Manager, RN – Clinical Documentation Improvement

Role Overview

• 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.
• 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.

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

Benefits

• 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.