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RN Manager, Clinical Data Operations for WellMed - Dallas, TX

UnitedHealth Group


Location:
Dallas, TX
Date:
01/16/2018
2018-01-162018-02-14
Job Code:
743723
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Job Details

743723 RN Manager Clinical Data Operations for WellMed Dallas TX

RN Manager, Clinical Data Operations for WellMed - Dallas, TX (743723)

Position Description

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)

 

Manages plans and organizes the DataRAP department staff and operations to ensure that the DataRAP processes for record reviews are conducted in a timely manner to meet company and regulatory standards. Customers served: DataRAP staff, providers, medical group administrators and business associates.

 

Primary Responsibilities:

  • Provides Day-to-day oversight of multiple market operations for the DataRAP department and staff to ensure DataRAP processes are completed timely to meet company and regulatory standards
  • Develops new and revises existing DataRAP medical record review processes and resource/reference tools
  • Coordinates educational training sessions for market Primary Care Physicians and their staff to ensure compliance with DataRAP processes
  • Maintains monthly reporting to network management, physician business managers and clinic staff to assist PCP’s remain compliant with DataRAP processes
  • Monitors staff compliance with DataRAP policies and procedures to ensure quality outcomes for the department
  • Monitor and maintain staff productivity and coordinates all training for new and existing employees
  • Assists other managers and supervisors in the hiring of staff for all markets and assures adequate staffing is in place to meet market demands
  • Provides employee coaching, counseling and evaluation of performance through periodic and annual reviews
  • Performs all other related duties as assigned

Required Qualifications:

  • Bachelor’s of Science in Nursing or related field (Four additional years of experience beyond the required years of experience may be substituted in lieu of a bachelor’s degree).
  • Current Registered Nurse (RN) licensure
  • 5+ more years of clinical RN experience with at least three years of ICD-9 diagnostic coding and supervisory experience
  • CPC certification or proof that certification has been obtained within nine months of hire date from the American Academy of Professional Coders
  • Strong knowledge of ICD-9 coding processes with excellent analytical and data mining skills
  • Ability to effectively manage projects, plan and implement programs and evaluate outcomes
  • Ability to effectively report data, facts and recommendations in oral and/or written form
  • Ability to analyze facts and exercise sound judgment when arriving at conclusions
  • Ability to effectively manage and direct various levels of staff
  • Ability and willingness to travel a minimum of 30%, (locally and non-locally) as determined by business need

Preferred Qualifications:

  • Master’s of Science in Nursing or related field
  • 4+ years of medical coding operations management experience

Physical & Mental Requirements:

  • Ability to lift up to 25 pounds
  • Ability to sit for extended periods of time
  • Ability to stand for extended periods of time
  • Ability to use fine motor skills to operate office equipment and/or machinery
  • Ability to receive and comprehend instructions verbally and/or in writing
  • Ability to use logical reasoning for simple and complex problem solving

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team 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: Manager, Clinical Data Operations, WellMed, Dallas, TX, Texas

Job Details

  • Contest Number743723
  • Job TitleRN Manager, Clinical Data Operations for WellMed - Dallas, TX
  • Job FamilyNursing
  • Business SegmentOptumCare

Job Location Information

  • Dallas, TX
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelManager
  • ShiftDay Job
  • TravelYes, 25 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusExempt

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.

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