Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Clinical Documentation Improvement (CDI) Manager provides operational leadership and oversight of concurrent clinical documentation review programs supporting Optum360 clients. This role is responsible for managing CDI team performance, ensuring documentation integrity, supporting provider education, monitoring key performance indicators, and driving documentation improvement initiatives that support accurate and compliant clinical documentation.

Join a team focused on advancing documentation quality, supporting provider engagement, and improving clinical and operational outcomes. In this leadership role, you will help shape CDI strategy, develop team capabilities, and partner across healthcare functions to promote accurate and compliant clinical documentation.

Primary Responsibilities:

• Manage daily operations, workflow, and staffing of CDI specialists to ensure service levels are met
• Oversee onboarding, training, coaching, performance management, and annual evaluations of CDI staff
• Review CDI quality metrics, chart audits, KPI audits, and operational reports and develop action plans as needed
• Partner with the CDI Director to support client meetings, reporting, and operational initiatives
• Ensure inpatient records are reviewed within established departmental timeframes
• Oversee provider clarification and query processes to support complete and accurate clinical documentation
• Monitor documentation quality trends and implement documentation improvement strategies
• Coordinate with HIM Coding, Care Coordination, Quality Management, and Physician Advisors to support documentation integrity
• Facilitate physician education sessions and documentation improvement presentations
• Monitor retrospective query activity and identify opportunities for process improvement
• Approve timecards and manage staffing coverage during high-volume periods
• Lead departmental projects and other assigned initiatives

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.

Required Qualifications:

• Current Registered Nurse (RN) license or Foreign Medical Graduate (FMG) designation
• 3+ years of Clinical Documentation Improvement (CDI) experience
• 1+ years of leadership, supervisory, or management experience within a CDI program.
  CCDS, CDIP, or CCS certification
• Experience conducting clinical documentation reviews within an acute care hospital setting
• Experience collaborating with physicians regarding clinical documentation improvement opportunities
• Experience using Microsoft Word, Excel, and clinical documentation or healthcare business software
• Wiling to work onsite in Phoenix, AZ

Preferred Qualifications:

• Bachelor of Science in Nursing (BSN) or higher degree
• 2+ years of CDI leadership or management experience
• Experience in case management and/or critical care
• Experience developing and delivering physician education programs
• Experience leading operational improvement projects involving multiple stakeholders
• Experience supporting CDI audits, KPI reporting, and client-facing presentations

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $xx,xxx to $xx,xxx annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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