Mgr-RN, Clinical Documentation Improvement

SSM Health

11d • Remote

About The Position

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

Requirements

• Graduate of accredited school of nursing or education equivalency for licensing
• Two years' acute hospital experience or surgical area as a clinical nurse
• Three years' clinical documentation specialist
• Two years' demonstrated progressive leadership experience
• 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

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.

Benefits

• SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
• Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees