Top 45 Clinical documentation & utilization review nurses Jobs in Martinez, Ca

Associate Clinical Documentation Improvement Specialist
Optum —Concord, CA
- $60,200 - $107,400 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- RN License
RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)
Molina Healthcare —San Francisco, CA
- $30.37 - $59.21 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Discharge planning
- Health insurance
Registered Nurse
Best Home Health Providers, Inc. —Contra Costa County, CA
- $110 - $130 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
Registered Nurse
Best Home Health Providers, Inc. —Alameda, CA
- $110 - $130 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
Registered Nurse
Best Home Health Providers, Inc. —Dublin, CA
- $110 - $130 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
Senior Consultant - Clinical Documentation Specialist
Deloitte —San Francisco, CA
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
System Director, Clinical Documentation Integrity
University of California San Francisco —San Francisco, CA
- Nursing
- RN License
- 8 years
10d
Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88
PriMed Management Consulting Services, Inc. —San Ramon, CA
- $100,000 - $123,000 a year
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- LVN
Quick Apply
MDS CONSULTANT RN
KALESTA HEALTHCARE GROUP —Antioch, CA
- $160,000 - $185,000 a year
- Full-time
- Skilled nursing facility
- Up to 50% travel
- RN License
Quick Apply
Registered Nurse
Caring Hand Home Health Solutions, Inc. —Vallejo, CA
- $110 - $130 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
Clinical Documentation Integrity Specialist Greenbrae, CA (San Francisco region)
Optum —San Francisco, CA
- Full-time
- Acute care experience
- 1 year
- Senior level
Quick Apply
7d
Case Manager III, Ambulatory ( RN )
Sutter Health —San Francisco, CA
- $90.58 - $126.81 an hour
- 8 hour shift
- Microsoft Word
- Nursing
- Microsoft Outlook
Registered Nurse
Premier Home Health Providers Inc. —Napa, CA
- $110 - $130 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
8d
Utilization Review RN II, Care Coordination, Full-Time, Days
MarinHealth Medical Center —Greenbrae, CA
- $66.03 - $99.04 an hour
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
1d
Utilization Management Nurse, RN
Altais Health Solutions —Oakland, CA
- $44.63 - $53.55 an hour
- Full-time
- Background check
- RN License
- Pass drug screening
- Paid holidays
- Health insurance
Quick Apply
1d
AHD Minimum Data Set (MDS) Coordinator SS
Alameda Health System —Alameda, CA
- Per diem
- Nursing
- Skilled nursing facility
- RN License
Quick Apply
Registered Nurse
Madrona Hospice Care Inc. —San Rafael, CA
- $140 - $150 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
MDS Coordinator/RN
Sun Mar Health Care —Oakland, CA
- Part-time
- Skilled nursing facility
- Mid-level
Quick Apply
Utilization Management Nurse, LVN - Casual
Altais Health Solutions —Oakland, CA
- $36 - $43 an hour
- Full-time
- Background check
- LVN
- Pass drug screening
- Paid holidays
- Health insurance
Quick Apply
Registered Nurse
Caring Hand Home Health Solutions Inc —San Francisco Bay Area, CA
- $110 - $130 an hour
- Part-time
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Dental insurance
Quick Apply
3d

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Associate Clinical Documentation Improvement Specialist

Optum -
Concord, CA

Apply Now

Job Details

Full-time
$60,200 - $107,400 a year

Qualifications

Microsoft Excel
Computer literacy
Windows
Desktop applications
Productivity software
Clinical pharmacology

Full Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the condition and acuity of care provided
Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity
Provides expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendations
Actively communicates with providers at all levels, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality
Provides timely feedback to providers regarding clinical documentation opportunities for improvement and successes
Ensures effective utilization of CDI software to document all verbal, written, electronic clarification activity
Proactively develops a reciprocal relationship with the HIM Coding Professionals
Engages and consults with Physician Advisor /VPMA when needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Must be one of the following to qualify:
- A Medical Graduate (MD or MBBS)
- Registered Nurse (RN) with an active, unrestricted RN License in the US and 5+ years of acute care hospital experience
Current CCDS, CDIP, or CCS Certification OR willing/able to obtain within 1 year or hire
2+ years of experience working as a Clinical Documentation Improvement Specialist in an acute care hospital setting
Advanced level of proficiency in clinical medicine, pathophysiology, and pharmacology
Intermediate level of proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records
Must be able to work Pacific Time Zone business hours (Monday - Friday) regardless of remote work base location/residency

Preferred Qualifications:

BSN degree if a RN
3+ years of experience working in an acute care hospital
CAC experience (Computer Assistant Coding)

Soft Skills:

Experience communicating & working closely with Physicians
All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $60,200 to $107,400 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

#RPO #GREEN

Apply Now

Refine Your Search

clinical documentation & utilization review nurses jobs in martinez, ca

Associate Clinical Documentation Improvement Specialist

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Registered Nurse

Registered Nurse

Registered Nurse

Senior Consultant - Clinical Documentation Specialist

System Director, Clinical Documentation Integrity

Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88

MDS CONSULTANT RN

Registered Nurse

Clinical Documentation Integrity Specialist Greenbrae, CA (San Francisco region)

Case Manager III, Ambulatory ( RN )

Registered Nurse

Utilization Review RN II, Care Coordination, Full-Time, Days

Utilization Management Nurse, RN

AHD Minimum Data Set (MDS) Coordinator SS

Registered Nurse

MDS Coordinator/RN

Utilization Management Nurse, LVN - Casual

Registered Nurse

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