Clinical Reimbursement Nurse

7 days ago


Rocky Mount NC USA, United States Experienced Recruiting Partners Full time
Job Title: Clinical Reimbursement Nurse

Experienced Recruiting Partners is seeking a highly skilled Clinical Reimbursement Nurse to join our team in the Coastal Region of North Carolina. As a Regional MDS Nurse, you will play a critical role in ensuring excellent survey outcomes and exceptional quality of care for our residents.

Key Responsibilities:
  • Collaborate with Regional Administrators, facility Administrators, MDS Coordinators, and Directors of Nursing to ensure excellent survey outcomes and exceptional quality of care for our residents.
  • Provide support, education, and training to MDS Coordinators in the facilities on the Resident Assessment Instrument (RAI) process in accordance with laws, regulations, and company standards.
  • Review and coordinate PDPM and Case Mix data for the region to ensure appropriate reimbursement.
Requirements:
  • Current license as a Registered Nurse issued by the State Board of Nursing.
  • Bachelor's degree or Associate degree in nursing from an accredited college.
  • 3+ years' of applicable experience with the RAI process.
  • Ability to travel.
  • Strong knowledge of PDPM and State Case Mix Time-weighted Reimbursement payment system.
  • Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.
  • Effective verbal and written English communication skills.
  • Ability to communicate at all levels of the organization and work well within a team environment in support of company objectives.
What We Offer:
  • A competitive salary and benefits package.
  • The opportunity to work with a dynamic and experienced team.
  • Professional growth and development opportunities.


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