Summary
Overview
Work History
Education
Skills
Accomplishments
Affiliations
Certification
Interests
Work Availability
Work Preference
Websites
Timeline
35

Janet Francisco

WAILUKU,HI

Summary

Dynamic Clinical Documentation Specialist with exemplary communication skills, facilitating positive changes to documentation through close collaboration with healthcare providers and a strong attention to detail, adept at improving documentation compliance at Maui Health System. Proficient and analysis-oriented professional with exemplary in 3M 360 and EPIC, judgment and critical thinking skills. I successfully enhanced record accuracy and supported staff training, ensuring high-quality patient care and adherence to HIPAA regulations. Consistently finding ways to improve workflows and processes that save time and money.



Overview

22
22
years of professional experience
1
1
Certificate

Work History

Clinical Documentation Specialist

Maui Health System
03.2019 - Current
  • Communicated with physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
  • Questioned physicians regarding missing or unclear health record documentation and requested further information for clarification purposes.
  • Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
  • Managed electronic clinical documentation and uploaded changes or updates using 3M 360 and EPIC.
  • Carefully reviewed patient files for clarity on diseases, diagnoses and procedures to determine quality of care.
  • Processed records quickly to avoid delays and keep workflows running smoothly.
  • Verified accuracy and overall completeness of medical records by auditing and reviewing patient information.
  • Audited quality and performance procedures by reviewing processes and charts.
  • Audited and reviewed patient information via EMR management to verify accuracy and completeness.
  • Used medical center hardware and software to produce required reports.

Preceptor - Clinical Documentation Specialist

Maui Health System
07.2022 - 07.2023
  • Met with student one-on-one to design learning plans.
  • Precepted new clinical documentation analysts following established standards organizational policies.
  • Educate in the process of ensuring that medical records and documentations are complete, accurate and relevant to the patient.
  • Supported a less experienced colleague in order to develop skills, competence and confidence in reviewing records for specificity and proper documentation of all conditions and treatments, writing and inputting document queries for providers, following up on unanswered queries or delayed answers, making sure proper Medicare reimbursement and proper DRG assignment.
  • Apply preceptor roles: instructing, modeling, coaching and facilitating



Nurse Preceptor

Maui Health System
08.2006 - 03.2019
  • Precepted new nurses, providing guidance on unit functions and individual roles, hospital policies and procedures and nursing best practices.
  • Supported new nurse educational and vocational planning to help each optimize learning strategies and reap long-term career benefits.
  • Contributed educational and clinical expertise to help optimize training courses and boost student learning.
  • Oversaw laboratory and clinical environments to help students advance knowledge and abilities.
  • Assessed student knowledge levels and abilities with detailed assessments.
  • Educated nursing students on successful methods for performing techniques.
  • Graded performances to evaluate and record student comprehension levels.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Proved successful working within tight deadlines and a fast-paced environment.
  • Cultivated interpersonal skills by building positive relationships with others.
  • Participated in teams, demonstrating an ability to work collaboratively and effectively.
  • Developed and maintained courteous and effective working relationships.
  • Demonstrated creativity and resourcefulness through the development of innovative solutions.
  • Strengthened communication skills through regular interactions with others.

Charge Nurse, Medical Surgical Floor

Maui Health System
12.2003 - 03.2019
  • Supervised and managed daily scheduling, tasking, and administration.
  • Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
  • Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
  • Performed emergency medical procedures such as BLS, ACLS and other condition stabilizing interventions.
  • Collaborated with other healthcare professionals to provide quality patient care.
  • Conducted daily shift briefs to inform staff of changes in patient care assignments.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
  • Educated family members and caregivers on patient care instructions.
  • Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
  • Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
  • Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.
  • Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
  • Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
  • Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
  • Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
  • Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
  • Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
  • Reported findings to quality departments after conducting routine restraint and catheter audits and worked with team to devise corrective actions for deficiencies.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
  • Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
  • Recorded details regarding therapies to keep patient charts updated.
  • Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
  • Investigated and resolved issues affecting hospital operations and patient care.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Equipped patients with tools and knowledge needed for speedy and sustained recovery.
  • Evaluated patient histories, complaints, and current symptoms.
  • Implemented care plans for patient treatment after assessing physician medical regimens.
  • Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.
  • Managed patients recovering from medical or surgical procedures.
  • Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
  • Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.
  • Monitored patient reactions after administering medications and IV therapies.
  • Worked with healthcare team to develop new treatment flow sheet and other log forms, improving clinical documentation and accountability.
  • Advocated for and strived to protect health, safety, and rights of patient.
  • Managed caseload of up to 4 RNs, 4 CNAs and total 24 patients simultaneously by providing bedside care, treatments, IV therapy, and wound care of a team of 4-5 patients.
  • Utilized Sorian and EPIC to document data related to patient care such as medications, interventions and patient responses.

