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BRG's Clinical Economics and Healthcare Performance Improvement practices currently have several openings for CDI experts to join our team at the Consultant level. The Consultant position is a mid-level consulting staff position. This position requires a highly motivated problem solver with strong analytical ability and a desire to advance within the organization. An individual with an entrepreneurial spirit and an ability to apply creative solutions is a natural fit for this position. The Consultant is an integral part of the CDI team and works closely with the client’s CDI team, supporting classroom education and mentoring. They are responsible for ensuring the successful transfer of CDI best practices from the consulting team to the client team. The Consultant also facilitates accurate documentation for severity of illness (SOI) and quality in the medical record, which involves extensive record review and interaction with physicians, health information management professionals, coding professionals, and nursing staff. For candidates who are not based in the New York area, flexibility for travel (50-75%) is required for this position. Travel volume is dependent on project and client needs. For candidates based in the New York area, on-site presence on the client site in New York City is required. Responsibilities: • Review inpatient medical records for identified payer populations on admission and throughout hospitalization., • Analyze clinical information to identify areas within the chart for potential gaps in physician documentation., • Formulate credible clinical documentation clarifications to improve clinical documentation of principal diagnosis, co-morbidities, present on admission (POA), quality measures, and patient safety indicators (PSI)., • Facilitate modifications to clinical documentation through extensive interaction with physicians, nurses, and ancillary staff., • Work collaboratively with the coding staff to assure documentation of discharge diagnoses and comorbidities are a complete reflection of the patient’s clinical status and care., • Develop and implement plans for education of physician, nursing, and ancillary staff on documentation improvement. Requirements: • 4-7 years of experience as a Clinical Documentation Improvement (CDI) Specialist within a hospital setting or as a CDI consultant, or a combination thereof., • RN, BSN, or Health Information Management degree required., • Currently licensed as a Registered Nurse – ICU, OR, ED specialty preferred, with a strong understanding of clinical workflow., • Minimum 2 years of inpatient coding experience with ICD-10 CM/PCS preferred., • ACDIS or AHIMA certification preferred., • Strong knowledge of CDI principles, including the ability to audit medical records, teach CDI principles to clinicians, coders, and other healthcare professionals., • Experience in clinical documentation improvement, coding, audit, or Health Information Management., • Ability to assist with the development of CDI and HIM training and consulting tools and methodologies., • Excellent organizational, analytical, and writing skills, with the ability to demonstrate critical thinking and problem-solving., • Strong verbal and written communication skills, with excellent public speaking and presentation abilities., • Effective communication with physicians, coding professionals, and other stakeholders., • Knowledge of regulatory guidelines and Medicare Part A, MS-DRG, and/or APR-DRG payment methodologies., • Ability to pass a written clinical competency assessment., • Familiarity with hospital systems such as EPIC, MEDITECH, or similar platforms is desired., • Strong proficiency in MS Office applications, including Word, PowerPoint, Excel, and Outlook., • Excellent time management skills and the ability to handle multiple priorities effectively. Consultant Salary Range: $70,000 – $150,000 per year Managing Consultant Salary Range: $100,000 – $230,000 per year Job title and compensation to be determined based on qualifications and experience. We’re excited to offer a competitive sign‑on bonus to welcome exceptional talent. Candidate must be able to submit verification of his/her legal right to work in the U.S., without company sponsorship.

