1+ months

RN Manager Clinical Data Operations - El Paso, TX - 926714

El Paso, TX 79901
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  • Job Code
    926714

Do you have compassion and a passion to help others?Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieveyour lifes best work.(sm)

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TheClinical Data Operations Manageris responsible to manage plans and organize 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.

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This position is based out of the El Paso office and will also managethe Las Crucesmarket. Travel throughout El Paso and Las Cruces approximately 30% of the time.

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Primary Responsibilities:

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  • Provide 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
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  • Develop new and revises existing DataRAP medical record review processes and resource / reference tools
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  • Coordinate educational training sessions for market Primary Care Physicians and their staff to ensure compliance with DataRAP processes
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  • Maintain monthly reporting to network management, physician business managers and clinic staff to assist PCPs remain compliant with DataRAP processes
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  • Monitor staff compliance with DataRAP policies and procedures to ensure quality outcomes for the department
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  • Monitor and maintain staff productivity and coordinates all training for new and existing employees
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  • Assist other managers and supervisors in the hiring of staff for all markets and assures adequate staffing is in place to meet market demands
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  • Provide employee coaching, counseling and evaluation of performance through periodic and annual reviews
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Youll 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.

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Required Qualifications:

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  • Bachelor of Science in Nursing or related field (Eight additional years of experience beyond the required years of experience may be substituted in lieu of a bachelors degree)
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  • Current Registered Nurse (RN) licensure
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  • 5+years of clinical RN experience
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  • 3+ years of ICD-9 diagnostic coding and supervisory experience
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  • CPC certification or proof that certification has been obtained within 9 months of hire date from the American Academy of Professional Coders
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  • Knowledge of ICD-9 coding processes with analytical and data mining skills
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  • Ability and willingness to travel a minimum of 30%, (locally and non-locally) as determined by business need
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  • This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctors diagnosis of disease
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  • You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
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  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
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Preferred Qualifications:

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  • Masters of Science in Nursing or related field
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  • 4+years of medical coding operations management experience
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  • Ability to effectively manage projects, plan and implement programs and evaluate outcomes
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  • Ability to effectively report data, facts and recommendations in oral and/or written form
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  • Ability to analyze facts and exercise sound judgment when arriving at conclusions
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  • Ability to effectively manage and direct various levels of staff
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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 550,000+ 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)

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**PLEASE NOTE**Thesign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.

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Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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

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Job Keywords: Clinical Manager, BSN, RN, Medical Coding, WellMed,CPC, AAPC, Risk Adjustment, Chart Review, Supervisor, Manager, Nurse Manager, El Paso, TX, Texas

Posted: 2021-05-13 Expires: 2021-07-11

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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RN Manager Clinical Data Operations - El Paso, TX - 926714

UnitedHealth Group
El Paso, TX 79901

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