Clinical Reimbursement Director
2 weeks ago
Evergreen Center for Health & Rehabilitation: A Leader in Long-Term Care
We are seeking a highly skilled Clinical Reimbursement Director to join our team at the Evergreen Center for Health & Rehabilitation. In this critical role, you will be responsible for managing the Minimum Data Set (MDS) assessments, ensuring revenue integrity, and compliance with state and federal regulations.
Key Responsibilities:
- Lead and oversee the MDS program for accuracy and compliance
- Determine Patient Driven Payment Method (PDPM) and associated expenses
- Monitor Case Mix Index (CMI) scores for potential risks
- Train, mentor, and manage MDS Coordinators
- Coordinate and participate in comprehensive resident assessments and care planning
- Provide education to facility staff and leaders
- Analyze assessment data to identify opportunities for optimization
What We Offer:
- Competitive compensation
- Improved health insurance and retirement benefits
- Comprehensive training and mentorship
- Support for professional growth and development
- A collaborative work environment
Qualifications:
- Valid state RN license preferred
- Advanced degree or certification preferred
- Direct care in a long-term care setting and/or MDS Coordinator experience required
- Proficient in state and federal regulations governing the MDS and billing process
- Knowledge of Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid, and Medicare requirements
- Excellent communication and interpersonal abilities
- Ability to work effectively in a multidisciplinary team environment
We are an equal opportunity employer and welcome applications from all qualified candidates. We are committed to creating a diverse and inclusive work environment.
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