Top 44462 Utilization manager Jobs

Clinical Documentation Improvement (CDI) Manager
University Medical Center of Southern Nevada —Las Vegas, NV
- $90,584.00 - $144,934.40 a year
- Full-time
- Nursing
- Management
- Hospital
- Free parking
- Relocation assistance
Quick Apply
Oncology Account Manager - South Texas
Immunocore —Remote
- $160,000 - $214,000 a year
- Contract
- 7 years
- Hospital
- Bachelor of Science
- Health insurance
- Dental insurance
6d
Oncology Account Manager - Mid-America (KS, MO, AR)
Immunocore —Remote
- $160,000 - $214,000 a year
- Full-time
- 7 years
- Hospital
- Bachelor of Science
- Health insurance
- Dental insurance
4d
Plant Manager
CP Flexible Packaging —Placentia, CA
- $180,000 - $200,000 a year
- Senior level
- Leadership
- Communication skills
Quick Apply
Oncology Account Manager - Midwest (IL, WI)
Immunocore —Remote
- $160,000 - $214,000 a year
- Contract
- 7 years
- Hospital
- Bachelor of Science
- Health insurance
- Dental insurance
5d
Sr. Manager of Member Engagement
Private Health Management —Remote
- $120,000 - $180,000 a year
- US work authorization
- Senior level
- Leadership
- Health insurance
- Dental insurance
Quick Apply
Subcontract Program Manager
Parsons —Remote
- $148,300 - $266,900 a year
- Remote
- Engineering
- 11+ years
- English
- Wellness program
- Paid holidays
Clinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C)
TMF Health Quality Institute —Remote
- Full-time
- Nursing
- Supervising experience
- Team management
- AD&D insurance
- Disability insurance
Utilization Management Clinician - CCR
Capital Blue Cross —Harrisburg, PA
- $32.50 - $61.22 an hour
- Full-time
- Remote
- Addiction Medicine
- RN License
- Writing skills
- Paid holidays
- Health insurance
Director, Utilization Management Operations
Devoted Health —Remote
- $182,000 - $248,000 a year
- Full-time
- Remote
- Travel
- In-person
- Senior level
- Dental insurance
- 401(k)
Team Lead, IT Services - Remote - Incidents/Problems Management and Batch Operations
Healthesystems —Tampa, FL
- $90,300 - $124,190 a year
- Weekends as needed
- Remote
- Mid-level
- Office
- 3 years
- Paid holidays
- Disability insurance
Quick Apply
7d
Market Physician Executive (MPE) - Atlanta, GA
Monogram Health Professional Services —Atlanta, GA
- On call
- Medicine
- Critical & Intensive Care
- Travel
- Health insurance
- Dental insurance
Quick Apply
Nurse Manager | Medical Oncology & Medical Specialties
Concord Hospital —Concord, NH
- Full-time
- Acute care
- Nursing
- RN License
- Disability insurance
- Health insurance
Market Physician Executive (MPE)
Monogram Health Professional Services —Brunswick, GA
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Market Physician Executive (MPE)
Monogram Health Professional Services —Valdosta, GA
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
PACE Medical Director, Jordan Valley Senior Care
Jordan Valley Health —Springfield, MO
- Full-time
- Medicine
- Current TB test
- Computer literacy
- Health savings account
- AD&D insurance
Quick Apply
Market Physician Executive (MPE) - Float
Monogram Health Professional Services —Georgia
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Rehab Supervisor (Physical Therapist) - Home Health
NEOGREEN Solutions —Los Angeles, CA
- $130,000 a year
- CPR Certification
- Management
- BLS Certification
- Paid holidays
- Health insurance
Quick Apply
Physician Opportunities
Summit Medical Consultants LLC —Colorado Springs, CO
- $300,000 - $350,000 a year
- Weekends as needed
- Medicine
- Skilled nursing facility
- Nursing home
- Health savings account
- Relocation assistance
Quick Apply
Director, ICU/Pathology - SMG
SMG System Medical Group —Morgantown, WV
- Overtime
- Hybrid work
- Hospital
- Urgent Care
- Master's degree

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Clinical Documentation Improvement (CDI) Manager

University Medical Center of Southern Nevada -
Las Vegas, NV

Quick Apply

Job Details

Full-time
$90,584.00 - $144,934.40 a year

Benefits

Free parking
Relocation assistance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
Employee discount
Life insurance
Retirement plan

Qualifications

Meeting minutes
Statistics
Staff supervision
Report writing
Management
Healthcare staff management
Health data analysis
Health information process improvement
Investigative interviewing techniques
Technical documentation
Safety regulations
Hazardous materials handling safety protocols
Coding for hospital billing
Employee training
State healthcare regulations
ICD-10
Clinical staff training
Quality assurance
Technical writing experience within healthcare
Health insurance knowledge
Quality control
Health regulation policy knowledge
Centers for Medicare and Medicaid Services (CMS)
Conflict management
Health record chart audits
Clinical documentation improvement
Medical data abstraction
Clinical documentation standards
Critical thinking
Healthcare coding investigations

