RN Manager, Population Health & Clinical Coding
Company: Unity Health Network
Location: Cuyahoga Falls
Posted on: May 27, 2023
Job Description:
Summary of Position
Coordinates the development of operational framework focused on
scalable and repeatable best practices as it relates to Risk
Adjustment and Clinical Quality Metrics (HCC/RAF/HEDIS) . Works to
identify and improve quality, risk, and affordability
initiatives.
- This position identifies, develops and implements
simplification and automation to improve HCC/RAF/HEDIS and other
key performance initiatives.
- Coordinates performance improvement programs related to
clinical coding as well as clinical and administrative workflows
and business processes. Works with office staff and management to
implement new processes and train staff on methodology.
- Oversees and works to grow population health initiatives and
performance initiatives. Supports initiatives designed to reduce
avoidable hospital visits, avoidable emergency room visits and
readmissions.
- Ensures effective communication with physicians and staff
members to enhance the success and support growth of each practice
and attainment of quality and performance metrics.
- Monitors data, completes data analysis and conducts audits as
indicated. Reports status of quality, risk, and affordability
programs to appropriate team members, senior management and
physicians. Requirements
Education and Training
- Graduate of an accredited school of nursing with a current
State of Ohio nursing license, BSN preferred.
- Certified Risk Adjustment Coder (CRC) certification or proof
that certification has been obtained within 6 months of start date
from the American Academy of Professional Coders. Experience
- Minimum of two years clinical nursing experience. Other Skills,
Competencies and Qualifications
- Ability to use independent judgment and access quality metrics
objectively and professionally.
- Ability to effectively communicate verbally and in writing with
all physicians and staff members, at all levels of the
organization.
- Experience with Microsoft office products preferred
Keywords: Unity Health Network, Cuyahoga Falls , RN Manager, Population Health & Clinical Coding, Healthcare , Cuyahoga Falls, Ohio
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