Official SealSan Joaquin County Human Resources Division


#0423-RH1104-AC
Supplemental Questionnaire

Last Name
First Name

 

**This recruitment is specifically hiring for a Clinical Documentation Improvement (CDI) Nurse at the Staff IV - Level. The CDI Nurse will be responsible for conducting concurrent medical record reviews including clinical indicators and providing real-time feedback to providers. Will also be responsible for educating and training physicians and other clinical staff to ensure documentation for new coding requirements are met and aimed at quality of care and documentation improvements. A determination will be made as to which of the inpatient units you may be qualified based upon the certifications, licenses, and experience listed in the application.


 

Do you possess a current registration as a nurse in the State of California?

Yes No
 

Do you possess a BSN or MSN?

If yes, please be sure to complete the education portion of the application in as much detail as possible. Incomplete information can result in delays of the application process.

Bachelor's of Science in Nursing
Master's of Science in Nursing
None of the Above
 

Please check the box(es) for all departments in which you have at least 1 full year (2,080 hours) of acute care registered nursing experience.  

Cardiac Cath Lab/EKG
Case Management
Emergency Room
Float Pool Unit
GI/Short Stay Surgery
Hemodialysis
Intensive Care Unit
Labor-Delivery-Recovery-Post Partum
Medical Surgical Unit
Neonatal Intensive Care Unit (NICU/ICN)
Post-Anesthesia Care Unit (PACU)
Progressive Care Unit (PCU)
Surgery
Other
 

Please check the box(es) for all certifications that you currently possess. Please upload copies of all certifications when prompted to upload a resume.

National Nursing Certification
Advanced Cardiac Life Support (ACLS)
MICN-Code 3 Clearance
Trauma Nurse Core Curriculum
Emergency Nurse Pediatric Course
Trauma Care After Resuscitation Course
Transport Nurse Advanced Trauma Course
Preceptor
Critical Care Class
Pediatric Advanced Life Support (PALS)
EKG Class
Physical Medicine and Rehabilitation (PM&R)
ED Essentials
ICN Class
MSE Triage