Mgr-RN, Clinical Documentation, Quality, and Process Improvement

SSM Health; Missouri; Remote; USD 90,000 - 130,000; Full time

Job summary

SSM Health is seeking a Manager-RN to lead system-wide CDI education, documentation quality, and process improvement. You will guide CDI teams, collaborate with clinicians and coders, and drive education initiatives that strengthen patient documentation and outcomes.

The role requires nursing leadership, extensive CDI experience, and comfort with EPIC. The position is based in the four-state footprint and includes a day shift with regular responsibilities in Care Transformation.

Qualifications

• Requires leadership experience in Clinical Documentation Improvement (CDI).
• Experience with enterprise CDI programs and provider education.
• Familiarity with mortality and patient safety indicators (PSI) and PSI reviews.

Responsibilities

• Develops system-wide CDI education and process improvement programs.
• Leads CDI team education, audits, and performance metrics.
• Collaborates with physicians, coders, and nursing staff to close documentation gaps.

Skills

CDI Leadership

CCDS

EPIC experience

Education

Graduate of accredited school of nursing

Tools

EPIC

Job description

Job Highlights

Join a team where your work matters—every moment, every patient, every community. At SSM Health, you’ll be empowered to grow, supported to thrive, and inspired to make a lasting impact. Lead the intersection of clinical expertise, documentation quality, and process improvement as our Manager-RN. Use your leadership skills and improvement mindset to strengthen processes, support teams, and help advance high-quality care.

Lead the intersection of clinical expertise, documentation quality, and process improvement as our Manager-RN. Use your leadership skills and improvement mindset to strengthen processes, support teams, and help advance high-quality care.

Department: Care Transformation

Location: The selected candidate must reside within our four state footprint including MO, IL, OK or WI.

Preferred Skills: CCDS, EPIC experience and 5 years of acute care CDI experience with some pediatric CDI experience.

It's more than a career, it's a calling

MO-REMOTE

Worker Type: Regular

Job Summary

Develops, manages, and implements system-wide process development and improvement, education and training for Clinical Documentation Improvement (CDI) managers, staff, medical providers, and physician advisors on effective, compliant clinical documentation. Acts as a resource and subject matter expert to the CDI managers, team members and clinical providers on mortality and patient safety indicators (PSI) and optimal clinical documentation.

Job Responsibilities and Requirements

Primary Responsibilities

• Develops, manages, and implements system-wide education, process development and improvement activities for regional Clinical Documentation Improvement (CDI) teams, including managers, medical providers and physician advisors using best practices and standardization principles, along with trending data. Ensures program meets and maintains enterprise goals and objectives, regulatory compliance, policies and procedures and personnel management.
• Facilitates system-wide department success with consistent, accurate, optimal documentation by providing both formal and informal educational programs, and advisement. Ensures continuous improvement of provider clinical documentation that provides an accurate clinical picture of the patient including severity of illness, risk, and resource utilization.
• Oversees development and deployment of education for all team members. Utilizes trending data and auditing indicators to develop targeted education to address deficiencies in CDI key performance metrics.
• Conducts individual and large group educational sessions for all CDI specialists and/or providers. Acts as subject matter expert and resource for others on mortality and patient safety indicators (PSI) process and reviews.
• Monitors trends of providers and facilities and responds accordingly with education, coaching and process improvements in collaboration with physician advisors and chief medical officers.
• Develops, implements and coordinates a standardized formal CDI orientation program, including overseeing orientation of new staff, competency standards, and providing feedback to CDI leaders on team member progress.
• Manages and directs CDI data analysts to review trends for opportunities of improvement and in developing education plans of action. Influences leadership and the coding department to assess documentation gaps and formulate appropriate CDI educational tools to include power point presentations, newsletters, and documentation tips sheets.
• Develops and maintains close working relationships with physicians, coders, nursing staff, health information management, quality, and managed care staff, as well as other ancillary departments responsible for clinical documentation. Collaborates with CDI customers to identify how CDI impacts them and works to resolve identified issues.
• Assists with the development and editing of policies and procedures.
• Recruits, engages, develops, leads, and manages assigned staff.
• Performs other duties as assigned.

Education

• Graduate of accredited school of nursing or education equivalency for licensing

Experience

• Two years' acute hospital experience or surgical area as a clinical nurse
• Three years' clinical documentation specialist
• Two years' demonstrated progressive leadership experience

Physical Requirements

• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

Required Professional License And/Or Certifications

State of Work Location: Illinois

• Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)

State of Work Location: Missouri

• Registered Nurse (RN) Issued by Compact State
• Or
• Registered Nurse (RN) - Missouri Division of Professional Registration

State of Work Location: Oklahoma

• Registered Nurse (RN) Issued by Compact State
• Or
• Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)

State of Work Location: Wisconsin

• Registered Nurse (RN) Issued by Compact State
• Or
• Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services

Work Shift

Day Shift (United States of America)

Job Type

Employee

Department

8746010033 Sys Clinical Documentation Improvement

Scheduled Weekly Hours

40

SSM Health is an Equal Opportunity Employer. SSM Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender, pregnancy, sexual orientation, gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law. Read our notice of non-discrimination