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UnitedHealth Group

Director Clin Doc Imprv- New Hyde Park-or Manhasset

UnitedHealth Group - New Hyde Park, NY

Director Clin Doc Imprv- New Hyde Park-or Manhasset

Job Description

Position Description

$10,000 Sign On Bonus!!!

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work

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These (2) Directors will work onsite (1) at North Shore University Hospital in Manhasset,

or (1) Long Island Jewish in New Hyde Park

The Director, Clinical Documentation Improvement

directs the activities of the Clinical Documentation Improvement (CDI) department. They facilitate modifications to clinical documentation to ensure accurate depiction of the level of clinical services and patient severity through extensive concurrent interaction with physicians, nursing staff, caregivers, case management, and medical records coding staff.

Primary Responsibilities:

Ensures clinical documentation, including modifications, accurately reflect the level of service rendered and severity of illness (in compliance with government and other regulations) for all patients

Oversees a system to identify admissions with specific diagnosis / DRG classifications or other categories of admissions

Ensures chart review within 48-72 hours of admission to meet criteria

Ensures periodic documentation review with cases that have a length of stay greater than 3 days

Ensures follow up reviews of clinical documentation are conducted by CDS staff to evaluate whether issues discussed and clarified with the physician have been recorded in the patient’s chart

Ensures recommendation of possible refinement of principal diagnosis based on Clinical data on admission and concurrently during the hospital stay to facilitate appropriate DRG assignment

Interacts with physician regarding documentation appropriate to diagnosis and support appropriate levels of severity of illness and risk of mortality

Monitors tracking response to CDI and trending completion of DRG worksheets via reports generated by Clinical Documentation Specialists (CDS)

Serves as a resource to Physicians / Case Managers and other key professional staff in matters relating to published DRG information

Works with medical records, finance and physician groups to develop systems to facilitate complete documentation for data reporting purposes

Develops and monitors strategic operating goals, objectives and budget; and reports operational performance, justification and / or corrective action

Develops and manages direct reports; and oversees the development and management of indirect reports

Builds and maintains productive inter / intra departmental and vendor work relationships to optimize operations

Oversees compliance with government and agency regulations

Performs related duties, as required

Required Qualifications:

Bachelor’s Degree, Nursing or related field highly preferred

5 years of experience in an acute care hospital setting

Previous experience in chart review

3 years Clinical Documentation Improvement (CDI) experience

1 year experience as leader of staff or projects in a clinical setting

Proficient with Microsoft Outlook, Word, Excel

Strong working knowledge of PCS and CM - Diagnostic / procedural coding (ICD 10)

Ability to communicate effectively with physicians and other clinical professional staff

Preferred Qualifications:

Master’s degree

Current, unrestricted RN License

PowerPoint experience

Regulatory background and DRG reimbursement knowledge or Inpatient Coding experience

3 plus years in a leadership position

Current certification as a CCDS, CDIP or CCS

Careers with Optum.

Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world?s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

**PLEASE NOTE**

The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis (Internal Candidates) are not eligible to receive a sign on bonus.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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: RN, registered nurse, CDI, clinical documentation improvement, DRG, CDIP, CCDS, CCS, Staten Island, NY, New York, Manhasset, North Shore University Hospital, Northwell

Skills/Requirements

Job Reference #:

734827

12 days 20 hours ago

UnitedHealth Group

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Director Clin Doc Imprv- New Hyde Park-or Manhasset UnitedHealth Group - New Hyde Park, NY, United States

   

Location: New Hyde Park, NY

Company Profile:
About UnitedHealth Group UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone. We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term