AVA CORP Director of Clinical Reimbursement

2 weeks ago

Wilsonville, United States Therapy Solutions Full time
Director of Clinical Reimbursement (Licensed Registered Nurse)

Avamere Health Services

25117 SW Parkway Avenue, Suite B

Wilsonville, Oregon 97070

Essential Duties and Job Responsibilities

  • Collaborates with facilities and support services to improve outcomes.
  • Provides monthly projections of daily rates to appropriate departments.
  • Provides feedback and further analysis of any high-risk facilities.
  • Manages the Reimbursement Analyst program to ensure facility and department relationships are cohesive.
  • Provides and assigns education and auditing as needed to improve outcomes.
  • Provides information regarding trends, education needs, problem areas to appropriate departments as needed.
  • Analyze 5-str reports and identify high risk facilities for further analysis.
  • Analyze VBP/QRP reports and identify high risk facilities for further analysis
  • Ensures compliance with clinically based reimbursement procedures.
  • Ensure compliance throughout the organization with the guidelines for the Minimum Data Set (MDS), Quality Measures, Medicare reimbursement program, Medicaid Case Mix, and Medicare’s skilled level of care criteria including the supportive documentation requirements.
  • Facilitates education on RAI process, MDS Coding, PDPM, QRP, VBP and 5-star quality measures.
  • Monitors facility schedules to assure the completion and timely submission of MDS data according to Federal and State reimbursement requirements.
  • Tracks, trends, and analyzes QMs for all SNFs to identify vulnerabilities and plan of action.
Other Functions:
  • Assist with preparation of materials utilized by the client organization as needed.
  • Attend company meetings, event and planning sessions as needed; and
  • Assist with other activities as directed by the CNO.
Minimum Requirements
  • Must possess a current, unencumbered, active license to practice as a Registered Nurse in the state of Oregon or Washington.
  • Must possess a nursing degree from an accredited college or university, Bachelor’s degree preferred.
  • Must have a minimum of 3 years of experience with RAI process; 3 years’ experience in Long Term Care and Skilled Nursing facility setting.
  • Proficient in the RAI process, PDPM, QRP, VBP and 5-star rating
  • Prior demonstrable experience developing, implementing and monitoring systems to ensure Organization compliance with federal/state requirements, RAI process.
  • Excellent communication, presentation, and facilitation skills, with the ability to share compelling narratives and encourage creativity.
  • Experience with Electronic Medical Records and computer documentation systems.
  • Ability to learn, respect and respond to the different needs and challenges of the different business units.
Preferred Qualifications
  • CMAC certification.
  • Five (5) years PCC or other equivalent EMR experience


Avamere Living is an Equal Opportunity Employer and participates in E-Verify.

  • AVA CORP Director of Clinical Reimbursement

    2 weeks ago

    Wilsonville, United States Avamere Communities Full time

    Description Director of Clinical Reimbursement (Licensed Registered Nurse) Avamere Health Services 25117 SW Parkway Avenue, Suite B Wilsonville, Oregon 97070 Essential Duties and Job Responsibilities Collaborates with facilities and support services to improve outcomes. Provides monthly projections of daily rates to appropriate departments. Provides feedback...

  • Clinical Reimbursement Director

    2 weeks ago

    Wilsonville, Oregon, United States Avamere Skilled Advisors LLC Full time

    Job Title: Clinical Reimbursement DirectorAvamere Skilled Advisors LLC is seeking a highly skilled Clinical Reimbursement Director to join our team.Job SummaryThe Clinical Reimbursement Director will be responsible for leading the development and implementation of clinically based reimbursement procedures to ensure compliance with federal and state...

  • Clinical Reimbursement Director

    2 weeks ago

    Wilsonville, Oregon, United States Avamere Communities Full time

    Director of Clinical Reimbursement Job SummaryAvamere Health Services is seeking a highly skilled and experienced Director of Clinical Reimbursement to lead our team in ensuring compliance with clinically based reimbursement procedures. As a key member of our leadership team, you will be responsible for managing the Reimbursement Analyst program, analyzing...

  • Assistant Clinical Director

    2 weeks ago

    Wilsonville, United States Monte Nido & Affiliates, LLC Full time

    We save lives while providing the opportunity for people to realize their healthy selves.: Assistant Clinical DirectorMonte Nido Eating Disorder Center of PortlandPortland, OR Monte Nido Eating Disorder Center of Portland, located in Portland, OR is a primary eating disorder day treatment program exclusively for aadults seeking treatment for Anorexia...

  • Rehabilitation Director

    1 week ago

    Wilsonville, Oregon, United States Consonus Healthcare Services Full time

    Assistant Director of RehabilitationConsonus Healthcare Services is seeking a highly skilled and dedicated Assistant Director of Rehabilitation to join our dynamic team. As a key member of our leadership team, you will be responsible for leading a cohesive team of therapists, managing financial goals, and ensuring regulatory compliance.Key...

  • Assistant Rehab Director

    1 week ago

    Wilsonville, United States Consonus Healthcare Services Full time

    Overview: Assistant Director of Rehabilitation - Full time Join the Consonus Healthcare team! As an Assistant Director of Rehabilitation , you will take your therapy career to new heights! Marquis Wilsonville is partnered with Consonus Healthcare, offering an exceptional opportunity for a skilled therapist like you to be a part of a dynamic team. Position...

  • Chiropractic Director

    3 weeks ago

    Wilsonville, United States Medulla Full time

    We are hiring Doctors of Chiropractic to join our office in Wilsonville Oregon! $5,000 sign-on bonus! Opportunity – You will be able to pursue your passion of caring for patients in a comprehensive chiropractic family practice to custom tailor our patient’s unique needs. Competitive Salary and Compensation – We offer a highly competitive salary and...

  • Chiropractic Director Opportunity

    4 weeks ago

    Wilsonville, Oregon, United States Medulla Full time

    Unlock Your Potential as a Chiropractic DirectorAt Medulla, we're committed to empowering our doctors to succeed in a supportive and dynamic environment. As a Chiropractic Director, you'll have the opportunity to lead our team of healthcare professionals and drive exceptional patient outcomes.What Sets Us ApartResident-In-Training Program: Our comprehensive...

  • Chiropractic Director

    2 months ago

    Wilsonville, United States Medulla Full time

    Learn about what makes Chiro One different and how this is not just another associate position, but a full career without any investment or franchise fees for our doctors complete with a full resident-in-training program unlike any other, sponsored continuing education by the company, and a performance coaching staff designed to help you succeed.We are one...

  • Assistant Rehab Director

    2 months ago

    Wilsonville, United States Consonus Healthcare Services Full time

    Overview Assistant Director of Rehabilitation - Full time Overview: Join the Consonus Healthcare team as an Assistant Director of Rehabilitation and take your therapy career to new heights! Marquis Wilsonville is partnered with Consonus Healthcare, offering an exceptional opportunity for a skilled therapist like you to be a part of a dynamic team. Position...

  • Rehabilitation Director

    3 weeks ago

    Wilsonville, Oregon, United States Consonus Healthcare Services Full time

    About the RoleWe are seeking a highly skilled and experienced Rehabilitation Director to join our team at Consonus Healthcare Services. As a key member of our leadership team, you will be responsible for leading a cohesive team of therapists and implementing evidence-based practices to achieve outstanding outcomes for our patients.Key ResponsibilitiesLead...

  • Director of Admissions and Business Development

    1 month ago

    Wilsonville, Oregon, United States Avamere Lake Oswego Operations Investors Full time

    Job SummaryWe are seeking a highly skilled and experienced Admissions Director to join our team at Avamere Lake Oswego Operations Investors. The successful candidate will be responsible for building and maintaining professional relationships with referral source contacts, coordinating the admission process, and ensuring a warm and welcoming environment for...

  • Rehabilitation Director

    3 weeks ago

    Wilsonville, Oregon, United States Consonus Healthcare Services Full time

    About the RoleWe are seeking a skilled and experienced Rehabilitation Director to join our team at Consonus Healthcare Services. As a key member of our leadership team, you will be responsible for leading and nurturing a team of dedicated therapists, managing financial goals, and ensuring regulatory compliance.Key Responsibilities:Lead and develop a...

  • Clinical Liaison

    2 weeks ago

    Wilsonville, Oregon, United States Avamere Communities Full time

    Job SummaryWe are seeking a skilled Clinical Liaison to join our team at Avamere Communities in Eugene, OR. As a Clinical Liaison, you will play a critical role in developing and maintaining key relationships with healthcare providers to generate referrals for admissions. Your primary goal will be to drive census and clinical outcomes for our...

  • Rehabilitation Director

    4 weeks ago

    Wilsonville, Oregon, United States Consonus Healthcare Full time

    Assistant Director of RehabilitationConsonus Healthcare is seeking a skilled and dedicated professional to fill the role of Assistant Director of Rehabilitation. As a key member of our team, you will have the opportunity to lead a cohesive group of therapists and implement evidence-based practices to achieve outstanding patient outcomes.Key...

  • Physical Therapist

    4 weeks ago

    Wilsonville, Oregon, United States BenchMark Physical Therapy Full time

    Physical Therapist OpportunityWe are seeking a dedicated and skilled Physical Therapist to join our team as a floating position. As a part of our network of over 1200 clinics, you will have the opportunity to provide specialized evaluation and evidence-based treatment to meet patient specific needs.Key Responsibilities:Provide top-quality care to...

  • Chiropractic Director

    4 weeks ago

    Wilsonville, OR, United States Medulla Full time

    We are hiring Doctors of Chiropractic to join our office in Wilsonville Oregon!$5,000 sign-on bonus!Opportunity You will be able to pursue your passion of caring for patients in a comprehensive chiropractic family practice to custom tailor our patients unique needs. Without the added stress of every entrepreneurs nightmare having to be everything for...

  • Chiropractic Director

    2 months ago

    Wilsonville, OR, United States Medulla Full time

    We are hiring Doctors of Chiropractic to join our office in Wilsonville Oregon!Starting pay of $70,000 - with potential for $5,000 bonus after 30 days of employment.Opportunity You will be able to pursue your passion of caring for patients in a comprehensive chiropractic family practice to custom tailor our patients unique needs. Without the added stress of...

  • Chiropractic Director

    4 months ago

    Wilsonville, OR, United States Medulla Full time

    Learn about what makes Chiro One different and how this is not just another associate position, but a full career without any investment or franchise fees for our doctors complete with a full resident-in-training program unlike any other, sponsored continuing education by the company, and a performance coaching staff designed to help you succeed.We are one...

  • Rehabilitation Director

    1 month ago

    Wilsonville, Oregon, United States Consonus Healthcare Full time

    Job SummaryWe are seeking a highly skilled and experienced Rehabilitation Director to join our team at Consonus Healthcare. As a key member of our leadership team, you will be responsible for leading a cohesive team of therapists and implementing evidence-based practices to achieve outstanding outcomes for our patients.Key ResponsibilitiesLead and nurture a...