RN Manager - Clinical Documentation - San Francisco, CA

The CDI Service Area Manager 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.

This position 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. This position does not have patient care duties, does not have direct patient interactions, and has no role relative to patient care.

Primary Responsibilities:

• In conjunction with Director assumes responsibility of the operations, business, financial and human resource needs of the department


• Plans daily operations of the department in conjunction with the Director and participates in development of objectives to meet KPI's


• Directs and maintains adequate staffing and workflow to meet CDI needs


• Monitors various reports and productivity to ensure that production standards and objectives are met in areas of responsibility


• Provides consultation to providers and other clinical professionals, and leads implementation of changes that result in improvements in the patient care team's ability to provide appropriate and timely treatment, communication regarding the patient's condition, patient's response to treatment, severity of illness, risk of mortality and treatment complexity


• Leadership of the CDI program as demonstrated by assuming accountability for the ongoing success of the Clinical Documentation Program. Monitors CDI program and communicates with appropriate facility leadership regarding CDI key performance indicators (KPIs), and identifies and implements process changes to maintain and improve KPIs


• Engages and consults with Physician Advisor when needed to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process


• 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

• Graduate of a state approved RN program, BSN required or matriculating in a national or state approved BSN program


• Current Registered Nurse (RN) License to practice professional


• Minimum of 7 years acute care hospital clinical RN experience


• Minimum of 2 years of direct Management experience

• Relevant certification (CCDS)

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 a vital part of their evolution. And that's what fueled these exciting new opportunities.  Optum360 is 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 all our resources 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 and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: CDI, Manager, Mgr, CA, acute care, ICD 9, coding, RN, Registered Nurse, Nurse, case management, hospital, critical care, BSN, Bachelors of Science in Nursing, clinical documentation, San Francisco, Stockton, California, CA