Utilization Management and Clinical Documentation Improvement Director in Gainesville, GA for Northeast Georgia Health System

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Utilization Management and Clinical Documentation Improvement Director

Job Summary The Director of Utilization Management (UM) and Clinical Documentation Improvement (CDI) is responsible for leading and managing the Utilization Management (UM) and Clinical Documentation Improvement (CDI) functions at Northeast Georgia Medical Center. This position plays a critical role in ensuring documentation accuracy, optimizing reimbursement, minimizing denials, improving case mix index (CMI), and ensuring appropriate utilization of hospital resources. The Director works collaboratively with hospital leadership, physicians, case management, finance, and compliance teams to enhance quality reporting, patient outcomes, and financial integrity.This role serves as a key liaison between clinical and financial op

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