Director of Clinical Reimbursement

1 month ago

Wethersfield, United States Wethersfield Corporate Office Full time

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**A Great Place to Work**

As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team
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**What You'll Do**:
As a Regional Director of Clinical Reimbursement, our care centers will rely on your expertise regarding the Patient Driven Payment Model (PDPM), ensuring compliance and optimizing revenue reimbursement for the delivery of high-quality care. Your work will have significant impacts on the quality of life for our guests both present and future.

**Key Responsibilities**:

- Promote the capturing of clinical reimbursement for services while ensuring highest level of revenue integrity
- Provide timely guidance and support of the facility clinical reimbursement and MDS team
- Collaborate with interdisciplinary teams to gather relevant clinical data
- Ensure accurate and compliant documentation for reimbursement purposes
- Stay updated on changes in reimbursement regulations and implement necessary adjustments
- Perform consistent, focused data mining throughout assigned region
- Trend and analyze data to identify areas for improvement and optimization in reimbursement processes
- Participate in the hiring, orientation and continuing education of MDS coordinators and other IDT members
- Provide ongoing education and communication to the Administrators, MDS and other clinical staff

If you are passionate about making a real difference in people's lives in an environment where your expertise and dedication are valued and appreciated, we invite you to join our team as a Regional Director of Clinical Reimbursement.
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**What We Offer**
- Competitive compensation and benefits package
- Comprehensive training and mentorship
- Opportunities for professional growth and development
- Supportive and collaborative work environment
- The chance to make a meaningful difference in the lives of our residents
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**What You'll Bring**:
**Qualifications of a Regional Director of Clinical Reimbursement include**:

- Proven expertise in PDPM, ICD-10 coding and Quality Measures
- Registered nurse with 3+ years reimbursement or similar experience in the LTC industry
- Ability to travel >50%, with possible overnight and out of state travel assignments
- Self-directed with the ability to manage multiple facilities concurrently
- Experience with current EMR software a preferred; general PC software proficiency required
- Excellent interpersonal and communication skills - written, verbal and presentation skills to collaborate and influence across departmetns
- Deadline driven, detail-oriented individual with strong analytical capabilities
- Familiar with state and federal regulations governing the MDS and billing processes within a nursing facility
- Interest in the needs of the aged and the chronically ill with the ability to work with both
- Ability to work effectively in a team environment
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**We Hire for Heart**

National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values**:Kindness, Service, Compassion and Excellence.** Today, our centers include more than 30 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment.

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