RN Informatics & Operations

RN Informatics & Operations

SummaCare - 1200 E Market St, Akron, OH

Full-Time / 40 Hours / Days (8:30a-5p M-F)

Remote / Local - within 2-hour radius

If you are an experienced System Administrator with Platform Ownership this position may be just what you are looking for. Responsibilities include integration and interoperability oversight for someone who has healthcare domain expertise with an understanding of EDI/X12, and APIs.

Individual must be able to demonstrate success working with clinical, IT and vendor teams is required. Proven ability to deliver value through technology optimization. Applicants must have ability to translate clinical and operational needs into system capabilities. Deliverables include releasing readiness and impact assessments, backlog assessments, compliance support, product KPIs and executive dashboards. 

Summary:
Integrates nursing science with healthcare information technologies and initiatives to support the collection and reporting of clinical information. Works with vendors and others to ensure documentation, information flow, and portal systems support efficient and effective operations and continuous quality improvement. Works with Clinical Management leadership to support goals, projects, and priorities related to clinical information support systems and workflow tools.


Formal Education Required:

• Graduate of an RN accredited school of professional nursing
• Bachelor’s in Nursing (BSN) or related field preferred.
• Registered Nurse (RN) state licensure in good standing

Experience & Training Required:
One (1) year of nursing experience, preferably in a Utilization Management (UM) or Care Management (CM) environment.

• Two (2) years of Informatics/ IT experience to include any combination of the following in a managed care organization, hospital/health system, physician practice or other managed care environment:
• Development and support of electronic medical records
• Pulling data for basic reporting

Essential Functions:

1) Analyzing and managing clinical data to support nursing practice, UM/CM workflows, and administrative/operational needs.

2) Supports, organizes and tests documentation system monthly updates. Provides consultative support to department leaders and works with various software/application vendors to ensure technological integrations/configurations support daily operations.

3) Train and provides ongoing support to nurses, physicians, and others on how to use the documentation system and related department technology with up to date workflows and/or diagrams, resetting passwords, and ensuring staff workboards function appropriately. Applies principles of learning and uses applied learning methods when teaching and coaching end users.

4) Collaborates with all professional and non-professional personnel in using available technology to meet department and company goals for clinical applications and operations as well as regulatory and accreditation requirements.

5) Assures that clinical system content is designed to meet and promote quality initiatives, such as NCQA accreditation, STARS ratings, and Population Health in the quadruple aim for improving member experience, supporting quality outcomes, decreasing costs, and enhancing provider experience Engages and involves end users in quality improvement initiatives.

6) Performs internal audits of End User data entry within the clinical documentation system to ensure accuracy with documented software workflows and needs analysis.

7) Ensures resolution of problems along with the adoption of recommended short and long-term solutions, communicating back to the individual reporting the problems, and promoting sustainable solutions emphasizing stakeholder service and satisfaction.

8) Performs all job functions with integrity. Provides timely internal and external customer service in a cooperative, professional, and respectful manner.

9) Ensuring Information Security and Member Confidentiality by implementing and monitoring security measures.

Other Skills, Competencies and Qualifications:
 

• Proficient in MS Office applications.
• Working knowledge supporting other documentation systems preferred.
• Knowledge of HealthEdge/Guiding Care helpful.
• Strong ability to problem-solve and communicate complex information, as well as educate instructional and operational information verbally and in writing.
• Leadership skills to supervise work within and/or across departments and outside vendors.
• Ability to work independently and multitask
• Ability to occasionally be onsite
• Ability to occasionally work flexible hours and/or overtime to meet business needs

Level of Physical Demands:
 

• Sit for prolonged periods of time.
• Lift up to 25 pounds.
• Manual dexterity to operate computer, phone, and standard office machines.

 Equal Opportunity Employer/Veterans/Disabled

Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.

• Basic Life and Accidental Death & Dismemberment (AD&D)
• Supplemental Life and AD&D
• Dependent Life Insurance
• Short-Term and Long-Term Disability
• Accident Insurance, Hospital Indemnity, and Critical Illness
• Retirement Savings Plan
• Flexible Spending Accounts – Healthcare and Dependent Care
• Employee Assistance Program (EAP)
• Identity Theft Protection
• Pet Insurance
• Education Assistance
• Daily Pay

As a regional, provider-owned health plan, SummaCare values the relationship between the members and their doctors. SummaCare is a part of Summa Health, an integrated healthcare delivery system that includes Summa Health System hospitals, its community-based health centers, dedicated clinicians and SummaCare. Based in Akron, Ohio, SummaCare provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2025 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits.