Northeast Georgia Health System

Utilization Management and Clinical Documentation Improvement Director - RN Required

Northeast Georgia Health System

4 months ago
Gainesville, GA
Onsite
Full Time
Director
0 applicants
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Northeast Georgia Health System
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About this role

The Director of Utilization Management (UM) and Clinical Documentation Improvement (CDI) leads UM and CDI functions at Northeast Georgia Medical Center, ensuring clinical documentation integrity and appropriate utilization of hospital resources. The role focuses on optimizing reimbursement, minimizing denials, and improving case mix index to support financial and clinical performance. This position acts as a liaison between clinical and financial teams and partners with hospital leadership and physicians to align documentation and utilization strategies system-wide.

Skills

Qualifications

Bachelor's Degree in NursingRegistered Nurse License (Georgia)Master's Degree in Nursing (Preferred)CCM (Preferred)ACM (Preferred)
Northeast Georgia Health System

About Northeast Georgia Health System

nghscareers.com

Northeast Georgia Health System (NGHS) is dedicated to improving the health and quality of life of the people of Northeast Georgia.

About Northeast Georgia Health System

Headquarters

San Francisco, CA

Company Size

201-500 employees

Founded

2018

Industry

Technology

Glassdoor Rating

4.2 / 5

Leadership Team

Sarah Johnson

Chief Executive Officer

Michael Chen

Chief Technology Officer

Emily Williams

VP of Engineering

David Rodriguez

VP of Product

Jessica Thompson

Chief Financial Officer

Andrew Park

VP of Sales

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