$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.(sm) 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. This position will be working onsite at North Shore University Hospital in Manhasset, LIJ in New Hyde Park or Staten Island University Hospital 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 patientsOversees a system to identify admissions with specific diagnosis / DRG classifications or other categories of admissionsEnsures chart review within 48-72 hours of admission to meet criteriaEnsures periodic documentation review with cases that have a length of stay greater than 3 daysEnsures 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 chartEnsures recommendation of possible refinement of principal diagnosis based on Clinical data on admission and concurrently during the hospital stay to facilitate appropriate DRG assignmentInteracts with physician regarding documentation appropriate to diagnosis and support appropriate levels of severity of illness and risk of mortalityMonitors 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 informationWorks with medical records, finance and physician groups to develop systems to facilitate complete documentation for data reporting purposesDevelops and monitors strategic operating goals, objectives and budget; and reports operational performance, justification and/or corrective actionDevelops and manages direct reports; and oversees the development and management of indirect reportsBuilds and maintains productive inter/intra departmental and vendor work relationships to optimize operationsOversees compliance with government and agency regulationsPerforms related duties, as required
Required Qualifications: Bachelor's Degree in Nursing or related field Current, unrestricted RN License Minimum of five (5) years of progressive experience in an acute care hospital setting Previous experience in chart review Clinical Documentation Improvement (CDI) experience Minimum of one (1) year in a leadership role Computer proficiency: recent working experience with Microsoft Outlook, Word, Excel and ability to navigate in a Windows based environment Ability to communicate effectively with physicians and other clinical professional staff Preferred Qualifications: Masters degree Regulatory background and DRG reimbursement knowledge or Inpatient Coding experience Three (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) 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
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.