Clinical Reimbursement Specialist

2 days ago


Mayfield Heights, Ohio, United States Mayfield Heights Police Department Full time
Job Title: Clinical Reimbursement Specialist

Mayfield Heights Nursing and Rehabilitation is seeking an experienced full-time Clinical Reimbursement Specialist. The primary purpose of this position is to coordinate the RAI process, ensuring the timeliness and completeness of the MDS, CAA's, and Interdisciplinary Care Plan.

Responsibilities:
  • Coordinate the RAI process, ensuring accurate and timely completion of MDS assessments and coordination of the RAI process.
  • Manage care oversight to ensure appropriate clinical services are provided and appropriate reimbursement is received for each resident.
  • Provide Medicare, Medicaid (case mix) information and reimbursement to residents.
  • Ensure compliance with federal and state regulations.
Requirements/Qualifications:
  • Graduate of an accredited school of nursing; RN or LPN.
  • Valid LPN or RN license in the state of Ohio.
  • 3 years of experience in a long-term care environment preferred.
  • Experience with the MDS/RAI process and/or case management preferred.
  • 1-2 years MDS experience preferred.
Benefits/Perks:
  • Medical
  • Dental
  • Vision
Location:

Mayfield Heights, OH



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