It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Join a team where your work matters—every moment, every patient, every community. At SSM Health, you’ll be empowered to grow, supported to thrive, and inspired to make a lasting impact. Lead the intersection of clinical expertise, documentation quality, and process improvement as our Manager-RN. Use your leadership skills and improvement mindset to strengthen processes, support teams, and help advance high-quality care. Department: Care Transformation Location: The selected candidate must reside within our four state footprint including MO, IL, OK or WI. Preferred Skills: CCDS, EPIC experience and 5 years of acute care CDI experience with some pediatric CDI experience. Apply today. SSM Health – We bring out the incredible in you, everyday! Job Summary: Develops, manages, and implements system-wide process development and improvement, education and training for Clinical Documentation Improvement (CDI) managers, staff, medical providers, and physician advisors on effective, compliant clinical documentation. Acts as a resource and subject matter expert to the CDI managers, team members and clinical providers on mortality and patient safety indicators (PSI) and optimal clinical documentation. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES • Develops, manages, and implements system-wide education, process development and improvement activities for regional Clinical Documentation Improvement (CDI) teams, including managers, medical providers and physician advisors using best practices and standardization principles, along with trending data. Ensures program meets and maintains enterprise goals and objectives, regulatory compliance, policies and procedures and personnel management. • Facilitates system-wide department success with consistent, accurate, optimal documentation by providing both formal and informal educational programs, and advisement. Ensures continuous improvement of provider clinical documentation that provides an accurate clinical picture of the patient including severity of illness, risk, and resource utilization. • Oversees development and deployment of education for all team members. Utilizes trending data and auditing indicators to develop targeted education to address deficiencies in CDI key performance metrics. • Conducts individual and large group educational sessions for all CDI specialists and/or providers. Acts as subject matter expert and resource for others on mortality and patient safety indicators (PSI) process and reviews. • Monitors trends of providers and facilities and responds accordingly with education, coaching and process improvements in collaboration with physician advisors and chief medical officers. • Develops, implements and coordinates a standardized formal CDI orientation program, including overseeing orientation of new staff, competency standards, and providing feedback to CDI leaders on team member progress. • Manages and directs CDI data analysts to review trends for opportunities of improvement and in developing education plans of action. Influences leadership and the coding department to assess documentation gaps and formulate appropriate CDI educational tools to include power point presentations, newsletters, and documentation tips sheets. • Develops and maintains close working relationships with physicians, coders, nursing staff, health information management, quality, and managed care staff, as well as other ancillary departments responsible for clinical documentation. Collaborates with CDI customers to identify how CDI impacts them and works to resolve identified issues. • Assists with the development and editing of policies and procedures. • Recruits, engages, develops, leads, and manages assigned staff. • Performs other duties as assigned.
SSM Health is a healthcare system that hires nurses for utilization management and care coordination roles. As a Manager Registered Nurse in Utilization Management, you would lead a team overseeing care coordination, utilization review, and regulatory compliance across the continuum of care, with responsibilities including managing denials and appeals, analyzing utilization data, and ensuring patients receive appropriate care while maintaining cost-effectiveness. The position is fully remote for candidates residing in Missouri, Oklahoma, Illinois, or Wisconsin, with standard Monday-Friday hours and occasional weekend support.
