RN Manager

1 month ago


Remote, Oregon, United States SSM Health Full time

It's more than a career, it's a calling.

MO-REMOTE

Worker Type:

Regular

Job Summary:

Oversees and manages the daily operations and activities of the regional Clinical Documentation Improvement (CDI) program. Promotes consistent and standardized operations and documentation across the network. Builds and maintains productive inter/intra departmental and vendor work relationships to optimize operations.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

  • Manages the daily operations and resources of assigned Clinical Documentation Improvement (CDI) team, including the development and monitoring of strategic operating goals, objectives, and data analysis; and report operational performance, justification, and/or corrective action. Provides on-going support of CDI with extensive collaboration with physicians, nursing, coding, quality, and leadership.
  • Facilitates improvements to clinical documentation through chart review and educational training sessions (with CDI Educator), which could be performed onsite, with physicians and/or other clinical professionals. Initiates corrective actions to resolve any problem areas identified between CDI and any other areas of the organization.
  • Collaborates with CDI educator for regional education. Provides ongoing clinical documentation management program education for new staff, including new clinical documentation registered nurses, physicians, nurses, and allied health professionals. Participates in the direction and education of all phases of the clinical documentation process.
  • Supports and implements technologies designed to improve and/or ensure the accurate depiction of clinical services, patient's severity of illness, and risk of mortality.
  • Conducts audits on CDI reviews against quality, coding, and mortality. Provides feedback to staff and CDI educator and director. Reports monthly CDI metrics regarding KPIs and staff productivity. Strengthens technical coding practices and clinician documentation by reviewing patient records with flagged complications to ensure coding accurately reflects the patient's clinical course and complexity to validate accurate risk-adjustment for administrative metrics used in government incentive/penalty programs.
  • Collaborates with interdisciplinary teams including physicians, nurse practitioners, physicians assistants, and the department managers for revenue integrity, coding and data quality, case management and health information management. Demonstrate leadership and management skills to promote effective and efficient review of physician documentation and the medical record.
  • Communicates with assigned regional/ministry physician leaders. Participates in monthly medical management meetings to report CDI metrics and act as subject matter expert for inquiries.
  • Recruits, engages, develops, leads, and manages assigned staff. ​
  • Performs other duties as assigned.


EDUCATION

  • Graduate of accredited school of nursing or education equivalency for licensing


EXPERIENCE

  • Two years' acute hospital experience or surgical area as a clinical nurse
  • Three years' clinical documentation specialist
  • Two years' demonstrated progressive leadership experience


PHYSICAL REQUIREMENTS

  • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
  • Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
  • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
  • Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
  • Frequent keyboard use/data entry.
  • Occasional bending, stooping, kneeling, squatting, twisting and gripping.
  • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
  • Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

State of Work Location: Illinois

  • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)


State of Work Location: Missouri

  • Registered Nurse (RN) Issued by Compact State
  • Or
  • Registered Nurse (RN) - Missouri Division of Professional Registration


State of Work Location: Oklahoma

  • Registered Nurse (RN) Issued by Compact State
  • Or
  • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)


State of Work Location: Wisconsin

  • Registered Nurse (RN) Issued by Compact State
  • Or
  • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

Sys Clinical Documentation Improvement

Scheduled Weekly Hours:

40

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.



  • Remote, Oregon, United States SSM Health Full time

    It's more than a career, it's a callingMO-REMOTEWorker Type:RegularJob Highlights:Department: Care Coordination​Schedule: Full Time, Day Shift, 8:00am-4:30pm; No WeekendsStarting Pay: $67, (Offers are based on years of experience and equity for this role.)​Location: Remote**Candidate must live in IL, MO, OK, or WI. If living in MO, OK, or WI, must have...


  • Remote, Oregon, United States The Cigna Group Full time

    The job profile for this position is Nurse Case Management Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see...

  • Manager of Nursing

    4 weeks ago


    Remote, Oregon, United States Optimize Health Full time

    Who we are:At Optimize Health, we believe that it's time to rethink brick-and-mortar-only healthcare visits. With our powerful combination of the leading platform technology, patient-friendly devices, and trusted support, we are pioneering how medical groups use technology and real-time data to treat patients' health outside the practice walls. As the most...

