Title: Registered Nurse -Alcohol & Substance Use Disorder remote type Onsite locations Belmont-MA time type Part time job requisition id RQ4071224 Job Description: Site: The McLean Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Summary Utilizing the nursing process, responsibility for providing for immediate and long-term nursing care needs of patients within the standards of the department, hospital and regulatory agencies. Does this position require Patient Care? Yes Essential Functions: Accurately assesses patients’ needs. -1 Utilizes multiple data sources to determine actual/potential health problems and functional status. -Utilizes Recovery Oriented Framework to identify patient strengths. -2 Performs point of care testing. -3 Communicates findings effectively to members of the healthcare team. -4 Documentation reflects response to intervention, demonstrates an understanding of patients’ response to treatment interventions. -5 Identifies patient behaviors that contribute to the development of a crisis; utilizes non-verbal and verbal techniques to de-escalate a crisis situation. -Accurately plans nursing interventions for assigned patients. -1 Modifies and individualizes Nursing Plan of Care and protocols. -2 Participates in the development of the multidisciplinary treatment plan. -3 Demonstrates ability to prioritize patient care needs. -4 Partners with patients/families to support recovery goals. -Provides and implements nursing care interventions. -1 Establishes a therapeutic alliance with assigned patients. -2 Demonstrates safe, accurate and timely medication administration using BMV scanning. -3 Reviews physician orders in a timely manner. -4 Promotes interventions that provide the least-restrictive alternatives and recovery-oriented goals. -5 Participates in leading patient groups. -Accurately evaluates the effectiveness of nursing care interventions. -1 Documentation on the Nursing Plan of Care, protocols, and Assessment Flowsheet reflects response to intervention, demonstrates an understanding of patients’ response to treatment interventions. -2 Accurately communicates patients’ clinical status at clinical team rounds and change of shift reports. -3 Utilizes evidence-based nursing knowledge to guide practice decisions. -Provides a leadership role in organizing and providing patient care. -1 Provides direction and supervision of MHSs. -Delegate care interventions. -2 Assumes a leadership role in medical and psychiatric emergencies. -3 Promotes/provides for critical incident de-briefing following emergency event. -4 Anticipates acute milieu problems and delegates staff appropriately. -5 Participates in the training and education of RNs, MHSs, and other healthcare providers. -Provides for teaching needs of patient and significant others. -1 Provides health teaching related to patient needs and recovery goals. -2 Documents teaching in the patient’s record. -3 Informs treatment team of patients and significant others’ learning needs. -Maintains a commitment to professional growth and competency. -1 Completes mandatory in-service requirements. -2 Maintains competency for treating patient population. -3 Seeks constructive feedback regarding work performance from peers and professional colleagues. -4 Identifies strengths and areas for professional/practice development with supervisor. -Demonstrates effective interpersonal communication. -1 Maintains patient privacy and confidentiality. -2 Communicates positively, supportively, and with courtesy to the patients and staff. -3 Presents self in a positive and professional manner. -Contributes to the productivity and cost-effectiveness of the hospital, department, and unit. -1 Demonstrates effective time management. -2 Demonstrates economical management of services and supplies. -3 Notifies shift coordinator/charge nurse of availability for additional assignments. Qualifications Education Other Certificate/Diploma Nursing required or Bachelor's Degree Nursing preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Registered Nurse [RN - State License] - Generic - HR Only required Experience No experience required; one year medical/psychiatric experience preferred 0-1 year preferred Knowledge, Skills and Abilities - Candidate must be a graduate of an accredited School of Nursing. - Requires demonstrated written and verbal communication skills. - Ability to utilize the nursing process and to work collaboratively. - MR safety certification. - Standard blood draw procedures (excluding IV placement). (Required). - Ability to work as part of a team. (Required). - All employees must possess basic computer skills to use a variety of electronic or online systems for communication, clinical and administrative purposes. (Required). Additional Job Details (if applicable) At Proctor House (PH1) we focus on substance use and dual diagnosis with a focus on detoxing and getting patients to the next phase of their recovery journey. Physical Requirements - Standing Frequently (34-66%) - Walking Frequently (34-66%) - Sitting Occasionally (3-33%) - Lifting Frequently (34-66%) 35lbs+ (w/assisted device) - Carrying Frequently (34-66%) 20lbs - 35lbs - Pushing Occasionally (3-33%) - Pulling Occasionally (3-33%) - Climbing Rarely (Less than 2%) - Balancing Frequently (34-66%) - Stooping Occasionally (3-33%) - Kneeling Occasionally (3-33%) - Crouching Occasionally (3-33%) - Crawling Rarely (Less than 2%) - Reaching Frequently (34-66%) - Gross Manipulation (Handling) Frequently (34-66%) - Fine Manipulation (Fingering) Frequently (34-66%) - Feeling Constantly (67-100%) - Foot Use Rarely (Less than 2%) - Vision - Far Constantly (67-100%) - Vision - Near Constantly (67-100%) - Talking Constantly (67-100%) - Hearing Constantly (67-100%) Remote Type Onsite Work Location 115 Mill Street Scheduled Weekly Hours 32 Employee Type Regular Work Shift Night (United States of America) Pay Range $32.78 - $68.33/Hourly Grade MCL900 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

