RN Manager Clinical Data Operations Lubbock TX

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

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 achieve your life's best work.(sm)

Primary Responsibilities:
  • Manages plans and organizes 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
  • Provides 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
  • Develops new and revises existing DataRAP medical record review processes and resource/reference tools
  • Coordinates educational training sessions for market Primary Care Physicians and their staff to ensure compliance with DataRAP processes
  • Maintains monthly reporting to network management, physician business managers and clinic staff to assist PCP's remain compliant with DataRAP processes
  • Monitors staff compliance with DataRAP policies and procedures to ensure quality outcomes for the department
  • Monitor and maintain staff productivity and coordinates all training for new and existing employees
  • Assists other managers and supervisors in the hiring of staff for all markets and assures adequate staffing is in place to meet market demands
  • Provides employee coaching, counseling and evaluation of performance through periodic and annual reviews
  • Performs all other related duties as assigned

You'll 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.

$5,000 Sign-on bonus for External Candidates!

Required Qualifications:
  • Bachelor's of Science in Nursing or related field OR 8+ additional years of experience beyond the required years of experience
  • Current Registered Nurse (RN) licensure
  • 5+ years of clinical RN experience with 3+ years of ICD-9 diagnostic coding and supervisory experience
  • CPC certification or proof that certification has been obtained within nine months of hire date from the American Academy of Professional Coders
  • Solid knowledge of ICD-9 coding processes with excellent analytical and data mining skills
  • Ability and willingness to travel a minimum of 30%, (locally and non-locally) as determined by business need

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

Physical & Mental Requirements:
  • Ability to lift up to 25 pounds
  • Ability to sit for extended periods of time
  • Ability to stand for extended periods of time
  • Ability to use fine motor skills to operate office equipment and/or machinery
  • Ability to receive and comprehend instructions verbally and/or in writing
  • Ability to use logical reasoning for simple and complex problem solving

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)

**PLEASE NOTE** The sign 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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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

Job Keywords: clinical data, manager, management, medical records, review, registered nurse, RN, clinical, coding, West, Texas, TX, Lubbock, CPC,