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Clinical Reimbursement Specialist
2 months ago
Position Overview:
Vi Living is celebrated as a premier workplace, recognized for its commitment to employee satisfaction and excellence. Elevate your career in a supportive and enriching environment.
Benefits Offered:
- Competitive salary
- Comprehensive benefits package
- Access to earned wages
- Generous Paid Time Off starting from day one
- 401k plan with company contribution
- Paid parental leave
- Award-winning training and professional development
- Tuition assistance
- Luxurious work setting
- Meaningful and fulfilling work
Key Responsibilities:
The MDS Coordinator - RN collaborates closely with the Director of Nursing (DON), Clinical Reimbursement Manager (CRM), and interdisciplinary teams to facilitate the completion of the Minimum Data Set (MDS) and Resident Assessment Instrument (RAI), along with all related processes. Under the guidance of the DON or CRM, the Coordinator ensures that assessments are completed within the federally mandated timelines and in accordance with company policies.
The role includes managing the overall resident assessment process and tracking all Medicare, Managed Care, and Medicaid documentation to guarantee optimal reimbursement for services rendered. Additionally, the Coordinator assists in coordinating resident care planning processes as directed by the DON or CRM.
Qualifications:
- Education: Must have graduated from an accredited Registered Nursing program.
- Experience: A minimum of one year of experience in an MDS or Clinical Reimbursement Nurse role is preferred.
- Licensure/Certification: Current State Licensure as a Registered Nurse is required. CPR and Automated External Defibrillator (AED) certifications are mandatory. First Aid certification is required or must be obtained.
Essential Competencies:
- Exhibits professionalism and courtesy in all interactions.
- Employs a resident-centered approach to problem-solving and goal-setting.
- Maintains confidentiality and adheres to all privacy regulations.
- Possesses in-depth knowledge of case-mix and the Federal Medicare PPS process.
- Demonstrates a thorough understanding of the Quality Indicator Process and OBRA regulations.
- Knowledgeable about regulatory compliance and Continuing Care Retirement Community operations.
- Strong verbal and written communication skills, with the ability to foster effective relationships in a team-oriented setting.
- Proficient in Microsoft Office applications.
- Displays sensitivity to the needs of older adults and a passion for working with the senior population.
Compensation: The pay range for this position is USD $56.84 per hour.