Job Description Reports To: Medical Director Program: Article 32 and Article 31 Clinics Location: White Plains, NY Hours Per Week: 35 FLSA Status: Full Time, Exempt Salary Range: $86,000-$91,000 Summary of Duties: The Registered Nurse has overall responsibility of assessing and monitoring clients for gaps in preventive services and physical health conditions related to behavioral health treatment or common physical co-morbidities, in our Comprehensive Health Center, licensed by the Office of Addiction Services and Supports (OASAS), Article 32 substance use treatment program. As well as our Article 31 Mental Health Outpatient Treatment and Rehabilitative Services. The Nurse provides screening and monitoring of key health indicators and health risk, as well as clinical monitoring for adverse effects of medications, including monitoring for metabolic syndrome. The Nurse will coordinate completion of required steps for initiation of Medication Assisted Treatment (MAT). The Nurse will serve as a consultant to other team members and may take over some of the work needed to adequately coordinate care if the management of a particular medical condition becomes complex. The Nurse will support recovery by providing services that reflect our deeply held values that include the recognition of individual rights of self-determination, choice, shared decision-making, and collaboration. When possible, the Registered Nurse will utilize evidence-based practices and always embracing a trauma-informed and person-centered approach. Key Responsibilities: • Provide initial health assessments for all new clinic clients and annual follow-up assessments., • Coordinate care for medical issues, including all post-admission medical testing for hepatitis, HIV, tuberculosis, or STDs on site or by referral to external medical providers, arranging for physical examinations of clients who have not had one within one year prior to program admission, scheduling appointments, and liaising with medical providers to obtain records., • Acts as Health Coordinator for the program, providing health education, risk reduction, counseling, and referral service to all clients, specifically HIV/AIDS, tuberculosis, viral hepatitis, sexually transmitted diseases, and other communicable diseases., • Coordinate and monitor usage of prescribed MAT therapies and psychiatric medications such as clozapine (obtaining lab results, reviewing them, and faxing prescriptions), as needed., • Administers antipsychotic medications to clients, as needed., • If needed, administer medication- intramuscular injections (IM) according to Rx order(s) as documented in EHR., • Collaboration with the prescriber on medication refills., • Conduct toxicology testing, as needed., • Obtain and document lab results when clients have labs drawn by outside providers., • Participation in the clinic team meeting, administering injections as prescribed., • Maintaining supplies for the med. room, communication with pharmacies., • Experience understanding various evidence-based models and theories pertaining to substance use and co-occurring disorders, psychoeducation, motivational interviewing, and recovery., • Psychoeducation about medical issues to all clinic clients, individually and in groups., • Follow the established agency policies and maintaining appropriate professional standards., • Complete all required documentation on time and accurately. This includes but is not limited to, progress notes, health screening assessments and care plans., • Ensure client engagement in health and wellness practices, as well as chronic disease management to reduce hospitalizations and improve quality of life., • Responsible for adhering to all standards and guidelines established by applicable regulatory authorities., • Other related duties. Competencies: • Experience understanding various evidence-based models and theories pertaining to psychoeducation, motivational interviewing, substance use disorders, serious mental illness, and recovery. Extensive knowledge of substance use, mental health, family support services, and community resources., • Use of Motivational Interviewing, recovery, and trauma-informed approaches when delivering services., • Experience understanding family systems based on diversity of cultural and ethnic backgrounds., • Must be able to perform duties independently and efficiently., • Familiarity with and ability to use an Electronic Health Record system., • Expected to practice in a recovery-oriented, person–centered manner. Key Performance Indicators (KPIs): • Adherence to treatment protocols and guidelines., • Assessing patient understanding and application of health education provided., • Ensuring all client records are accurate and updates in a timely manner., • Measuring patient satisfaction with nursing care and education received. Requirements: • A degree as a registered nurse and be actively licensed in New York State., • Must be reliable and able to work independently and understand the importance of maintaining confidentiality., • Basic computer knowledge and ability to document in an electronic health record is required., • Must maintain pre-employment clearances by applicable regulatory clearances as required., • Pre-employment drug screen is required as a condition of employment., • Must be legally eligible to work in the United States. Special Considerations: • Hours per week, reporting structure, and location are subject to change per program needs., • Required coverage of two clinics, located in the same building., • Weekends and on-call coverage are not required. Mandated Reporter: This is a Mandated Reporter position. The NYS Justice Center legislation defines anyone who has regular and substantial contact with any person with special needs as a “custodian” under the law and, therefore, a mandated reporter. You can be held liable by both the civil and criminal legal systems for intentionally failing to make a report. Greater Mental Health of New York is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Greater Mental Health of New York is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request a reasonable accommodation, contact the Human Resources Department.