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Clinical Reimbursement Coordinator

4 months ago


Livingston, United States CareOne Full time

*CareOne (Acute rehab skilled nursing facilities) in Livingston NJ - We are hiring for an

experienced Clinical Reimbursement Coordinator to join our team. *

68 Passaic Ave, Livingston, NJ 07039


We are proud to offer:

  • Competitive Salary
  • Comprehensive Healthcare Benefits
  • 401k Retirement Plans
  • Paid Time Off
  • Opportunities to advance various clinical careers
  • Flexible Schedule

The Clinical Reimbursement Coordinator - assures the implementation of company policies and procedures pertaining to the Medicare and Managed care reimbursement in the facility. This position reports to the Administrator of the facility and receives consultative assistance from the Regional Clinical Reimbursement Specialist. The Clinical Reimbursement Specialist is also responsible for regulatory compliance and quality improvement efforts in order to attain appropriate Medicare or Managed Care reimbursement. This position integrates information from all necessary disciplines to maintain accuracy and compliance with the MDS process. By conducting concurrent MDS reviews, he/she assures the achievement of maximum allowable RUG categories. Working collaboratively with facility team members, the Specialist ensures that services offered meet or exceed federal, state and company standards and serves as a role model for ethical business practices according to health standards.


Position Requirements:

  • Graduate of an approved RN program
  • Current RN license in the state and credentials as required
  • Prior experience in Medicare reimbursement and/or MDS experience preferred
  • Knowledge of Managed Care reimbursement systems
  • Word processing and computer skills
  • Excellent oral and written communication skills
  • Excellent ability to maintain an effective, friendly working relationship with others