RN, Diabetic Educator

Maui Health System
08.2017 - 07.2018
  • Chose materials and developed lesson plans to enhance skills for individual patients.
  • Built relationships and communicated with patients to provide best learning environment.
  • Providing relevant information about diabetes
  • Ensuring patients with the latest breakthroughs in treatment, including updates in insulin therapy or supplies and medications to develop an individualized diabetes management plan.
  • Teach how to administer insulin and use diabetes supplies like glucose meters and continuous glucose monitoring devices to monitor their blood sugar.
  • Assist with insurance navigation, support programs and connecting with others living with diabetes.
  • Address lifestyle questions about their daily challenges of living with diabetes and make lifestyle changes to strengthen their health and physical well-being.
  • Referral to dietitians to assist with meal plans and food choices.
  • Assist to help make day-to-day life with diabetes more manageable such as attending a diabetes education program can lower risk for diabetes-related health complications like kidney damage and coping strategies.
  • Created and implemented assessments to measure patients' undertanding and progress.
  • Assessed patients performance and provided feedback to facilitate understanding.
  • Communicated frequently with patients and staff to provide feedback and discuss instructional strategies.
  • Modified teaching to accommodate diverse learners by using different sistrategies.
  • Adapted teaching methods and materials to meet patients' varying needs.

RN, Medical-Surgical

Maui Health System
06.2003 - 12.2003
  • Advocated for and strived to protect health, safety, and rights of patient.
  • Managed caseload of 8 patients simultaneously by providing bedside care, treatments, IV therapy, and wound care.
  • Performed emergency medical procedures such as BLS, ACLS and other condition stabilizing interventions.
  • Started intravenous fluids, administered medications, and documented patient charts by recording food and fluid output and intake.
  • Administered medications and treatment to patients and monitored responses.
  • Ordered and analyzed diagnostic tests to identify and assess patient conditions.
  • Educated patients and families on medical-surgical procedures, therapeutic regimens, and pain management techniques.
  • Managed patients' pain by implementing pharmacological and non-pharmacological pain management interventions.
  • Utilized Sorian to document data related to patient care such as medications, interventions and patient responses.
  • Monitored hemodynamic variances to identify signs of life-threatening complications.
  • Managed patient pain relief and sedation by providing non-pharmacological and pharmacological interventions.
  • Monitored patient vital signs to perform thorough condition assessments.
  • Provided health education to patients and families regarding discharge instructions and plans of care.
  • Performed intravenous therapy procedures and monitored chest tubes.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.
  • Managed patients recovering from medical or surgical procedures.
  • Equipped patients with tools and knowledge needed for speedy and sustained recovery.
  • Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
  • Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
  • Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.
  • Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
  • Monitored patient reactions after administering medications and IV therapies.
  • Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
  • Implemented care plans for patient treatment after assessing physician medical regimens.
  • Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
  • Recorded details regarding therapies to keep patient charts updated.
  • Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
  • Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
  • Investigated and resolved issues affecting hospital operations and patient care.
  • Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
  • Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
  • Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
  • Delivered high level of quality care to diverse populations while overseeing patient admission and triaging based on acuity and appropriate department admission.
  • Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
  • Educated family members and caregivers on patient care instructions.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.
  • Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
  • Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
  • Worked with healthcare team to develop new treatment flow sheet and other log forms, improving clinical documentation and accountability.
  • Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
  • Evaluated patient histories, complaints, and current symptoms.

Education

Associate of Applied Science - Nursing

UHMC
Kahului, Maui, Hawaii
05-2003

Skills

  • Exemplary communication skills
  • Healthcare staff interaction
  • Skilled in 3M 360, EPIC, Excel
  • Report generation
  • Training and mentoring
  • Documentation improvement
  • Strong attention to detail
  • Clinical documentation oversight
  • HIPAA regulations
  • Record auditing
  • Medical terminology proficiency
  • Documentation compliance

Accomplishments

  • Facilitated a team to educate physicians, case managers, utilization management and nurses about CDI.
  • Organized flowsheets for CDI workflow
  • Teamwork

Affiliations

  • American Nurses Association
  • Associations of Clinical Documentation Integrity Specialists

Certification

  • CCDS - Certified Clinical Documentation Specialist, ACDIS - November 28, 2022 - present
  • RN-BC - Board certified RN Medical-Surgical Nursing, ANCC - August 25, 2011 - August 24, 2021

Interests

  • Volunteering for community initiatives to give back to local communities and make a positive impact
  • I like working with my hands and creating things
  • Crafting and DIY Projects
  • Learning new cooking techniques and expanding my skills, trying new recipes and food trends and experimenting with different ingredients and flavors
  • Baking
  • Personal Development and Self-Improvement
  • DIY and Home Improvement
  • Going to the beach, swimming and barbequing
  • Woodworking
  • Growing herbs, vegetables, or fruits in home gardens

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference

Work Type

Full Time

Work Location

Remote

Important To Me

Career advancementWork-life balanceFlexible work hoursHealthcare benefitsWork from home optionPaid time offPaid sick leave401k matchStock Options / Equity / Profit Sharing4-day work weekCompany CulturePersonal development programsTeam Building / Company Retreats

Timeline

Preceptor - Clinical Documentation Specialist

Maui Health System
07.2022 - 07.2023

Clinical Documentation Specialist

Maui Health System
03.2019 - Current

RN, Diabetic Educator

Maui Health System
08.2017 - 07.2018

Nurse Preceptor

Maui Health System
08.2006 - 03.2019

Charge Nurse, Medical Surgical Floor

Maui Health System
12.2003 - 03.2019

RN, Medical-Surgical

Maui Health System
06.2003 - 12.2003

Associate of Applied Science - Nursing

UHMC

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Janet Francisco