Title: Mkt Manager Revenue Cycle CDI-Bismarck-NEIA Location: Englewood United States Job Description: Job Summary and Responsibilities Job Summary / Purpose This position provides oversight of CDI teams holding them accountable to performance. Develops strategic plans to achieve CommonSpirit Health (CSH) enterprise KPIs. Plays a critical role in the overall accuracy and compliance for all CDI functions. Analyzes data and generates monthly KPI performance reports/dashboard to share with executive leadership. Acts as a liaison between physicians, coding, and clinical quality, etc. to ensure collaborative relationships resulting in accuracy and integrity of the inpatient medical record Essential Functions Essential Function - Oversees CDI team, ensuring optimal performance and adherence to compliant CDI practices and regulatory requirements. Ensures CDI team meets productivity for daily initial/follow up reviews, compliant query generation, and accuracy standards; develop action plans for sustained improvement. Adhere to the ethical standards of coding as established by AAPC, AHIMA and/or ACDIS - Ability to identify and determine resolution of complex issues. Ability to communicate effectively, stay organized, and demonstrate effective leadership skills - Assist CSH director in strategic planning. Assists with the development of combined Coding and CDI steering committee presentations - Participate on patient care teams/committees to advance education of documentation guidelines to support clinical coding and DRG assignment - Oversee orientation and education of new providers to the organizations CDI program - Assist with preparation and presentation of CDI monitoring/trending reports for physician and hospital leadership. Strong oral communication skills and the ability to deliver presentations to large groups - Ability to identify and interpret strategic and operational training/development needs. Collaborates with physicians, clinical quality, coding team, and safety net vendors to discuss results, education and develop action plans for sustained improvement - Lead CDI department meetings and ensure collaborative environment. Develop and execute CDI process improvement projects. Actively seeks to promote and helps to maintain a professional, team-oriented, service-conscious environment, which contributes to the goals of the team and reflects the values of the enterprise - Ensures managers have tools and resources to hold teams accountable - Ability to troubleshoot computer issues in a timely fashion while working remotely Job Requirements Required - Associate of Nursing with 4-6 years - Associate's degree HIM or related field, Current RN license and/or certification from AHIMA (CDIP) or ACDIS (CCDS) to be maintained - 5 years of recent management of hospital-based CDI teams (hospital, large multi-facility organization, etc.) - Previous experience effectively managing remote teams - Experience with various encoder and EMR systems (Optum eCAC, Solventum, EPIC, Cerner, Meditech) Preferred - Bachelors Of Science in Nursing (BSN) - Bachelors Other or Bachelor's degree in HIM Licenses/Certifications - Required - Registered Nurse:XX (RN:XX) - Clinical Documentation Improvement Professional (CDIP) Where You'll Work Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Role Description The Workers’ Compensation Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost-effective medical treatment of injured employees with the goal of optimum medical improvement. The TCM is responsible for disability management, including proactive early return to work coordination. Close collaboration with the claims and medical team to achieve individual case and department goals is a critical component of the position. This is a full-time remote position. Qualifications - Excellent verbal and written communication skills. - Strong interpersonal and relationship building skills. - Knowledge of traumatic injuries and the resultant disabilities and medical complications. - Knowledge of Workers’ Compensation Acts and working knowledge of the medical providers in the assigned territory. - Knowledge and expertise in use of medical treatment guidelines and disability duration guidelines. - Experience using Microsoft Office products and ability to learn other technology tools. - Strong time management, critical thinking, and organizational skills with the ability to work independently to manage priorities and meet deadlines. Requirements - Registered Nurse (RN) license in good standing required and willingness to obtain additional licenses as needed. - BSN preferred. - Certified Case Manager (CCM) certification, CDMS and/or CRRN preferred. - Compact license preferred. - 3-years experience in Workers’ Compensation Case Management preferred. - Proficiency with MS Office products. - Bi-lingual in Spanish a plus. Benefits - The pay range for the role is $71,000 to $104,000. - The specific offer will depend on an applicant’s skills and other factors. - This role may also be eligible to participate in a discretionary annual incentive program. - Chubb offers a comprehensive benefits package, more details on which can be found on our careers website.

Role Description As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy, and connections to the resources they need to feel better and get well. Your work may affect millions for years to come. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Make outbound calls and receive inbound calls to assess members' current health status. - Identify gaps or barriers in treatment plans. - Provide patient education to assist with self-management. - Make referrals to outside sources. - Provide a complete continuum of quality care through close communication with members via phone interaction. - Support members with condition education, medication reviews, and connections to resources such as Home Health Aides or Meals on Wheels. - Manage time effectively and address members' concerns thoroughly. - Demonstrate excellent computer and software navigation skills, proficient in MS Office and Excel. - Maintain a patient-focused approach, prioritizing members' needs and adapting to changes. - Be rewarded and recognized for performance in a challenging environment with clear direction and development opportunities. Qualifications - Active Multistate Compact Nursing License with primary residency in the state of residence, allowing practice in Louisiana and home state. - 3+ years of experience in a hospital, acute care, or direct care setting. - Ability to type and navigate a Windows-based environment. Requirements - BSN (Preferred). - Certified Case Manager (CCM) (Preferred). - Case management experience (Preferred). - Experience or exposure to discharge planning (Preferred). - Experience in utilization review, concurrent review, or risk management (Preferred). - Experience in a telephonic role (Preferred). - A background in managed care (Preferred). Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (subject to eligibility requirements). - Salary range from $60,200 to $107,400 annually based on full-time employment. 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.

• Manage assigned digital platforms, including roadmap development, feature prioritization, and lifecycle planning. • Conduct ROI analysis, market research, and business case development for platform enhancements. • Identify opportunities to improve client experience through digital solutions; Collaborate with Marketing and Sales to support campaigns and training that drive platform adoption. • Partner with IT, Operations, Compliance, and other stakeholders to ensure successful delivery of platform initiatives. • Support vendor relationships and contribute to contract reviews and roadmap alignment for assigned platforms. • Monitor platform performance metrics and user feedback to inform enhancements. • Report findings and performance to key stakeholders. • Track KPIs and report on progress toward strategic goals. • Recommend and implement process enhancements that improve efficiency and reduce friction in digital experiences. • Develop, publish, and maintain product documentation, training materials, and supporting artifacts. • Serve as a subject matter expert for assigned platforms. • Ensure platform initiatives comply with regulatory requirements and internal policies; Partner with Risk and Compliance teams to assess and mitigate risks. • Stay informed on industry trends and emerging technologies, including AI, to identify future opportunities.