Clinical RN Documentation Specialist Lead - Northridge, CA

Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities. Who are we? Optum360. We're a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of revenue management services to health care providers nationwide. If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work. SM

 

Travel to other facilities in the service area may be required, up to 25% of the time.  

The Sr. RN Clinical Documentation Specialist (CDS) Service Area Lead is responsible for providing CDI program oversight and day to day CDI implementation of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients' patients. 

 

The goal of the CDS oversight and practice is to assess the technical accuracy, specificity, and completeness of provider clinical documentation, and to ensure that the documentation explicitly identifies all clinical findings and conditions present at the time of service. 

 

The Sr. RN CDS  Service Area Lead collaborates with providers and other healthcare team members to make improvements that result in accurate, comprehensive documentation that reflects completely, the clinical treatment, decisions, and diagnoses for the patient. 

 

The Sr. RN CDS Service Area Lead utilizes clinical expertise and clinical documentation improvement practices and facility specific tools for best practice and compliance with the mission/philosophy, standards, goals and core values of Optum 360. 

 

The Sr. RN CDS Service Area Lead does not have patient care duties, does not have direct patient interactions, and has no role relative to patient care.

 

The Sr. RN CDS  Service Area Lead is involved in the education of all phases of the Clinical Documentation process across a service area.   Provides ongoing Clinical Documentation Improvement education for new staff and new initiatives or identified areas of knowledge deficit.  Tracks and trends program compliance to determine areas of focus for educational opportunities.

What can YOU do with the right information? At Optum, the possibilities and the impact are limitless. No matter what your role is at Optum, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. It's always fresh. It's always exciting. And it's never been more important.

 

Keywords: RN, Registered Nurse, Clinical, Hospital, Inpatient, Clinical Documentation Specialist, CDS, ICD-10, DRG, HIM, Coding, CDI, Northridge, California, CA, Northridge Medical Center, Optum360