018 FLEA Status: Exempt Department : Coding & CDI/44050Mgt. Approval: R. Bull HR Approval: A. Ingrate: 11.2017 Date:
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What is rn manager clinical documentation?
RN manager clinical documentation is a system for recording and organizing patient data and treatment plans by registered nurses in a clinical setting.
Who is required to file rn manager clinical documentation?
Registered Nurses who are assigned as managers in clinical settings are required to file RN manager clinical documentation.
How to fill out rn manager clinical documentation?
RN manager clinical documentation can be filled out by entering patient information, treatment plans, medication administration records, progress notes, and other relevant data into the designated forms or software.
What is the purpose of rn manager clinical documentation?
The purpose of RN manager clinical documentation is to ensure accurate and timely recording of patient care, facilitate communication between healthcare providers, support quality improvement initiatives, and comply with legal and regulatory requirements.
What information must be reported on rn manager clinical documentation?
RN manager clinical documentation must include patient demographics, medical history, assessment findings, treatment interventions, medication administration records, progress notes, and discharge summaries.
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