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Jobs or company...

Regional Clinical Reimbursement Coordinator

Salary undisclosed

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Simplified
SIGN ON BONUS $10,000; Competitive annual salary based on experience

Responsibilities
  • You are responsible for the functions of the reimbursement department at each facility in your region
  • This position assumes a primary role in RAI process
  • Implements policies and procedure for Clinical Reimbursement in the Region
  • Monitors achievement of goals and objectives for the facility in regard to clinical assessments and reimbursement consistent with established philosophy and standards of practice
  • Monitors Quality Indicators and Quality Measures to ensure the appropriate information within the MDS assessments are accurately identified
  • Conducts facility reviews to assure the facility is in compliance with timeframes and accuracy of the MDS
  • Assure care planning and care conferencing is taking place according to the state and regulatory guidelines
  • Schedules rotating site visits to provide supervision, clinical expertise, ensure communication and to monitor the overall operation of reimbursement department. Position is 100% onsite reporting to a facility daily
  • Provide in-service training and orientation to facility staff regarding the MDS, ADL’s and accuracy
  • Reports progress to Regional Director of Operations and ownership via weekly reporting systems


Qualifications (applicants not meeting these minimum requirements will not be considered)

  • Must possess a current, unencumbered, active license to practice as a Registered Nurse or in the state of PA
  • Will hold a Bachelor’s degree from a (4) four year college or university or four (4) to five (5) years of related experience and/or training
  • Must have proven leadership ability with a minimum of five (5) years of experience in nursing service administration
  • Must be RAC-CT certified
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