  • RN-Utilization Review

    1 month ago


    Remote, Oregon, United States SSM Health Full time

    It's more than a career, it's a callingWI-REMOTEWorker Type:RegularJob Highlights:Department: Utilization Review​Schedule: Full Time, Day Shift, 8:30am-5:00pm; every 3rd weekend rotationStarting Pay: $67, (Offers are based on years of experience and equity for this role.)​Location: Remote (candidate must live in IL, MO, OK, or WI)**If living in MO, OK,...


  • Remote, Oregon, United States The Cigna Group Full time

    The job profile for this position is Case Management Analyst, which is a Band 2 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for...


  • Remote, Oregon, United States SSM Health Full time

    It's more than a career, it's a callingMO-REMOTEWorker Type:RegularJob Highlights:At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a...


  • Remote, Oregon, United States The Cigna Group Full time

    The job profile for this position is Case Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is...


  • Remote, Oregon, United States The Cigna Group Full time

    The job profile for this position is Case Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is...


  • Remote, Oregon, United States The Cigna Group Full time

    The job profile for this position is Nurse Case Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see...


  • Remote, Oregon, United States SSM Health Full time

    It's more than a career, it's a callingMO-REMOTEWorker Type:RegularJob Highlights:At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a...


  • Remote, Oregon, United States Piper Companies Full time

    Piper Companies is currently seeking a Clinical Appeals Analyst for a remote opportunity within a highly accredited health insurance organization to complete the analysis, research, and completion of complex appeals. Responsibilities of the Clinical Appeals Analyst:Assess, analyze, and complete non-routine appeals and grievance in order to ensure customer...

  • Clinical Educator

    7 days ago


    Remote, Oregon, United States IQVIA Full time

    Job SummaryWe are seeking a highly skilled Clinical Educator to join our team at IQVIA. As a Clinical Educator, you will play a critical role in training and educating healthcare professionals on infusion pump medical devices, sets, and connectors commonly used in critical care and oncology units.Key ResponsibilitiesPeer-to-Peer Education: Provide...

  • Clinical Educator

    2 days ago


    Remote, Oregon, United States IQVIA Full time

    Job SummaryWe are seeking a highly skilled Clinical Educator to join our team at IQVIA. As a Clinical Educator, you will have the opportunity to utilize your clinical nursing expertise to educate and train healthcare professionals on medical devices.Key ResponsibilitiesProvide peer-to-peer education and in-service training to nurses, physicians, and hospital...


  • Remote, Oregon, United States The Cigna Group Full time

    The job profile for this position is Registered Nurse III, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for...


  • Remote, Oregon, United States The Cigna Group Full time

    The job profile for this position is Registered Nurse I, which is a Band 2 Senior Contributor Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you,...


  • Remote, Oregon, United States The Cigna Group Full time

    REQUIRED WORK HOURS: Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends and holiday time. As a 24/7 Clinical Navigation & Support (CN&S) Care Manager (CM) you will deliver a guided, predictable and streamlined care experience for...

  • Adult Vaccines Health

    1 month ago


    Remote, Oregon, United States Pfizer Full time

    Why Patients Need YouEverything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is innovative and customer oriented. Whether you are involved in manufacturing, testing, or compliance, your contribution will directly...


  • Remote, Oregon, United States Pfizer Full time

    ROLE SUMMARY Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is innovative and customer oriented. Whether you are involved in manufacturing, testing, or compliance, your contribution will directly impact...

  • Site Care Partner

    4 weeks ago


    Remote, Oregon, United States Pfizer Full time

    ROLE SUMMARYThe Site Care Partner is the main Pfizer point of contact for investigative sites throughout a study life cycle; accountable for site start-up activities through activation; accountable for building and retaining investigator site relationships and providing support from site recommendation through the lifecycle of studies; accountable for...


  • Remote, Oregon, United States Pfizer Full time

    Why Patients Need YouEverything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is innovative and customer oriented. Whether you are involved in manufacturing, testing, or compliance, your contribution will directly...