Full Job Description

**Hybrid Work Schedule May Be Available After Probationary Period. Must be available for in-person work on a weekly basis.**

Position Summary
Responsible for identification of documentation improvement opportunities related to ICD-10, UHDDS, and CMS. Assists with day-to-day CDI administration and oversight of concurrent Query writing process. Collaborates with interdisciplinary teams including but not limited to physicians, Advance Practice Professionals, HIM, Quality Improvement, Coding, and leaders in revenue cycle to ensure accurate and comprehensive documentation that reflects the true clinical picture of the patient.

Identifies strategies through data gathering and analysis of trends to establish recommendations for the sustained work process changes that facilitate complete and accurate clinical documentation. Utilizes clinical expertise and clinical documentation improvement practices as well as facility specific tools for best practice and compliance with the mission/philosophy of the hospital.

Job Requirement
Education/Experience:

Option 1 Nurse: Graduation from an accredited school of nursing and five (5) years of clinical nursing experience and three (3) years of clinical documentation improvement experience. Two (2) years of experience in clinical documentation leadership.

Option 2 Physician: Physician graduate International MD with 5 years of acute care experience and 1 year Clinical Documentation Improvement (CDI) experience. Two (2) years experience in clinical documentation leadership.

Option 3 Other: Equivalent to a Bachelor’s degree in Health Information Management or Health Information Technology and four (4) years professional coding and abstracting medical records in an acute care hospital. Two (2) years of experience in clinical documentation leadership.

Knowledge, Skills, Abilities, and Physical Requirements

Knowledge of:
Reimbursement and coding methodologies and guidelines; MS-DRGs, APR-DRGs; Severity of Illness, Risk of Mortality, Medical Necessity, Core and Quality Measures and impact of Length of Stay; HACs/PSIs; supervisory principles and practices; disease pathophysiology and drug utilization clinical documentation improvement and coding; department and hospital safety practices and procedures; patient rights; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures; age specific care practices.

Skill in:

Assigning and monitoring the work of others; evaluating quality control; implementing process including assessment, planning, implementation and evaluation; supervising and training staff; developing and monitoring budgets; developing staffing plans; performing data analysis; holding in complete confidence all information acquired from medical records and physicians; interpreting patient charts to determine whether care given was appropriate and properly documented; interpreting regulations and standards for others; writing reports, meeting minutes and other technical documents; analyzing statistical and other quantitative data; critical thinking; conflict management; dealing with departmental issues involving self or other employees in professional, forthright and impartial manner; applying investigative and interviewing techniques; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds under stressful conditions; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.

Physical Requirements and Working Conditions:

Mobility to work in a typical clinical setting, including stamina to stand and/or sit for extended periods of time, strength to examine and treat varied individuals, vision to use standard office equipment and read printed materials and a computer screen, and hearing and speech to communicate effectively in both oral and written forms. Strength and agility to exert up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently to move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.

Job Type: Full-time

Pay: $90,584.00 - $144,934.40 per year

Benefits:

Dental insurance
Employee assistance program
Employee discount
Flexible spending account
Free parking
Health insurance
Life insurance
Paid time off
Relocation assistance
Retirement plan
Vision insurance

Application Question(s):

Please list if you have any of the following certifications:

Certified Clinical Documentation Specialist (CCDS)
Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
Certified Document Improvement Practitioner (CDIP)
Certified Coding Specialist (CCS)
Registered Health Information Technician (RHIT)
Registered Health Information Administrator (RHIA), issued by the American Health Information Management Association
Certified Professional Coder (CPC)
Certified Professional Coder-Physician-based (CPC-P)

Experience:

Clinical documentation leadership: 2 years (Required)

Work Location: In person

Quick Apply

Refine Your Search

utilization manager jobs

Clinical Documentation Improvement (CDI) Manager

Oncology Account Manager - South Texas

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Oncology Account Manager - Midwest (IL, WI)

Sr. Manager of Member Engagement

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Clinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C)

Utilization Management Clinician - CCR

Director, Utilization Management Operations

Team Lead, IT Services - Remote - Incidents/Problems Management and Batch Operations

Market Physician Executive (MPE) - Atlanta, GA

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Market Physician Executive (MPE)

Market Physician Executive (MPE)

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Market Physician Executive (MPE) - Float

Rehab Supervisor (Physical Therapist) - Home Health

Physician Opportunities

Director, ICU/Pathology - SMG

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