• Reviews electronic medical record documentation • Applies ICD and CPT codes per Official Coding Guidelines • Abstracts key data elements necessary for billing and data analysis • Accurately reviews and codes patient records • Reviews and analyzes the content of medical records • Evaluates appropriateness of diagnosis and procedure codes • Meets defined coding accuracy and productivity standards • Remains current with coding and industry changes

Role Description The Clinical Coder is responsible for reviewing patient medical records and accurately assigning standardized codes using ICD and CPT/HCPCS classification systems. The primary goal is to ensure timely and accurate coding for billing, reimbursement, research, and statistical reporting purposes, while maintaining compliance with established coding guidelines and regulations. - Review patient medical records (e.g., physician notes, lab results, radiology reports, operative reports) to identify diagnoses and procedures. - Assign accurate ICD (International Classification of Diseases), CPT (Current Procedural Terminology), and HCPCS (Healthcare Common Procedure Coding System) codes. - Ensure coding accuracy and consistency across medical records. - Adhere to established coding guidelines, coding conventions, official coding rules, and regulatory requirements (e.g., CMS, HIPAA). - Maintain confidentiality of patient information in accordance with HIPAA regulations. - Stay current with coding updates, changes in regulations, and industry best practices. - Abstract data and information from medical records for various reporting requirements. - Communicate effectively with physicians, nurses, and other healthcare professionals to clarify documentation and resolve coding discrepancies. - Research and resolve accounts that have failed in the billing/collection process due to issues surrounding diagnostic and procedure coding. - Codes a wider range of patient encounters, including more complex cases. - Demonstrates a solid understanding of coding guidelines and conventions. - Requires moderate supervision and can independently resolve many coding issues. - May assist with training new coders or providing guidance to Level I coders. - Identifies and reports potential coding errors or inconsistencies. Qualifications - 1 certification from AAPC or AHIMA - American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) Requirements - Must reside in Arkansas - Monday to Friday, Full-time — Remote - Work Shift: Day Shift - Time Type: Full time - Salary: Most new hires start between $20.50-$25.60 per hour, depending on experience and qualifications. Company Description ARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, NATIONAL ORIGIN, AGE, DISABILITY, PROTECTED VETERAN STATUS OR ANY OTHER CHARACTERISTIC PROTECTED BY FEDERAL, STATE, OR LOCAL LAWS. This position has been designated as safety sensitive and cannot be filled by a candidate who is a current user of medical marijuana. CURRENT EMPLOYEES: Please apply via the internal career site by logging into your Workday Account (https://www.myworkday.com/archildrens/) and search the "Find Jobs" report.

• Assign and sequence ICD-10-CM and CPT-4 codes for a variety of patient encounters, including inpatient, outpatient, ambulatory, and emergency department records. • Accurately code advanced and complex procedural accounts with multiple components. • Review medical records for documentation deficiencies and ensure diagnoses and procedures are accurately reflected according to coding guidelines. • Review charges for accuracy, verify medical necessity, and collaborate with providers and departments to obtain complete supporting documentation. • Perform timely follow-up on accounts requiring additional documentation or clarification. • Complete charge capture, data entry, and clinical data abstraction while ensuring regulatory, compliance, and reporting requirements are met. • Verify patient account information, encounter types, and demographic data while coordinating corrections with Patient Access when needed. • Maintain compliance with all federal, state, and organizational coding standards and regulations. • Meet established productivity and quality benchmarks while maintaining a high level of coding accuracy. • Participate in continuing education and stay current on coding guidelines, regulations, and industry best practices. • Support departmental quality improvement initiatives and identify opportunities for process enhancement.